6 jobs found in Romulus, MI

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...

Advanced Practice Provider (Psychiatric Nurse Practitioner/Physician Assistant) Under the general supervision of the Medical Director of Crisis Services, the Advanced Practice Provider (Nurse Practitioners and Physician Assistants) will perform clinical duties and activities as directed, covering the continuum of intensive crisis stabilization services (ICSS) including Crisis Stabilization Unit, Behavioral Health Urgent Care, and Mobile Crisis Services. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provides direct clinical/patient care duties and responsibilities as required, including psychiatric evaluation, re-evaluation, disposition, coordination of medical services with nurse on duty, medication orders/prescribing, monitoring patients, etc. Incorporates Evidenced Based Best Practice Standards into service delivery. Provides care compliant with licensing regulations and accreditation standards. Determines medical necessity. Researches medical topics such as...

REGISTERED NURSE The Registered Nurse monitors clients, administers medications, keeps records, consults with healthcare providers, and educates clients utilizing the nursing processes of assessment, planning, implementation, and evaluation.   PRINCIPAL DUTIES AND RESPONSIBILITIES: Provides nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures, and protocols, in addition to facility specific policies and procedures. Utilizes the nursing process of assessment, planning, implementation, and evaluation, to provide, delegate, supervise and document care and teaching of clients and their caregivers. Serves as a client advocate while utilizing the nursing process to plan, deliver, and evaluate goal-focused, individualized, safe, age specific care for all clients, including those with complex needs. Utilizes client/patient centered approach to gather...

CLINICAL SPECIALIST  The Clinical Specialist will provide therapeutic support, crisis intervention, clinical assessments, and evidence-based therapeutic interventions. This Clinician also delivers a person centered and goal-oriented approach to individuals experiencing acute mental health crises.   PRINCIPAL DUTIES AND RESPONSIBILITIES: Conducts electronic case reviews. Authorizes treatment plans. Provides consultations utilizing medical necessity criteria. Evaluates clinical appropriateness. Monitors provider treatment plans to ensure quality and effectiveness of service. Performs data gathering, documentation and analysis for desired outcomes. Advocates for clients to ensure treatment needs are met. Follows guidelines of the integrated care case management program with respect to identifying and assessing clients, developing and managing the treatment plans, and facilitating complex care arrangements. Performs initial and ongoing review of...

At Residential Home Health and Hospice (‘Residential’), we’re looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our Weekend Hospice Registered Nurses collaborate to provide management and delivery of patient care plans. With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path. This position supports patients in Troy and surrounding areas and is eligible for a $10,000 first year success bonus to reward the accomplishment of key achievements during your first year! The schedule for this position is Saturday, Sunday and Monday, 9:30am - 9:30pm. Our high value rewards package: DailyPay: Access your money when you want it! Industry-leading 360 You ™ benefits program The option to lease a new Toyota or Ford vehicle at a significantly...

At Residential Home Health and Hospice (‘Residential’), we’re looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our After Hours Hospice Registered Nurses collaborate to provide management and delivery of patient care plans. With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path. This position supports patients in Jackson, M I and surrounding areas. The schedule for this position would be 7 on, 7 off. Our high value rewards package: DailyPay: Access your money when you want it! Industry-leading 360 You ™ benefits program The option to lease a new Toyota or Ford vehicle at a significantly discounted price below MSRP Certain benefits may vary based on your employment status. Our supportive environment...