Dearborn, MI · On-site
$80K - $90K/yr
Coordinates with leadership to define program goals and fiscal objectives. Develops clear ... Medicaid/CMH and commercial payer rules, documentation standards, and audit requirements. * CPT ...
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Dearborn, MI · On-site
$80K - $90K/yr
Coordinates with leadership to define program goals and fiscal objectives. Develops clear ... Medicaid/CMH and commercial payer rules, documentation standards, and audit requirements. * CPT ...
... of Medicaid regulations, managed care processes, and care coordination models. Additional Requirements: As THIRD PARTY insurance may be billed by this position, in accordance with the professional ...
... of Medicaid regulations, managed care processes, and care coordination models. Additional Requirements: As THIRD PARTY insurance may be billed by this position, in accordance with the professional ...
Hamtramck, MI · On-site
$59K - $81K/yr
... Manager to lead its behavioral health services. The organization serves culturally and ... programs funded through Medicaid, Community Mental Health contracts, and commercial payers.
New
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Hamtramck, MI · On-site
$59K - $81K/yr
... Manager to lead its behavioral health services. The organization serves culturally and ... programs funded through Medicaid, Community Mental Health contracts, and commercial payers.
New
Detroit, MI · On-site
$59K - $81K/yr
... Manager to lead its behavioral health services. The organization serves culturally and ... programs funded through Medicaid, Community Mental Health contracts, and commercial payers.
New
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Detroit, MI · On-site
$59K - $81K/yr
... Manager to lead its behavioral health services. The organization serves culturally and ... programs funded through Medicaid, Community Mental Health contracts, and commercial payers.
New
Ann Arbor, MI · On-site +1
$70K - $90K/yr
... that improve programs, refine strategies, and enhance understanding using data science and ... Strong organizational skills and high level of attention to detail; flexibility to manage multiple ...
Ann Arbor, MI · On-site +1
$70K - $90K/yr
... that improve programs, refine strategies, and enhance understanding using data science and ... Strong organizational skills and high level of attention to detail; flexibility to manage multiple ...
Lansing, MI · On-site
Assists participants with securing Medicaid eligibility for Waiver services and monitoring for ongoing program eligibility. * Using the principles of Person-Centered Planning, the Care Management ...
Lansing, MI · On-site
Assists participants with securing Medicaid eligibility for Waiver services and monitoring for ongoing program eligibility. * Using the principles of Person-Centered Planning, the Care Management ...
Lansing, MI · On-site
$30.67/hr
Assists participants with securing Medicaid eligibility for Waiver services and monitoring for ongoing program eligibility. * Using the principles of Person-Centered Planning, the Care Management ...
Lansing, MI · On-site
$30.67/hr
Assists participants with securing Medicaid eligibility for Waiver services and monitoring for ongoing program eligibility. * Using the principles of Person-Centered Planning, the Care Management ...
Lansing, MI · On-site
$30.67/hr
... Management Performance Standards Essential Job Functions: (Reasonable accommodation will be ... with securing Medicaid eligibility for Waiver services and monitoring for ongoing program ...
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Lansing, MI · On-site
$30.67/hr
... Management Performance Standards Essential Job Functions: (Reasonable accommodation will be ... with securing Medicaid eligibility for Waiver services and monitoring for ongoing program ...
Flint, MI · On-site
$29.15 - $39.46/hr
... of Medicaid regulations, managed care processes, and care coordination models. Additional Requirements: As THIRD PARTY insurance may be billed by this position, in accordance with the professional ...
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Flint, MI · On-site
$29.15 - $39.46/hr
... of Medicaid regulations, managed care processes, and care coordination models. Additional Requirements: As THIRD PARTY insurance may be billed by this position, in accordance with the professional ...
Assists participants with securing Medicaid eligibility for Waiver services and monitoring for ongoing program eligibility. * Using the principles of Person-Centered Planning, the Care Management ...
Assists participants with securing Medicaid eligibility for Waiver services and monitoring for ongoing program eligibility. * Using the principles of Person-Centered Planning, the Care Management ...
... of Medicaid regulations, managed care processes, and care coordination models. Additional Requirements: As THIRD PARTY insurance may be billed by this position, in accordance with the professional ...
... of Medicaid regulations, managed care processes, and care coordination models. Additional Requirements: As THIRD PARTY insurance may be billed by this position, in accordance with the professional ...
Manager, Pharmacy Operations McLaren Health Plan (MHP) is a company with a culture of high ... program across all lines of business (LOB), including Medicaid, Medicare Advantage, and Commercial ...
Manager, Pharmacy Operations McLaren Health Plan (MHP) is a company with a culture of high ... program across all lines of business (LOB), including Medicaid, Medicare Advantage, and Commercial ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... program across all lines of business (LOB), including Medicaid, Medicare Advantage, and Commercial ...
New
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... program across all lines of business (LOB), including Medicaid, Medicare Advantage, and Commercial ...
New
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... program across all lines of business (LOB), including Medicaid, Medicare Advantage, and Commercial ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... program across all lines of business (LOB), including Medicaid, Medicare Advantage, and Commercial ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... program across all lines of business (LOB), including Medicaid, Medicare Advantage, and Commercial ...
New
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... program across all lines of business (LOB), including Medicaid, Medicare Advantage, and Commercial ...
New
Grand Rapids, MI · Remote
Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services. In ... Oversees the maintenance of all provider contract templates including VBP program templates ...
Grand Rapids, MI · Remote
Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services. In ... Oversees the maintenance of all provider contract templates including VBP program templates ...
Knowledge of Michigan Medicaid waiver programs and state LTSS regulations. * Experience presenting ... Ability to manage a high-risk, complex caseload * Regulatory and compliance knowledge * Independent ...
Knowledge of Michigan Medicaid waiver programs and state LTSS regulations. * Experience presenting ... Ability to manage a high-risk, complex caseload * Regulatory and compliance knowledge * Independent ...
Sterling Heights, MI · Remote
Knowledge of Michigan Medicaid waiver programs and state LTSS regulations. * Experience presenting ... Ability to manage a high-risk, complex caseload * Regulatory and compliance knowledge * Independent ...
Sterling Heights, MI · Remote
Knowledge of Michigan Medicaid waiver programs and state LTSS regulations. * Experience presenting ... Ability to manage a high-risk, complex caseload * Regulatory and compliance knowledge * Independent ...
Knowledge of Michigan Medicaid waiver programs and state LTSS regulations. * Experience presenting ... Ability to manage a high-risk, complex caseload * Regulatory and compliance knowledge * Independent ...
Knowledge of Michigan Medicaid waiver programs and state LTSS regulations. * Experience presenting ... Ability to manage a high-risk, complex caseload * Regulatory and compliance knowledge * Independent ...
Clinton Township, MI · On-site
$60K - $129K/yr
Knowledge of Michigan Medicaid waiver programs and state LTSS regulations. * Experience presenting ... Ability to manage a high-risk, complex caseload * Regulatory and compliance knowledge * Independent ...
Clinton Township, MI · On-site
$60K - $129K/yr
Knowledge of Michigan Medicaid waiver programs and state LTSS regulations. * Experience presenting ... Ability to manage a high-risk, complex caseload * Regulatory and compliance knowledge * Independent ...
$80K - $90K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 2 days ago
We are conducting a search on behalf of our client for a Clinical Manager. The successful candidate will be responsible for ensuring high-quality, ethical, and audit-ready care is provided to a diverse community; oversees documentation and billing accuracy and supervises and develops clinical staff; provides comprehensive solutions to complex problems or needs. End results are evaluated for achieving goals and objectives in line with the client's mission. Extensive contact with internal and external stakeholders is required to meet goals and objectives.
Snapshot of responsibilities (a full JD will be provided during our first initial conversation)
Knowledge, Skills, and Abilities:
• Behavioral health clinical practice, supervision models, and evidence-based interventions.
• Medicaid/CMH and commercial payer rules, documentation standards, and audit requirements.
• CPT/HCPCS coding, utilization management, and quality improvement frameworks.
Educational/Previous Experience Requirements:
• Minimum Degree Required: Master’s degree in Social Work, Counseling, Psychology, or related field.
• Required Disciplines: Clinical disciplines appropriate to behavioral health service delivery and 3–5+ years providing direct clinical services and at least 2+ years of clinical supervision/management in community-based settings; Medicaid/CMH billing oversight strongly preferred. Any equivalent combination of experience, education, and/or training approved by Human Resources.
Licenses/Certifications:
• Licenses/Certifications Required at Date of Hire: Active unrestricted clinical license in Michigan (e.g., LMSW, LPC, LMFT, LP). Approved Clinical Supervisor credential or equivalent preferred.
Our firm's global reach and trusted relationships with Fortune 500 clients highlight our strong reputation and commitment to excellence. We would love to have you on our team!
