Molina Healthcare jobs in Troy, MI - 894 jobs

Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** - Enters denials and requests for appeals into information system and prepares documentation for further review. - Researches claims issues utilizing systems and other available resources. - Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. - Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. - Determines appropriate language for letters and prepares responses to member appeals and grievances. - Elevates appropriate appeals to the next level for review. - Generates and mails denial letters. - Provides support for interdepartmental issues to help coordinate problem-solving in an efficient and timely manner. - Creates and/or maintains appeals and grievances related statistics and reporting. - Collaborates with provider and member services to resolve balance bill issues and other member/provider complaints. **Required Qualifications** - At least 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience. - Customer service experience. - Organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. - Effective verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** - Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting experience. - Completion of a health care related vocational program (i.e., certified coder, billing, or medical assistant). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. + Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome + Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs + Identifies problems/barriers to care and provide appropriate care management interventions + Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services + Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs + Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate + Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services + May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources + Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits + Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner + Other duties or responsibilities as assigned by people leader to meet business needs + Performs other duties as assigned. + Complies with all policies and standards. **This is a hybrid position. Candidates must currently reside in Wayne County or Macomb County, Michigan.** **Education/Experience:** Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $56,200.00 - $101,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

JOIN OUR TEAM QUALITY CARE DELIVERED BY COMPASSIONATE PEOPLE We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment. We deliver the resources, tools and support our employees need to serve our patients and customers in the best way possible - so we can create happier, healthier communities. COMMITTED TO DIVERSITY AND INCLUSION At Tenet, we believe in a diverse and inclusive environment, one that is grounded in our dedication to the health and well-being of all people. Respecting, nurturing and encouraging diversity of thought, background and experience contribute to positive work environments that result in exceptional patient care. We embrace diversity because it's our culture, and because it's the right thing to do. DMC Harper University Hospital has distinguished itself in surgery and medicine and is known for its clinical expertise and innovative research. A specialty referral hospital, Harper has established Centers of Excellence in neurosciences, bariatric surgery, vascular services, multidisciplinary cardiovascular services, hypertension, stroke prevention and heart failure. Summary Description Under direct supervision and according to established policies and procedures, performs a variety of duties in the OR and related areas to assist the surgical team and surgeon. Performs the duties of a surgical technician and provides direct assistance to the surgeon as a surgical technologist first-assistant during surgeries. Facilitates surgical procedures by providing the surgeon with necessary surgical instruments, supplies and/or equipment. PRINCIPAL DUTIES AND RESPONSIBILITIES 1. Scrubs on all types of operating procedures; handles surgical instruments, sutures & sponges; anticipates the needs of the surgeon, assisting as required. Maintains strict aseptic technique, identifying and correcting any breaks in technique. Maintains an accurate count of sponges, sharps and instruments; assumes joint responsibility with the circulating nurse for ensuring that all are accounted for during and after the operation. Observes patient's condition while in the OR; reports any changes to the staff nurse and/or anesthesia. 2. Prepares for scheduled operative procedures, ensuring that necessary equipment, instruments and supplies are available and ready for use. 3. Maintains a clean and safe OR environment; cleans rooms and sterilizes equipment. Restocks OR with standard supplies and assists in updating surgical instrument sets. Maintains power equipment and specialty instrumentation within assigned specialty areas. 4. Assists in the transportation of patients to and from the OR; verifies patient identity; assists with lifting and positioning of patient for surgical procedures. 5. Provides direct assistance to the surgeon during surgery as first-assistant. Handles tissue; provides exposure, sutures, uses instruments and provides hemostasis under the direct supervision of the surgeon. Facilitates surgical procedures by providing the surgeon with necessary surgical instruments, supplies and/or equipment. 6. Participates in the orientation of new surgical technician personnel. 7. May assist as second circulator under the direction of a registered nurse. Prepares materials to be presented in dept in-service education programs as assigned. Assists in the trial and evaluation of new surgical products. Provides input to managers in developing new policies and procedures for the department. Participates on committees as assigned.* 8. Performs other related duties as assigned.. Minimum Qualifications 1. High school diploma or equivalent. 2. Certification as a surgical technologist by an accredited certifying agency recognized by the Association of Surgical Technologists. 3. Graduation from an accredited First Assistant program. 4. Surgical First Assistant certification. 5. Certified in CPR. 6. One to two years experience as a surgical technologist in an operating room setting. Skills Required 1. Interpersonal skills necessary to work effectively and efficiently with nursing and medical staff in stressful and emergency situations. 2. Physical stamina for prolonged standing, walking, and lifting. 3. Manual dexterity and visual acuity including ability to see fine discriminate detail, to pass instruments, cut sutures, hold retractors, etc. 4. Knowledge of medical terminology and anatomy required.

DMC Detroit Receiving Hospital, Michigan's first Level I Trauma Center, helped pioneer the evolution of emergency medicine and currently has one of the busiest and most well-equipped emergency departments anywhere. The first and largest verified burn center in the state is at Receiving, and it is one of only 43 in the nation. Receiving also offers the state's leading 24/7 hyperbaric oxygen program, Metro Detroit's first certified primary stroke center, and the nationally recognized and accredited DMC Rosa Parks Geriatric Center of Excellence. Job Summary Under the supervision of a registered nurse and in collaboration with other members of a multidisciplinary team provides treatment to patients with mental illness. 1. Provides one-to-one interaction with patients. 2. Assists in educational sessions, facilitates task oriented sessions; e.g. Community Meeting. 3. Assists with the patient intake, admission and discharge processes including but not limited to collection of objective data and patient s unit orientation. 4. Performs patient, body and property searches, and secures patient property. 5. Participates in patient care conferences and treatment-planning meetings as requested. Observe patients at risk for dangerous behavior (suicidal, self mutilation or aggression towards others). Performs and documents patient and environmental rounds. 6. Obtains vital signs, performs specimen collection (e.g. blood draws, urine collection), diagnostic testing, (e.g. ECG, breathalyzer) and assists with physical examinations as needed. 7. Assists patients with activities of daily living e.g. eating, dressing, bathing and laundry. 8. Monitors and documents patient observations, 1:1 interactions, intervention/actions taken, and the patient s response to interventions provided by the Mental Health Technician. 9. Completes court petitions, accompanies patients to court and testifies to substantiate the need for court ordered treatment. Communicates status of court activity to professional staff. 10. Assists professional staff with restraint and seclusion as needed. 11. Performs routine clerical functions e.g. answering phones, and computer input and retrieval of information, ordering and stocking unit equipment and supplies, generating and distributing reports, updating unit census and other informational boards. 12. Ensures that patient care equipment is clean and in good working order. 13. Promotes guest relations. Anticipates and responds to needs of others. Provides assistance in a quick and courteous manner. 14. Treats others with care and respect while maintaining privacy, confidentiality and dignity. 15. Maintains a professional appearance and a clean, safe environment. 16. Performs other related duties as assigned by management. Qualifications: 1. One year of college study in behavioral health or equivalent combination of education and experience in an adult mental health setting AND one year of related clinical experience working with mentally ill patients; OR Associates degree in psychology, social work or a human service discipline. 2. Successful completion of annual recipient rights training, physical management in-service and demonstration, maintains active CPR certification. Job: Behavioral Health Primary Location: Detroit, Michigan Facility: DMC Receiving Hospital Job Type: Full Time Shift Type: Night Shift Begin: 11:00 PMShift End: 7:30 AM Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Apply Now Save Job

1. Graduate from a Baccalaureate Pathology Assistant program or successful completion of a post bachelor's program from an approved school of Pathology Assistants. OR Bachelor's degree in sciences with background in physiology and anatomy with three to five years experience in pathology. 2. Certification by American Association of Pathology Assistants (AAPA) or American Society of Clinical Pathologists (ASCP) as a Pathology Assistant, or must successfully attain certification within 6 (six) months of employment as a Pathology Assistant to retain employment at the DMCUL. Facility Description DMC University Laboratories (DMCUL) is a regional, integrated laboratory system providing services to the eight hospitals of Detroit Medical Center. DMC University Laboratories evolved in 1993 and is comprised of Core Laboratories, Specialty Laboratories, two rapid response hospital laboratories, Centralized Stat Lab, Centralized Blood Bank Lab, and full service outreach infrastructure which includes patient service centers, remote ambulatory laboratories, marketing staff, courier system and billing department. The DMC University Laboratories service area covers the entire Southeast Michigan market, and is growing at a rapid pace with the following outstanding features\: Test menu of over 1,000 tests, which includes high end specialty tests. Less than 1% of our tests are sent to outside reference laboratories. Provide reference laboratory services to many of the other healthcare systems in Southeastern Michigan and several out of state facilities. EEO Statement Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify\: http\://********************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations DMC University Laboratories, Inc. is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients. Benefits Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include\: • Medical, dental, vision, and life insurance • 401(k) retirement savings plan with employer match • Generous paid time off (PTO) • Career development and continuing education opportunities • Health savings accounts, healthcare & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. Note\: Eligibility for benefits may vary by location and is determined by employment status Job Summary: Under general direction of a pathologist, assists in all aspects of anatomic pathology. Describes and examines surgical specimens and prepares such specimens for histology processing. Performs autopsy prosection, obtains appropriate specimens for microscopic evaluation and describes findings. Assists in preparation, processing and determination of adequacy of fine needle aspirates and renal biopsies. Participates in seminars and provides instruction for medical and pathologist assist students concerning technique and protocol in autopsy and surgical pathology. Under the direction of a pathologist, performs prosections and dictates gross description of surgical specimens. Ensures that appropriate legal permission has been obtained to perform autopsies. Assists pathologist and clinicians in obtaining permission if necessary. Prepares abstracts of medical records and presents abstracts to pathologists prior to beginning an autopsy. Maintains autopsy room, associated facilities and all instruments and equipment in a clean and safe condition as specified by department safety and OSHA guidelines. Obtains and transports supplies necessary to operation of autopsy and gross rooms. Transfers and handles body from morgue to autopsy table. Conducts autopsy from start to finish including description, prosection, selection, collection and submission of designated specimens for microscopic evaluation, and special studies. Conducts Training seminars, instructing pathologist assist students in technique and protocol of autopsy and gross surgical pathology. Demonstrates gross pathology protocol and procedures to new residents. Prepares fine needle aspirates and renal biopsy specimens for examination utilizing appropriate laboratory techniques and protocols. Examines specimens for adequacy. Evaluates and provides feedback on student projects. May assist with sections/specimens utilizing cryostat, stains and coverslip slides; maintains frozen section equipment. May perform and/or assist pathologist or designate in performance of tasks related to medical photography. May maintain procedure manuals in accordance with practice guidelines and requirements of regulatory agencies. JOIN OUR TEAM QUALITY CARE DELIVERED BY COMPASSIONATE PEOPLE We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment. We deliver the resources, tools and support our employees need to serve our patients and customers in the best way possible - so we can create happier, healthier communities. COMMITTED TO DIVERSITY AND INCLUSION At Tenet, we believe in a diverse and inclusive environment, one that is grounded in our dedication to the health and well-being of all people. Respecting, nurturing and encouraging diversity of thought, background and experience contribute to positive work environments that result in exceptional patient care. We embrace diversity because it's our culture, and because it's the right thing to do.

**Become a part of our caring community and help us put health first** The Home Health Student Nurse Internship is a summer opportunity designed to provide nursing students with hands-on experience in a community-based home care setting. As an intern, you will have the opportunity to gain direct clinical experience in the home environment by assisting with essential patient care tasks such as measuring vital signs, performing physical assessments, supporting wound management, and providing Foley catheter care -all under the guidance of experienced registered nurses. This internship aims to enhance clinical assessment skills, foster compassionate communication, and offer exposure to the continuum of care outside traditional hospital settings. We are seeking interns for internship opportunities at our various branch locations across the North Region in the following locations: Flint, MI; Muncie, IN; Ontario, OH. When submitting your application, please specify the branch or branches where you are interested and available to work. This will help us best match your skills and availability with our current openings. **Responsibilities:** + Assist Registered Nurses in providing direct patient care in home settings + Conduct patient assessments and document findings accurately + Participate in care planning and implementation under RN supervision + Practice effective, empathetic communication with patients and families + Adhere to all clinical protocols, safety guidelines, and regulatory requirements + Maintain patient confidentiality and professional conduct at all times + Engage in educational activities and team meetingswithin the branch and the Chief Nursing Office **Use your skills to make an impact** **Required Qualifications:** + Enrolledin an accredited Licensed Practical Nurse (LPN),Associate Degree in Nursing (ADN), or Bachelor of Science in Nursing (BSN)program, withexpected graduation date between December 2026 and Summer 2027 + Must be available to work full-time,40hoursper week, Monday - Friday for8weeksfromJune1-July24. + Must have a validdriver'slicenseforthe duration of the internship totravel tothe branch and/orpatient homes. Students will ride with their preceptors for most home visits. + Completion of at least one clinical rotation in an acute care setting and/orpreviousexperience in home health, hospice, or community-based care + Must have Certification in Basic Life Support (BLS) from the American Heart Associationthat must be activefor the duration of internship + Must not require sponsorship to work in the United States now or in the future **Preferred Qualification** **s:** + Have a strong academic history, with a minimum nursing GPA of 2.5 or higher + Havedemonstratedcommitment to patient-centered careand strong interest in home health care + Have strong organizational, prioritization, and critical thinking skills + Possess strong interpersonal, written, and oral communication skills **What to expect during your** **8** **-week internship program:** + Onboarding andorientationcompleted in week one + Work closelyin the homewithseasonedhome healthnursestoprovide hands on, supervised care to home bound patients + Interdisciplinary care team shadowingexperiences + Facilitated, virtualgroupmeetupswith other home health nursing interns across the US + Opportunities to connect andinteractwith home health andorganization leaders Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 1 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $37,440 - $43,800 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** - Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations. - Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. - Ensures that adequate staffing coverage is present at all times of operation. - Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. - Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis. - Participates, researches, and validates materials for both internal and external program audits. - Acts as liaison to internal and external customers to ensure prompt resolution of identified issues. - Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review. - Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures. - Participates in the daily workload of the department, performing Representative duties as needed. - Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership. - Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership. - Communicates effectively with practitioners and pharmacists. - Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs. - Assists with development of and maintenance of pharmacy policies and procedures - Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies. **Required Qualifications** - At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience. - Knowledge of prescription drug products, dosage forms and usage. - Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity. - Working knowledge of medical/pharmacy terminology - Excellent verbal and written communication skills. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Supervisory/leadership experience. - Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice. - Call center experience. - Managed care experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $55,706.51 - $80,464.96 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

MICHIGAN GROUP - Detroit Market The Detroit Medical Center is one the largest academic medical centers in the United States, with a long and rich history of medical education, providing training in medical education for more than 100 years. As the nation shifted to more rigorous oversight of physician training, the DMC continued to be a leader in accredited programs in medical education beginning with the Ophthalmology Residency Program's accreditation in 1951, Pathology in 1953, Internal Medicine in 1956, Neurology in 1958. The DMC currently sponsors 80 programs, 72 are currently accredited by Accreditation Council for Graduate Medical Education (ACGME). This includes 10 programs under the Children's Hospital of Michigan. Six of these programs are accredited by other boards. In total, DMC trains over 1000 physicians each year. The DMC maintains Academic affiliations with Michigan State University's College of Osteopathic Medicine, Meharry Medical College and Wayne State University's School of Medicine. The faculty provides the majority of medical student, resident and fellow training at DMC hospitals. The Detroit Medical Center graduates outstanding physicians with advanced training in many specialties including Emergency Medicine, Surgery, Cardiology, Obstetrics and Gynecology, Neurology, Internal Medicine, Pathology, Pediatrics, Radiology and many more. The Chief Human Resources Officer will have direct oversight of the following hospitals: DMC Detroit Receiving Hospital, Michigan's first Level I Trauma Center, has played a pioneer role in the evolution of emergency medicine. Detroit Receiving hosts one of the busiest and most well-equipped emergency departments in southeast Michigan. The oldest and largest verified Level I Burn Center in the state is at Detroit Receiving, and is one of only 43 in the country. This hospital also boasts the state's leading hyperbaric oxygen treatment program, Metro Detroit's first certified primary stroke center, and the nationally recognized Rosa Parks Geriatric Center. Detroit Receiving offers expertise in emergency medicine, complex trauma, critical care, orthopedics, neurosciences, nephrology, pulmonology, diabetes, geriatrics and urology. DMC Harper-Hutzel Hospital has distinguished itself in surgery and medicine and is known for its clinical expertise, innovative research and advanced education. Harper-Hutzel has established Centers of Excellence in neurosciences, bariatric surgery, vascular services, multidisciplinary cardiovascular services, hypertension, stroke prevention and heart failure. Harper-Hutzel is home to the revolutionary Cardio Team One, the new standard of excellence in heart care and is nationally recognized for cutting-edge research in high-risk obstetrics, infertility, reproductive genetics, neonatology, maternal fetal medicine, midwifery, gynecology, urogynecology, menopause, permanent birth control and alternatives to hysterectomy. Harper-Hutzel is a hospital with a rich history of over 143 years as Michigan's first and only hospital for women, and patients benefit from our commitment to research and education. POSITION SUMMARY: The Hospital Chief Human Resources Officer serves the hospital and group leadership team as strategic advisor providing high-quality consultancy on a diverse set of strategic and operational HR issues; representing specific hospital or market needs; ensuring implementation and application of agreed upon HR processes, systems, policies and programs; leads escalation and resolution of employee relation matters; lead HR functional liaison to a specific hospital or market accountable to attract, develop and retain key talent. The Hospital CHRO serves as the key liaison to "broker" the HR service delivery model ensuring appropriate support of human resource services and solutions are provided in areas such as talent management, total rewards, talent acquisition and deployment, learning, employee relations, organization design and restructuring. He/she is accountable to ensure oversight and governance of group and hospitals HR processes, systems, and policies. FUNCTIONAL EXPECTATIONS & REQUIREMENTS: * Consults with business leaders on critical capability and capacity gaps, short- and long-term talent needs, compensation, organization effectiveness and employee development requirements and labor management strategies. * Partners with Hospital Operations CHRO and Tenet CoEs leaders to proactively identify and implement strategic solutions and interventions across all functional areas ensuring SLA and KPI targets are met. * Partners with external HR groups/societies to stay abreast of key industry trends and best practices. * Partners with other senior HR leaders to ensure the successful implementation and constant evolution of the HR service delivery model. ESSENTIAL FUNCTIONS OF THE ROLE: * Acts as a point of contact to the business for all HR related services and solutions. * Plays an active business partner role in strategic meetings (budget process, strategic planning, etc.) and translates business strategies into HR initiatives. * Manages labor and productivity initiatives and actions to deliver cost improvement in areas such as overtime, premium labor, headcount efficiency and contract labor. * Acts as a catalyst to ensure the acquisition, development and performance of leading talent and partners with members of HR service delivery model to ensure sourcing, staffing, and onboarding needs are met. * Builds the capability of direct reports and that of the broader HR team, identifying and supporting them through their own development and towards their career go * Drives the use of data analytics, and external/internal insights to design innovative HR solutions based on short- and long-term business needs. * Deploys innovative, business relevant processes and solutions that drive the business strategy, talent management agenda, people engagement and organizational effectiveness and oversee service delivery (Time / Cost / Value / Quality / Direction / Strategy) according to internal and external service level agreements. * Provides coaching to managers on how to analyze and identify solutions to drive the business and create greater organizational capability and engagement. * Drives simplification and elimination of non-value-added work in the business and identifies efficiencies and drives organizational effectiveness. * Builds capability internally and coaches' senior leaders on effective talent, organizational and employee engagement strategies. * Drives culture change toward the direction of business (Understands the vision of the business, leads culture gap analysis, action plans against gaps, leverages communication tools/expertise to drive desired change) to ensure change initiative are managed in a predictable and controlled manner ensure overall objectives are achieved. * Leverages external networks to understand market trends, shape organizational strategy and apply leading practices. * Identifies the need for HR solutions and partners across HR to integrate and broker these services, overseeing and constantly improving a work-intake and contracting process to enable priorities and deliverables to emerge at enterprise, business unit and channel levels. * Other duties as assigned. ORGANIZATIONAL LEADERSHIP - EXPECTATIONS & REQUIREMENTS: Use Astute Judgment * Collaborates with corporate, regional, and A-Team members to achieve business results (e.g., HR Leader call, monthly HR regional meetings) and shares best practices and successes with others. * Viewed by and sought after by leaders as HR advisors and expert with ability to influence decision of others; trusted confidante to CEO (e.g., sought out for personal and professional advice and counsel) * Considers impact of HR decisions on the rest of the organization and therefore communicates across the organization to create awareness and gain support for HR decisions. * Provides leadership in building loyalty, trust, and commitment throughout the organization (e.g., leads and participates in employee advocacy and engagement programs, supports EES and creates action plans for improvement, leads recognition efforts for the facility) * Uses critical thinking and influencing skills to create organizational harmony when confronting divergent positions (e.g., uses metrics and data sources to support position and listens to all positions and counters/agrees professionally and in a timely manner) * Demonstrates business acumen when managing competing priorities (e.g., presents creative ways to address debate between budget constraints vs. need for additional resources by creating career ladders instead of changing pay practices) Develop Organizational Talent * Participates in workforce planning to ensure an adequate, competent, and productive workforce. Create/implement programs supporting the organization's future workforce needs (e.g., provides factual/current market position information, outlines obstacles/challenges and proposed solutions, creates annual long-term strategic workforce plan for facility, includes diversity/inclusion strategies in all aspects of business) * Leads the talent management strategies of the facility including recruitment and retention strategies and development of integrated succession plan ensuring continuity of business operations (e.g., creates development and succession plans for all leaders) * Effectively leads the pre-boarding, onboarding, orientation, and assimilation process for new employees (e.g., ensures 30/90-day reviews are conducted) * Leads goal setting and performance review process for facility. Conducts needs assessments and develops training and development programs to ensure goals are attained (e.g., ensures all processes are timely and accurate, development plans are created and followed up on, recommends T and D classes as needed, ensures mandated education is fulfilled without T/O due to timeliness) * Acts as effective coach and mentor to HR staff and leaders/staff outside HR as required. Aligns the Organization * Attends and contributes to the facility business planning process; ensures that the business plan aligns with the "people plan" as described in the HR workforce plan. * Creates, defends, and implements creative/innovative cost reduction strategies for the workforce ensuring that employee engagement and recruitment and retentions strategies are not compromised. * Provides global outlook on decisions and aligns with facility business plans when managing competing priorities; delegates to others as required and holds others accountable for results as demonstrated by timely, complete, and effective outcomes. * Provides timely responses to corporate and regional leadership ensuring timetables are consistently met (e.g., EAL complaints, Tenet Heroes submissions, TRIPP reports, Edu requirements, etc.) Optimize Execution * Consistent and timely administration and communicating of policies, regulations and legal mandates as stated by effective dates on document/policies, etc. Ensure responsible parties understand changes and any related actions. * Actively participates in and executes acquisitions and divestitures. HR lead for the facility in manpower planning, benefit, and compensation transitions, all on-boarding and off-boarding, as well as RIF notifications as required. * Completes and communicates final investigative results of ER/Labor relations or EAL complaints, or reasons for delay in issuing results, within 48 hours of receipt. * Collaborates with compensation and benefits to implement timely and effective compensation and benefit policies and programs (e.g., annual enrollment, new hire and termination requirements, wellness initiatives, etc.) * Collaborates with legal and ethics/compliance departments on matters related to the enforcement of policies and procedures as well as Tenet's "Standards of Conduct;" leads HR in all internal and external audits (e.g., Joint Commission, internal audits, etc.) Drive Organizational Success * Strategically develops and executes creative initiates to increase participation in the annual employee engagement survey; takes the lead in creating and driving facility action plans to completion through focus groups, training, and development, etc. * Actively works to improve the delivery and execution of HR programs and processes to increase operational effectiveness and efficiencies. Plans seamless transitions ensuring minimal disruption of workplace. * Understands and articulates HR policy, procedures, and protocols and is able to defend and support organization's position relative to same and confidently communicate changes. * Works with A-Team members to collaborate and deliver cross-functional programs and processes (e.g., cost reduction strategies, quality, and volume related incentive programs, etc.) * Leads and is held accountable for the "People Pillar" initiatives for the facility; actively participates in hardwiring and delivering retention strategies for the facility (e.g., leads TRIPP programs including bi-weekly calls as required) CANDIDATE EXPERIENCE, ATTRIBUTES AND EDUCATION REQUIREMENTS: * At least 10 years' experience in providing Human Resources services, solutions, and leadership in roles of different levels of size, complexity, business model maturity, etc. * Partnering with business leaders to develop, design and implement relevant strategic human resources strategies. * Ability to manage and develop senior HR functional and leadership capability. * Led organization design, restructuring and strategic workforce planning initiatives. * Has successfully led complex and system-wide organizational change that is a result of operating model transformation, business startup, mergers and acquisitions, business consolidation, etc. * Experience in creating and enhancing organizational culture through organizational effectiveness and development strategies that deliver higher levels of employee engagement, commitment, and satisfaction. * Highly skilled in executing "generalist" HR core processes in areas such as talent management, talent acquisition, employee relations, compensation, performance management, employee assessment and development, success planning and organizational development. * Diverse background in multiple industries and/or operating units within the same organization. PROFESSIONAL AND PERSONAL KNOWLEDGE, SKILLS, AND ABILITY REQUIREMENTS: * Skillful at influencing senior leaders and diverse perspectives towards common goals. * Able to surgically analyze and diagnose business and people performance, organizational climate and culture and use data to create insights that drive higher thinking and outcomes. * Ability to effectively balance enterprise and business specific requirements through high quality HR business partnering, superior consultative skills and knowledge of the business. * Developed, led, and implemented organization and functional change management strategies, initiatives, and process. * Ability to identify, develop and retain high quality talent balancing multiple engagement and reward levers to deliver overall individual and organization value and capability. * Ability to effectively manage a budget, interpret a P&L, understand key business drivers and has solid cost benefit trade off analysis and planning skills. * Ability to manage multiple priorities and initiatives keeping all in balance and delivering within cost, timing, change impact expectations. * Strong organization planning, critical thinking, and prioritization skills. * Ability to inspire and motivate all levels of the HR organization from the frontline to senior HR professionals. * Ability to develop strategy that can be translated into clear, concise, and actionable initiatives and action plans. * Demonstrates strong courageous leadership skills in the ability to make balanced, difficult, and complex decisions in the face of opposition. Education/Certifications * Bachelor's degree in human resource management or related field required. * Master's degree in human resources or related field (preferred). #LI-JK2 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Up to $7,500 Sign on Bonus, based on relevant experience DMC Hutzel Women's Hospital is nationally recognized for cutting-edge research in high-risk obstetrics, infertility, reproductive genetics, neonatology, maternal fetal medicine, midwifery, gynecology, urogynecology, menopause, permanent birth control and alternatives to hysterectomy. With a rich history of more than 150 years as Michigan's first hospital for women, patients benefit from Hutzel's commitment to research and education. Home to the Perinatology Research Branch of the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD), National Institutes of Health (NIH), Hutzel is recognized as a leader in women's health by physicians and researchers across the country. Job Summary Under general supervision and following established policies and procedures, performs diagnostic Ultrasound exams utilizing appropriate imaging equipment. Verifies patient identity and reviews patients medical record for appropriateness of exam or procedure. Interviews patient to obtain, verify or update medical history and assesses risk factors such as medications, pregnancy and/or psychological indicators. Explains procedure to patient, including side effects of pharmaceuticals administered, risks, benefits, alternatives and follow-up. Sets up equipment and acquires appropriate images as per script. Reviews images, makes initial observations, documents exceptions from established protocols and communicates data to radiologist. Recognizes and responds to medical emergencies as appropriate. Provides physician-prescribed post care instructions to patients. Participates in process improvement activities within radiology practice including but not limited to quality of care, patient flow, reject-repeat analysis and patient satisfaction. Provides imaging education to residents, student technologists and new employees. Able to take call/standby as required by the department. Qualifications: 1. Registered by the American Registry for Diagnostic Medical Sonography (ARMDS) or registered by the American Registry of Radiologic Technologist (ARRT) in Sonography (S). 2. Required to have or successfully complete American Heart Association (AHA) Basic Life Support Healthcare Provider (BLS) training by end of orientation period. 3. Registered in specialty within 12 months of employment in area of discipline. Job: Imaging/Radiology Primary Location: Detroit, Michigan Facility: DMC Harper University/Hutzel Women's Hospital Job Type: Part Time Shift Type: Day If Other Shift, Specify: Weekends Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Apply Now Save Job

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. PRIMARY JOB DUTIES AND RESPONSIBILITIES * Responsible for planning and conducting in-person visits, predominantly focused on key stakeholders across community-based physician groups, post-acute care facilities, and/or non-Tenet acute care facilities throughout the defined market service area, in an effort to increase selection of hospital/market services. This role will receive ongoing guidance from Business Development leadership on providers of focus and productivity expectations. * Evaluate and interpret current physician referral patterns and trends for market facilities' service lines, ensuring understanding of market dynamics. * Research portfolio of assigned providers to understand the decision making behind hospital selection. This information should inform provider engagement. * Conduct face-to-face sales meetings with clients ensuring through understanding of the service line attributes, processes and outcomes to consumers. * Complete follow-up meetings to ensure internal and external obstacles to growth and retention are identified and minimized. * Communicate feedback from clients and partner with the appropriate market/hospital resources to resolve issues to better serve our patients and provider partners. * Prepare and present sales reports, identifying trends, lessons learned, opportunities and areas for improvement to achieve market goals. * Continuously modify and execute business development tactics to ensure optimal business outcomes, based on feedback from clients and facility leaders. * Maintain latest knowledge of the health system, hospital and provider landscape, relevant to your specialization, in your defined market service area. * Document all client engagement in a timely manner on a daily basis in the defined CRM tool, including outcomes and required follow-up. * Support the implementation of key initiatives that require relevant network development, as directed by the Group Vice President and/or CSO. * Perform all duties with consistently high ethical standards and strict adherence to company policies and procedures. JOB SUMMARY A Business Development Associate is responsible for network development. In accordance with enterprise and local strategic priorities, this role will establish and foster outreach efforts with post-acute care, primary care, and/or non-Tenet acute care facilities that will support the growth and development of the Tenet network. Depending on market needs and leadership direction, this role entails the education of physicians, medical directors, administrators, nurse practitioners, practice managers, and/or schedulers from post-acute care facilities, primary care offices, and/or non-Tenet acute care facilities on our portfolio of hospital services. The objective is to increase the selection of our services by primary care offices, post-acute care facilities, and/or non-Tenet acute care facilities. All work, to be done in accordance with the Company's Standards of Conduct and policies and procedures, particularly those involving referral source arrangements. Primary Desired Outcome - Increase the selection of hospital services by providers via post-acute care facilities, the primary care setting and non-Tenet acute care facilities Primary Target Audience - Providers who do not have a working relationship with Tenet, as well as those that utilize Tenet for a portion of their services, sourced from primary care, post-acute care, and non-Tenet acute care facilities EDUCATION, EXPERIENCE, AND OTHER REQUIREMENTS Minimum Education * Associate's degree or equivalent experience required; bachelor's degree strongly preferred Experience * At least 3 years of experience in a field related to health system physician relations, pharmaceuticals, or medical devices Other Requirements * Exhibited success in a marketing/sales role * Possess and demonstrate excellent organizational, interpersonal, facilitation, and communication skills * Capacity to work independently with minimal supervision * Ability to travel in market. Selected candidate will be required to pass a Motor Vehicle Records check #LI-SG1 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

JOIN OUR TEAM QUALITY CARE DELIVERED BY COMPASSIONATE PEOPLE We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment. We deliver the resources, tools and support our employees need to serve our patients and customers in the best way possible - so we can create happier, healthier communities. COMMITTED TO DIVERSITY AND INCLUSION At Tenet, we believe in a diverse and inclusive environment, one that is grounded in our dedication to the health and well-being of all people. Respecting, nurturing and encouraging diversity of thought, background and experience contribute to positive work environments that result in exceptional patient care. We embrace diversity because it's our culture, and because it's the right thing to do. 1. Bachelors in Nursing (BSN) required. Master's degree preferred. If Masters prepared, either bachelors or masters must be in Nursing. 2. Licensed to practice as a Registered Nurse (RN) in the state of Michigan. 3. Three years of progressive Nursing experience. Facility Description: DMC Sinai-Grace Hospital is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI. The Children's Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center. Experts in pediatric critical care, rehabilitation, and neonatal and perinatal medicine provide care for thousands of children every year at Children's Hospital of Michigan, Children's Hospital of Michigan - Troy and six ambulatory sites. EEO Statement Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify\: http\://********************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At DMC Sinai-Grace Hospital, we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success. Benefit Statement: At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: • Medical, dental, vision, and life insurance • 401(k) retirement savings plan with employer match • Generous paid time off (PTO) • Career development and continuing education opportunities • Health savings accounts, healthcare C dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder C childcare, auto C home insurance. Note\: Eligibility for benefits may vary by location and is determined by employment status Job Summary / Responsibilities: Reporting to Nursing leadership for the hospital site, as assigned, and with/through subordinate personnel, assumes management responsibility for a single major (or multiple smaller) function, service or process that provides business support to Nursing operations. The position may also be used for managers responsible 24/7 for multiple (2 or more) similar/smaller Nursing units in the department of Nursing who may report to a Director, Administrative Director or Executive Director at the site. The position is medium in scope or impact with less than 50 FTE direct/indirect-reports on multiple Nursing units; or with responsibility for a single major Nursing operational support function; or with multiple Nursing operational support responsibilities that diversify the role and expand the impact on the organization at the site level. Direct-reports may include Clinical Managers and/or high-level professional/administrative exempt and Nursing supervisory personnel. The Manager Patient Services positions with patient care accountability, plan, implement and evaluate processes related to performance improvement, staffing effectiveness, fiscal management, staff competence and customer service outcomes within designated units/services and in collaboration with senior leadership and subordinate staff. Ensure that regulatory requirements/standards are communicated, implemented and monitored. Collaborate with other members of the healthcare team to plan, implement & evaluate activities related to department, hospital and DMC objectives. Model customer service excellence. The Manager Patient Services positions with responsibility for providing business support to Nursing operations, identify the need for departmental policy development and/or revision and define policy in collaboration with higher-level management input and department goals/objectives. Oversee the development and/or revision of departmental procedures/protocols; secure approvals, as necessary. Develop, monitor and revise processes. May provide input into the development and revision of departmental organizational design and/or monitor the quality and quantity of overall workflow. Initiate or recommend personnel actions such as hires, fires and disciplines for area(s) assigned. Complete performance appraisals. Develop and assess performance of daily, monthly and/or yearly goals and measures for assigned area(s). As requested, assist in long-range goal development for the department and assessment of goal attainment. Assist in developing and monitoring budget for designated single or multiple, closely-related fields, areas or processes. Model customer service excellence. COMPLIANCE STATEMENT Supports the standards set forth in the DMC's Code of Conduct by creating an atmosphere of commitment to legal and ethical standards, and as directed, implementing external and internal audit recommendations. Monitors activities to ensure compliance with applicable laws, regulations JCAHO requirements, and DMC policies and procedures.

JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records. * Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. * Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. * Provides project management support to leadership via coordination, identification, pursuit and collection of medical records and other required data with other HEDIS staff. * Participates in meetings with vendors related to the medical record collection process. * Some medical records collection related travel may be required. Required Qualifications• At least 1 year customer service experience, preferably in an administrative support capacity in a health care setting, or equivalent combination of relevant education and experience. * Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. * Excellent customer service and active listening skills. * Proficiency with data analysis tools (e.g., Excel). * Ability to manage files, schedules and information efficiently. * Ability to effectively interface with staff, clinicians, and leadership. * Strong prioritization skills and detail orientation. * Strong verbal and written communication skills, including professional phone etiquette. * Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications * Registered Health Information Technician (RHIT). * Medical records collection experience. * Managed care experience. * Basic knowledge of Healthcare Effectiveness Data Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). * Project planning experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $31.71 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At DMC Harper University/Hutzel Women's Hospital, we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success. Benefits Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: * Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match * Generous paid time off (PTO) * Career development and continuing education opportunities * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. Note: Eligibility for benefits may vary by location and is determined by employment status Job Summary Directs, develops, implements, maintains and evaluates a comprehensive Environmental, Safety, Regulatory Compliance and Emergency preparedness program for the Environment of Care (EC) program in one or more operating units and multiple ambulatory locations in accordance with all local, state and federal safety codes and standards. Serves as the Site Environmental Management Representative for the ISO 14001 program. * Provides technical support to Directors/Managers of site departments in addressing hazards and implementation of controls that will provide for a safe working environment. * Conducts inspections and maintains appropriate documentation to ensure compliance with various regulatory agencies and licensing bodies. * Serves or chairs various EC committees and work groups on safety related issues. * Develops policies, intervenes in situations that pose an immediate safety threat, reviews accident and incidents occurring to employees, patients, visitors and others, reviews accident/incident reports to ascertain cause, and serves as the sites authority in safety related areas. * Acts as liaison in safety and environmental inspections with external regulatory agents. Manages federal emergency management grants. * Provides direction to subordinate staff as required. Qualifications: 1. Bachelors of Science degree in safety management, occupational health and safety, industrial hygiene or related field, or the equivalent combination of education and experience. 2. Three to five years related experience, preferably in hospital operations, including experience related to the following: The JC, MIOSHA, DEQ, NFPA,CAP, CARF, CMS, Michigan Department of Community Health, and NIMS-ICS, City and State Fire Safety Regulations as well as local, state and federal regulating agencies. Safety Management, Fire Safety, Hazardous Material Management, ISO 14001, and local and regional Emergency Preparedness. 3. Qualification as a certified healthcare safety professional (CHSP) within three years of hire into the Safety Director job classification. Facility Description DMC Harper University Hospital has distinguished itself in surgery and medicine and is known for its clinical expertise and innovative research. A specialty referral hospital, Harper has established Centers of Excellence in neurosciences, bariatric surgery, vascular services, multidisciplinary cardiovascular services, hypertension, stroke prevention and heart failure. EEO Statement Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** Job: Plant Ops/Facilities Primary Location: Detroit, Michigan Facility: DMC Harper University/Hutzel Women's Hospital Job Type: Full Time Shift Type: Day Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Apply Now Save Job

DMC Rehabilitation Institute of Michigan is one of the nation's largest hospitals specializing in rehabilitation medicine and research. RIM is known for its clinical expertise in spinal cord injury, brain injury, stroke, amputee, orthopedics and catastrophic injury care. The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS), one of only 16 federally designated model systems of care for brain injury care and research. RIM also operates 31 outpatient sites throughout southeast Michigan specializing in sports medicine and orthopedics. Job Description: Under general supervision and according to established policies and procedures, plans, develops, implements and evaluates individualized exercise prescriptions and risk factor modification programs. Designs, implements and participates in educational programs for a variety of clients. Provides direction, assistance and instruction to support staff, as appropriate. Other Responsibilities include: Performing daily checks and cleaning equipment Supply management and calibration of equipment Coordinate scheduling of stress tests 1. Bachelor of Science in Exercise Science or related health discipline (i.e., Physical Therapy, Physiology, Physical Education, Community Education) preferably with an internship experience. Masters degree preferred. 2. One to two years of clinical experience in a specialized area, such as Cardiology within a health care setting, preferred. 3. American College of Sports Medicine Certified Exercise Physiologist (ACSM-EP) certification preferred. 4. BLS and ACLS certification required within 6 months of hiring. 5. This position is for Cardiac Rehab phase II program. JOIN OUR TEAM QUALITY CARE DELIVERED BY COMPASSIONATE PEOPLE We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment. We deliver the resources, tools and support our employees need to serve our patients and customers in the best way possible - so we can create happier, healthier communities. COMMITTED TO DIVERSITY AND INCLUSION At Tenet, we believe in a diverse and inclusive environment, one that is grounded in our dedication to the health and well-being of all people. Respecting, nurturing and encouraging diversity of thought, background and experience contribute to positive work environments that result in exceptional patient care. We embrace diversity because it's our culture, and because it's the right thing to do.

Responsible for all information technology operations activities, including computer operations, data and operations support. Monitor budgets and expenses within department and accountable for meeting budget goals. Recommends input to policy principles and budget constraints. Provides expertise to departments regarding policies and procedures, problem resolution, and methods. **KNOWLEDGE/SKILLS/ABILITIES** + Analyzes, reviews and measures service level performance against agreed upon service level agreements (Service Level Agreements) with the business and operating-level agreements with service providers (internal and external). + Works closely with the business and service providers to negotiate and agree on service level requirements off any proposed new services and changes to existing services. + Works with the business and service providers to define the proper metrics and KPIs in evaluating service delivery quality and performance levels. Produces regular reports on service performance and achievement to stakeholders. + Organizes and maintains the service level review process with the business and service providers. Initiates any actions required to maintain or improve service levels. + Acts as a change agent to implement and manage quality improvement processes in service delivery management. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 years **Preferred Education** Graduate Degree or equivalent combination of education and experience **Preferred Experience** 7-9 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $80,412 - $188,164 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOIN OUR TEAM QUALITY CARE DELIVERED BY COMPASSIONATE PEOPLE We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment. We deliver the resources, tools and support our employees need to serve our patients and customers in the best way possible - so we can create happier, healthier communities. COMMITTED TO DIVERSITY AND INCLUSION At Tenet, we believe in a diverse and inclusive environment, one that is grounded in our dedication to the health and well-being of all people. Respecting, nurturing and encouraging diversity of thought, background and experience contribute to positive work environments that result in exceptional patient care. We embrace diversity because it's our culture, and because it's the right thing to do. Detroit Medical Center Shared Services is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients. Benefits Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include\: • Medical, dental, vision, and life insurance • 401(k) retirement savings plan with employer match • Generous paid time off (PTO) • Career development and continuing education opportunities • Health savings accounts, healthcare & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. Note\: Eligibility for benefits may vary by location and is determined by employment status Job Summary Tenet Healthcare is a leading healthcare services company with a vast network of providers that we leverage to improve service delivery and patient outcomes. Our mission is to provide quality, compassionate care in the communities we serve. To this end, we seek and develop talent that will reflect this commitment to our mission and values. This position is part of the Clinical education team that supports the needs of the facilities throughout that market. Under the guidance of the Market Education Director, the clinical Educator collaborates with facility/market nursing leadership and staff across departments to assess, plan, develop, implement, facilitate, evaluate and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested. The educator acts as a key resource in the orientation and continuing education of nursing staff at Tenet Healthcare. The Nursing Educator implements a comprehensive education program for his/her assigned units while following and contributing to Tenet educational goals and vision. Educational programs typically include, but are not limited to orientation, continuing education and in-services. Other services may include, but are not limited to process, performance and service-delivery consultation and contributions to the organization through councils, committees and workgroups. Responsibilities Clinical Education • Supports the educational needs for assigned units/clinics including classroom, clinical experiences and learning technologies. • Implements Tenet comprehensive education programs to meet the orientation and ongoing competency needs and professional development needs of the nursing staff, with specific focus for his/her units/clinics, which supports the Tenet model of professional nursing practice. • Ensures all program/ course revisions meet the Department of Nursing and regulatory expectations and standards. Adheres to national education practice standards and stays abreast of current research into nursing education practice. Programs are executed and revised based on adult learning principles, organizational and learning theory consistent with Tenet endorsed philosophy and direction. • Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities. • Delivers/coordinates other educational programs as directed (e.g., Grand Rounds, in-services, continuing education, job-specific and specialty curricula) to support competence and professional growth of Tenet nursing staff. • Provides leadership to preceptors and serves as a role model through educational programs and ongoing coaching and mentoring. • Serves as a facilitator to nurse residents and actively mentors and supports their growth in the profession and clinical practice. • Participates in continuing education provider unit learning. Evaluates nursing education activities which qualify for continuing education credit. Participates in activities to keep abreast of the changes to market/facility policies/procedures of the provider unit, and the expectations of the educator role. • Assists in development of clinical policies and procedures as requested. • Provides guidance, resources and knowledge for professional growth of others. • Mentors colleagues, other nurses, students and others as appropriate. • Participates in quality performance improvement activities. • Performs other duties as assigned/required. Perinatal Services • Covers Services but not limited to\: • Labor/Delivery • Mother/Baby • Lactation • Offsite Centers • Accountable for the Projects, such as but not limited to\: • Core Super-user Fairs • Fetal Monitoring • Perinatal Designation/Certification ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH TENET HEALTHCARE PERFORMANCE STANDARDS Minimum Qualifications 1. Bachelor's Degree in Nursing or Nursing Education or related specialty 2. 2 year nursing experience in Perinatal Services preferred 3. Current State Licenses & Certifications (BLS,ACLS,NRP) Skills Required • Participates in projects and educational activities as assigned for the department • Communicates effectively with colleagues across Tenet to advance goal achievement and strategic vision alignment • Demonstrates skill in navigating and communicating in a complex environment. Fosters achievement of Nursing Education/Development goals and objectives • Demonstrates responsibility for reporting to licensing, certification, accreditation, and other regulatory bodies for educational program compliance • Interacts with staff in an ethical, consistent, fair, timely, appropriate, and decisive manner in accordance with organization-wide and Nursing Department policies. • Identifies factors that affect staff's ability to fulfill their job responsibilities, collaborates with management to effect appropriate change needed for employee's success • Accepts Committee and market work group appointments and actively participates to affect change in patient care and the Tenet Healthcare System • Cultivates positive relationships with academic programs to foster positive image and relationships with Tenet Healthcare. • Demonstrates AIDET and respect for others at all times Facility Description The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital. DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services. DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan. EEO Statement Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify\: http\://********************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At DMC Huron Valley-Sinai Hospital, we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success. Benefits Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: * Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match * Generous paid time off (PTO) * Career development and continuing education opportunities * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. Note: Eligibility for benefits may vary by location and is determined by employment status Summary Job Description The Director of Revenue Analysis reports to the hospital Chief Financial Officer and directs the revenue analysis function for the assigned hospital (s). Direct the hospital revenue cycle operations, maximizes process efficiency and reimbursement. Works with Conifer team on process improvement initiatives for patient access claims, billing and payment posting. Responsible for the Charge Master. Assists Chief Financial Officer in oversight of contracts and contract compliance. Identifies the need for policy development and/or revision, defines policies in collaboration with higher level management input, goals and objectives. Oversees or directs the development and/or revision of departmental procedures/protocols. Approves personnel actions such as hires, fires, disciplines, etc. Ensures the timely completion of performance appraisals. Develops current to intermediate goals and measures for area(s) of responsibility. Measures and assesses performance. As requested, assists in long range goal development. Assists in development of and monitors budget for area(s) of responsibility. Monitors activities for and ensures compliance with laws, government regulations, Joint Commission requirements and DMC/Tenet policies. As directed, implements external and internal audit recommendations. Ensures hospital departments achieve objectives for diversity of their suppliers. Essential Job Duties: 1. Responsible for preparation and completion of eReserve. 2. Responsible for the analysis of eReserve and items/trends that significantly impact net revenue. Responsible for the review and approval of manual adjustments and refunds. 3. Monitors/analyzes AR/Disputes and assists with Bad Debt Initiatives. Monitors and communicates non-reimbursable charges (e.g., ABN not signed, denials, disputes, bad debt). 4. Reviews proposed managed care contracts and identify any issues or concerns with implementation of the terms prior to the contract being finalized 5. Assists in analyzing data to verify contract terms have been loaded correctly into IMaCs and claims properly adjudicated during and after managed care negotiations. 6. Monitors/reviews billing, A/R and reconciliation for hospital specific contracts (e.g., non-IMaCs, local employer). Works with hospital departments to resolve revenue cycle issues (e.g., orders, charging, Patient Access, DNFB, DNSP, QS, disputes). Works with hospital leadership on revenue cycle issues. Works with hospital related entities (e.g., clinics, universities), if applicable. 7. Facilitates revenue cycle meetings (preparation, facilitation and follow-up). Supports/directs/monitors the following: department head meetings, chart audit meetings, compliance committees, charge master review/updates, pass through invoice retrieval, complex (e.g., High $ or At-Risk) in-house patient meetings, hospital revenue cycle implementation initiatives, internal/external Audit Assistance, engaging legal for collection Issues. Qualifications: Education/Qualifications * Bachelor's Degree preferred * Three (3) to five (5) years Management in a Revenue Cycle, Business Services, or Acute Health Care environment preferred. * In-depth knowledge of hospital and physician billing and reimbursement preferred. Past experience in hospital revenue cycle programs highly desirable. * Extensive knowledge of Patient Access desired. * Certified Healthcare Access Manager (CHAM) preferred. Skills Required * Working knowledge in the areas of patient registration, billing, accounts receivables, HIM, managed care contractual terms and requirements, health insurance practices, industry regulatory requirements, business office operations, and industry standards for health care revenue resolution management practices. * Financial analysis ability to conduct cost and pricing studies and monitor overall financial performance of revenue cycle improvement initiatives and revenue impact of other pricing policy initiatives. * Leadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision- making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forego alliances and garner support. * Analytical ability to serve in an advisory/consultative role in determining and/or developing strategies, policies, processes, protocols and methods, frequently in the absence of guidelines or technical assistance, and to evaluate and direct complex systems that foster innovative approaches to procedures/processes associated with patient management and the revenue cycle. Ability to research third party reimbursement regulations. * Communication and/or interpersonal skills for contact with internal and external customers/stakeholders to obtain and interpret a variety of information based on knowledge of departmental practices, DMC policies and programs and specific technical and regulatory knowledge. Discretion must be exercised in deciding what and how to communicate. Conflict resolution skills must be exercised where policy issues are concerned both within the functional area and interdepartmentally. Diplomacy, tact and listening skills are required. Ability to read, interpret and write technical materials. * Project management skills including the ability to define programs, projects, or process objectives, identify stakeholders and their interests, plan steps, coordinate and allocate human technological and fiscal resources to accomplish goals and objectives in a resourceful yet timely manner. * Proficient in the use of personal computer and software applications and programs. Facility Description DMC Huron Valley-Sinai Hospital in Oakland County is committed to outstanding customer service and medical care. This hospital features the Harris Birthing Center with all private birthing suites, the Charach Cancer Treatment Center (affiliated with the Barbara Ann Karmanos Cancer Center), cardiac services, and comprehensive inpatient and outpatient diagnostic care. For emergency services, obstetrics and ambulatory surgery, Huron Valley-Sinai consistently ranks among the top hospitals in the nation. EEO Statement Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations Job: Business Office Primary Location: Commerce Township, Michigan Facility: DMC Huron Valley-Sinai Hospital Job Type: Full Time Shift Type: Day Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Apply Now Save Job

Embark on a rewarding career with DMC University Laboratories, Inc. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch. Benefits Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: * Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match * Generous paid time off (PTO) * Career development and continuing education opportunities * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. Note: Eligibility for benefits may vary by location and is determined by employment status Job Summary Under general supervision and according to specific and detailed procedures, accurately performs specific pre-analytical and post-analytical tasks. Processes information by compiling, categorizing, calculating, tabulating, auditing, or verifying information or data with attention to detail. Interacts with patient and other health care professionals, and responds to routine inquiries. Inspects and maintains work area, instruments, and supplies. Promotes DMC values by demonstrating behaviors supportive of building a High Reliability Culture committed to Safety for Life, Health for Life, Customer Service, Community Welfare, Excellence, Respect, Integrity, Accountability, Innovation, Teamwork and Effective Resource Use. Responsibilities 1. Prioritizes incoming specimens; processes patient specimens in accordance with department safety and OSHA guidelines. Ensures stats and other critical tests are accurately and immediately processed. Documents specimen problems and refers to supervisor or other lead designee. 2. May draw blood samples from patients based on physicians order and in accordance with departmental safety and OSHA guidelines (e.g. utilizes protective equipment such as gloves, coats, and shields); verifies patients identification and collects insurance information. 3. Generates and attaches labels to specimen/blood samples; may perform specimen processing and aliquoting according to pre-established test requirements. 4. Ensures specimen integrity by verifying patient identification and ensures the sample submitted is appropriate given the requested test. Sorts, racks, and delivers specimens to appropriate testing laboratory. 5. Accurately enters and reviews laboratory test data in the laboratory computer system; detects and corrects errors according to laboratory policies and quality standards. 6. Communicates with patients to explain procedures and/or answers routine questions from physicians, nurses, or other appropriate healthcare professionals (e.g. date or time of drawing patients blood or gathering specimens, verifying a request, etc.) 7. Maintains a neat and clean work area; stocks storage area with supplies and inventories as necessary. Cleans glassware, equipment, and small instruments. 8. May perform transportation duties (e.g. delivers specimens and reports); time stamps or computer verifies all laboratory requests; may order tests in the system. 9. May conduct routine inspection, maintenance and quality control checks on equipment (e.g. records temperatures). Reports unusual findings timely to supervisor or lead designee. 10. May prepare the patient for and/or administer tolerance tests or other tests specific to assigned area. 11. Performs a variety of clerical duties such as answering the telephone, scheduling appointments, maintaining records, or relaying a message to the appropriate personnel. 12. Self-monitors their individual work behavior and performance to make improvements. Communicates training and development needs to management. 13. Complies with departmental safety polices and procedures and OSHA guidelines, including the use of applicable personal protective equipment. 14. Responsible to check organizational communication daily (i.e. Outlook, laboratory software, posted notices, etc.) 15. Performs other related duties as assigned. Qualifications: 1. High school diploma or equivalent education required. 2. Candidate must have six (6) months experience in medical training ,and/ or certification in a health care environment or related science field. (i.e. Lab Assistant, Medical Assistant, Nursing Assistant, Phlebotomist or Health Science studies.) 3. Basic studies in medical terminology or a related health science field preferred. 4. Customer service experience in a service environment preferred. 5. For Phlebotomists - Phlebotomy Certification is preferred. Facility Description DMC University Laboratories (DMCUL) is a regional, integrated laboratory system providing services to the eight hospitals of Detroit Medical Center. DMC University Laboratories evolved in 1993 and is comprised of Core Laboratories, Specialty Laboratories, two rapid response hospital laboratories, Centralized Stat Lab, Centralized Blood Bank Lab, and full service outreach infrastructure which includes patient service centers, remote ambulatory laboratories, marketing staff, courier system and billing department. The DMC University Laboratories service area covers the entire Southeast Michigan market, and is growing at a rapid pace with the following outstanding features: Test menu of over 1,000 tests, which includes high end specialty tests. Less than 1% of our tests are sent to outside reference laboratories. Provide reference laboratory services to many of the other healthcare systems in Southeastern Michigan and several out of state facilities. EEO Statement Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations Job: Lab Services Primary Location: Detroit, Michigan Facility: DMC University Laboratories, Inc. Job Type: Full Time Shift Type: Day Shift Begin: 9:00 AMShift End: 5:30 PM Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Apply Now Save Job

Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** - Enters denials and requests for appeals into information system and prepares documentation for further review. - Researches claims issues utilizing systems and other available resources. - Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. - Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. - Determines appropriate language for letters and prepares responses to member appeals and grievances. - Elevates appropriate appeals to the next level for review. - Generates and mails denial letters. - Provides support for interdepartmental issues to help coordinate problem-solving in an efficient and timely manner. - Creates and/or maintains appeals and grievances related statistics and reporting. - Collaborates with provider and member services to resolve balance bill issues and other member/provider complaints. **Required Qualifications** - At least 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience. - Customer service experience. - Organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. - Effective verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** - Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting experience. - Completion of a health care related vocational program (i.e., certified coder, billing, or medical assistant). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.