NewCare Coordinator Registered Nurse - Remote in Michigan McLaren Health Care CorpCare Coordinator Registered Nurse - Remote in MichiganFlint, MIRemotePosition Summary: As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual's health needs, using clinical and community resources to promote quality, cost effective outcomes. Completes timely post-hospital follow up: Medication reconciliation, PCP or specialist follow-up appointment, assess symptoms, teach warning signs, review discharge instructions, coordination of care, and problem solve barriers.
Healthcare Claims Quality Analyst Integra PartnersHealthcare Claims Quality AnalystTroy, MIRemoteFull timeThe Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and claims-related interactions within the Revenue Cycle Management (RCM) function. Working knowledge of Revenue Cycle Management (RCM) workflows and downstream impacts (e.g., clean claim submission, edits, denials, appeals, payment posting/reconciliation) across commercial, Medicaid, and Medicare.
Crisis Counselor - Fully Remote in Flint, MI Protocall Services IncCrisis Counselor - Fully Remote in Flint, MIFlint, MIRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Crisis Counselor - Fully Remote in Saginaw, MI Protocall Services IncCrisis Counselor - Fully Remote in Saginaw, MISaginaw, MIRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Licensed Crisis Counselor - Fully Remote in Saginaw, MI Protocall Services IncLicensed Crisis Counselor - Fully Remote in Saginaw, MISaginaw, MIRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Licensed Crisis Counselor - Fully Remote in Flint, MI Protocall Services IncLicensed Crisis Counselor - Fully Remote in Flint, MIFlint, MIRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Provider Compensation Analyst - Remote in Michigan McLaren Health Care CorpProvider Compensation Analyst - Remote in MichiganFlint, MIRemoteThe position is responsible for the examination, interpretation, and processing of data to provide insights, solve problems, and support organizational decision-making within provider compensation. Essential Functions and Responsibilities: Acts both independently and in concert with team; consistently exercises discretion and judgment in performing work which is predominantly intellectual and varied in nature.
Clinical Support Specialist-Remote McLaren Health Care CorpClinical Support Specialist-RemoteAuburn Hills, MIRemoteEssential Functions and Responsibilities: Care Coordination Services - Performs care coordination services using ADT systems, population health tools, patient outreach and assessment, resource coordination, and communication across the care continuum (physician offices, home care, hospitals, SNFs, and payors). Quality Performance Support - Identifies opportunities to improve physician performance related to quality initiatives from contracted health plans, payers, and government agencies, and assists in developing new processes to support providers, practices, and McLaren subsidiaries in delivering Population Health services.
Director, Health Plan Provider Contracts (Medicaid / Michigan Health Plan) - Remote in Michigan Molina Healthcare IncDirector, Health Plan Provider Contracts (Medicaid / Michigan Health Plan) - Remote in MichiganFlint, MIRemoteAt least 8 years of experience in network contracting with large specialty or multispecialty provider groups, and at least 5 years'' experience in provider contract negotiations in a managed health care setting ideally negotiating complex provider contract types and value-based payment (VBP) models (i.e. physician/group/hospital), or equivalent combination of relevant education and experience. In conjunction with network leadership, oversees the development of provider contracting strategies including VBP; includes identifying those specialties and geographic locations to concentrate resources for purposes of establishing a sufficient network of participating providers to serve the health care needs of members, in addition to identifying VBP provider targets to meet Molina goals.
Licensed Property & Casualty Insurance Agent - Remote USA TTECLicensed Property & Casualty Insurance Agent - Remote USAAttica, MIRemoteWebcam participation is expected during all instructor‑led TTEC and client‑required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Whether it’s getting answers for customers quickly, consulting on products with compassion or resolving their issues with a smile, you’ll be the difference between their customer experience being just average or an exceptional one.
RN Field Care Manager Nurse Humana IncRN Field Care Manager NurseMIRemote$71,100–$97,800 / yearThe Field Care Manager Nurse 2 assesses and evaluates members needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Focuses on supporting members and/or caregivers using an interdisciplinary approach to access social, housing, educational, and other services-regardless of funding source-to meet identified needs.