6 jobs found in Detroit

COMPLIANCE SPECIALIST Under the general supervision of the Vice President of Compliance & Privacy Officer, the Compliance Specialist is responsible for conducting investigations and audits related to fraud, waste, and abuse within the DWIHN provider network. This role includes performing targeted reviews, gathering and analyzing information, and applying relevant regulations, policies, and internal controls to assess compliance. The Compliance Specialist also supports the implementation of policies, procedures, and control measures to ensure that DWIHN and its providers adhere to applicable regulatory and ethical standards.   PRINCIPAL DUTIES AND RESPONSIBILITIES: Conduct FWA Investigations:   Manage investigations related to suspected fraud, waste, and abuse within the provider network. Data Gathering & Analysis:   Collect, review, and analyze relevant documents, data, claims, medical records, and other evidence to assess compliance...

Peer Support Specialist The Peer Support Specialist provides support and recovery training to individuals receiving services. The Peer Support Specialist also assists in implementing/creating a recovery environment and acts as an advocate for the needs and rights of every individual. PRINCIPAL DUTIES AND RESPONSIBILIES: Provides a variety of peer support services and direct interventions with those seeking recovery. Engage individuals in a recovery partnership and assists in identifying participant’s hopes and dreams and the solutions they are seeking. Teaches recovery and life skills using recovery tools. Shares relevant personal experiences related to the “Recovery Process” for the benefit of individuals in recovery.  Models hope, personal responsibility and self-advocacy to demonstrate how recovery goals can be respectfully met and how a belief in self is maintained. Creates a supportive environment for an individual’s recovery.  Assists in developing...

DISPATCH COORDINATOR The Dispatch Coordinator provides the connection via telephone between the individual and the mobile crisis team or PAR screeners.     PRINCIPAL DUTIES AND RESPONSIBILITIES: Acts as the primary liaison between the crisis representative and the mobile crisis or PAR team. Receives complete and accurate information from crisis representatives and relays information to the mobile crisis or PAR team. Utilizes the MHWIN dispatch system to deploy the mobile crisis or PAR team. Responds to crisis calls and referrals for mobile crisis or PAR deployment. Utilizes de-escalation techniques and crisis interventions for callers in crisis. Completes a triage to provide an initial assessment of the individual’s needs. Assesses callers when there may be a potential for suicide using the Columbia Suicide Severity Rating Scale. Manages a high call volume while performing other required duties. Documents each encounter...

At Diverge Health we are passionate about improving health access and outcomes for those most in need. We partner with primary care providers to improve the engagement and management of their Medicaid patients, offering independent practices with specialized resources and clinical programs to close gaps in care. Our teams work to address medical, social and behavioral patient needs, lowering healthcare costs and improving patient lives. Guided by our core values of humility, continuous learning and feeling the weight, our team is on a mission to strengthen communities from within, unlocking people's ability to live their healthiest lives.   We’re hiring Health Coaches in Detroit, Michigan to join our team ! This role is a great fit for someone who loves to learn, finds meaning in their work, and is passionate about helping others live healthier lives. As a Health Coach, you’ll partner with patients to build healthy habits, overcome barriers, and connect with the...

At Diverge Health we are passionate about improving health access and outcomes for those most in need. We partner with primary care providers to improve the engagement and management of their Medicaid patients, offering independent practices with specialized resources and clinical programs to close gaps in care. Our teams work to address medical, social and behavioral patient needs, lowering healthcare costs and improving patient lives. Guided by our core values of humility, continuous learning and feeling the weight, our team is on a mission to strengthen communities from within, unlocking people's ability to live their healthiest lives.   We’re hiring Health Coaches in Detroit, Michigan to join our team ! This role is a great fit for someone who loves to learn, finds meaning in their work, and is passionate about helping others live healthier lives. As a Health Coach, you’ll partner with patients to build healthy habits, overcome barriers, and connect with the...

At Diverge Health we are passionate about improving health access and outcomes for those most in need. We partner with primary care providers to improve the engagement and management of their Medicaid patients, offering independent practices with specialized resources and clinical programs to close gaps in care. Our teams work to address medical, social and behavioral patient needs, lowering healthcare costs and improving patient lives. Guided by our core values of humility, continuous learning and feeling the weight, our team is on a mission to strengthen communities from within, unlocking people's ability to live their healthiest lives.   We’re hiring Health Coaches in Detroit, Michigan to join our team ! This role is a great fit for someone who loves to learn, finds meaning in their work, and is passionate about helping others live healthier lives. As a Health Coach, you’ll partner with patients to build healthy habits, overcome barriers, and connect with the...