Nurse Auditor, Revenue Integrity - (Remote) Trinity HealthNurse Auditor, Revenue Integrity - (Remote)Livonia, MIRemote$31.88–$47.82 / hourNS IV - licensed: Licensed role (direct or indirect healthcare); Provides nursing interventions or clinical knowledge application in decision-making; Participates in the planning, implementation & / or evaluation of & solutions for care; Performs delegated focused / holistic care autonomously according to care plan; May administer medication & carry out the therapeutic treatment within scope of license (state & TH policy); Performs direct & essential care or supportive activities as part of an interdisciplinary team with a deeper understanding, including theoretical knowledge; Demonstrates a level of independence to perform activities with general oversight, through personal contributions, teamwork & initiatives to safely improve outcomes; Advocates for patients & informs / counsels patients & families about illness & care details; May serve as a knowledge resource, role model & mentor or lead / coordinate / supervise direct & essential care activities or role-based service responsibilities of unlicensed / licensed / certified healthcare professionals within licensed scope of practice. Work Focus: Performs clinical care activities (direct or indirect) for patients within the "scope of practice" laws & training received; Cares for patients safely by assisting in clinical care services or engaging in administrative activities (e.g., maintaining records or supplies) that enhance or improve coordination, preparation & flow of the care experience.
Care Manager, LTSS (RN) Remote (Warren, MI) Molina Healthcare IncCare Manager, LTSS (RN) Remote (Warren, MI)Warren, MIRemoteAt least 2 years of experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
Care Manager, LTSS (RN) Remote (Detroit, MI) Molina Healthcare IncCare Manager, LTSS (RN) Remote (Detroit, MI)Detroit, MIRemoteAt least 2 years of experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
Nurse Practitioner: Remote Urgent Care, GA license preferred Belle, LLCNurse Practitioner: Remote Urgent Care, GA license preferredDetroit, MIRemote$110,000This role focuses on responding to urgent clinical escalations from our nursing team, with the majority of calls involving poorly controlled hypertension, medication concerns, and other non-life-threatening acute issues. Belle is seeking a compassionate and clinically skilled Nurse Practitioner (NP) to provide remote telehealth support for Medicare beneficiaries enrolled in our Chronic Care Management (CCM) program.
NewClinical Documentation Specialist - (Remote) Trinity HealthClinical Documentation Specialist - (Remote)Pontiac, MIRemoteMust possess one of the following: Current Registered Nurse License in the State of practice, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) required, Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school. Two (2) years' experience as an inpatient coder preferred or experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as an RN, physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN).
Clinical Documentation Specialist Audit Coordinator (Remote) Trinity HealthClinical Documentation Specialist Audit Coordinator (Remote)Livonia, MIRemote$41.43–$62.15 / hourDemonstrates understanding of and facilitates appropriate clinical documentation, to ensure that the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services provided are accurately reflected in the health record. Responsible for reviewing and/or auditing medical record clinical documentation to support the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services rendered to all patients.
Nurse Practitioner: Remote Urgent Care Belle, LLCNurse Practitioner: Remote Urgent CareDetroit, MIRemoteThis role focuses on responding to urgent clinical escalations from our nursing team, with the majority of calls involving poorly controlled hypertension, medication concerns, and other non-life-threatening acute issues. Belle is seeking a compassionate and clinically skilled Nurse Practitioner (NP) to provide remote telehealth support for Medicare beneficiaries enrolled in our Chronic Care Management (CCM) program.
Nurse Practitioner: Remote Telehealth Provider- Urgent Care Belle, LLCNurse Practitioner: Remote Telehealth Provider- Urgent CareDetroit, MIRemoteThis role focuses on responding to urgent clinical escalations from our nursing team, with the majority of calls involving poorly controlled hypertension, medication concerns, and other non-life-threatening acute issues. Belle is seeking a compassionate and clinically skilled Nurse Practitioner (NP) to provide remote telehealth support for Medicare beneficiaries enrolled in our Chronic Care Management (CCM) program.
Nurse Practitioner: Remote Urgent Care, GA License Preferred Belle, LLCNurse Practitioner: Remote Urgent Care, GA License PreferredDetroit, MIRemoteThis role focuses on responding to urgent clinical escalations from our nursing team, with the majority of calls involving poorly controlled hypertension, medication concerns, and other non-life-threatening acute issues. Belle is seeking a compassionate and clinically skilled Nurse Practitioner (NP) to provide remote telehealth support for Medicare beneficiaries enrolled in our Chronic Care Management (CCM) program.
(Remote) Manager, Leave Of Absence Administration, Center Of Expertise Trinity Health Corporation(Remote) Manager, Leave Of Absence Administration, Center Of ExpertiseLivonia, MIRemote$47.23–$70.81 / hourStrong interpersonal, consultative and relationship building skills in order to initiate and develop productive working partnerships with all levels of management/leadership and staff along with effective vendor interface/management experience. Establishes timelines and deliverables, facilitates meetings with key stakeholders, provides routine and strategic updates, responsible for meeting established objectives, deadlines, and financial outcomes.
Vice President, Commercial Strategies and Initiatives (Remote) Aledade IncVice President, Commercial Strategies and Initiatives (Remote)Novi, MIRemoteIf you are a visionary healthcare strategist looking to lead high-performing teams, scale transformative products across independent primary care practices, and directly influence how care is delivered at scale, this role offers an unmatchable opportunity to make a lasting impact. Strategic Initiative Leadership & Operational Execution: Lead the end-to-end operationalization and scaling of core strategic initiatives, specifically focusing on the deployment, integration, and optimization of Aledade Complete and Patient Choice Services.
Nurse Auditor, Revenue Integrity - (Remote) Trinity Health CorporationNurse Auditor, Revenue Integrity - (Remote)Livonia, MIRemote$32.52–$48.78 / hourNS IV - licensed: Licensed role (direct or indirect healthcare); Provides nursing interventions or clinical knowledge application in decision-making; Participates in the planning, implementation & / or evaluation of & solutions for care; Performs delegated focused / holistic care autonomously according to care plan; May administer medication & carry out the therapeutic treatment within scope of license (state & TH policy); Performs direct & essential care or supportive activities as part of an interdisciplinary team with a deeper understanding, including theoretical knowledge; Demonstrates a level of independence to perform activities with general oversight, through personal contributions, teamwork & initiatives to safely improve outcomes; Advocates for patients & informs / counsels patients & families about illness & care details; May serve as a knowledge resource, role model & mentor or lead / coordinate / supervise direct & essential care activities or role-based service responsibilities of unlicensed / licensed / certified healthcare professionals within licensed scope of practice. Work Focus: Performs clinical care activities (direct or indirect) for patients within the "scope of practice" laws & training received; Cares for patients safely by assisting in clinical care services or engaging in administrative activities (e.g., maintaining records or supplies) that enhance or improve coordination, preparation & flow of the care experience.
Director of Sales Engineering & Effectiveness, Remote Aledade IncDirector of Sales Engineering & Effectiveness, RemoteNovi, MIRemoteThe Director will lead, coordinate and assign Deal support / customization for key accounts to the Sales Engineers; collaborate with Marketing team to inform segment specific campaigns and share learnings; evaluating ACO performance and assessing ROI and sales performance of initiatives using Salesforce CRM and other workflow and analytical tools. This leader is a strong operator & manager of SMEs foremost, able to run cross-functional weekly meetings, performance reviews, plus manage special projects & deliverables for executives, particularly GEL("Growth Executive Leadership" team) & Glue.
Supervisor, Clinical Documentation Integrity (Remote) Trinity HealthSupervisor, Clinical Documentation Integrity (Remote)Livonia, MichiganRemote$47.23–$70.85 / hourResponsible for scheduling and staffing assignments for the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator positions, facilitating management of personal time off and schedule change requests, assuring adequate staffing is in place. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports the patient’s severity of illness, risk of mortality, clinical validity and proper DRG assignment.
Outpatient Complex Coder/Full Time/Remote Henry Ford HospitalOutpatient Complex Coder/Full Time/RemoteMIRemoteThe coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
Coding Complex Specialist/Full Time/Remote Henry Ford HospitalCoding Complex Specialist/Full Time/RemoteDetroit, MIRemoteThe CBO Coding Complex Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes.
CBO Coding Specialist - Full Time Days - Remote (Michigan Residents) Henry Ford HospitalCBO Coding Specialist - Full Time Days - Remote (Michigan Residents)Detroit, MIRemoteThe CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation, and administrative decision making related to patient care. GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes.
Outpatient Complex Coder(Surgical)/Full Time/Remote Henry Ford HospitalOutpatient Complex Coder(Surgical)/Full Time/RemoteTroy, MIRemoteThe coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
NewCBO Insurance Sr. Specialist - Full Time Days - Remote (Michigan Residents) Henry Ford HospitalCBO Insurance Sr. Specialist - Full Time Days - Remote (Michigan Residents)Troy, MIRemoteSpecialist is responsible for effectively and efficiently resolving complex accounts, acting as a subject matter resource for his/her functional area, coaching team members on account resolution workflows, and assisting the supervisor with team management. Specialist helps drive change by identifying areas where performance improvement is needed (for example, day-to-day workflow, education, process improvements, patient satisfaction).
Remote Administrative Assistant / Full-time Easy RecruiterRemote Administrative Assistant / Full-timeDetroit, MichiganRemoteBeckers Hospital Review: named as one of the 100 Great Hospitals in America, in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs. Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments: Healthcares Most Wired: Among the nations 100 most-wired hospitals and health systems for its efforts in innovative medical technology.