Top 158 Reimbursement manager Jobs in Marquette Mi

Clinical Coordinator - Care Manager - Medicaid
Upper Peninsula Health Plan —Marquette, MI
- $29.72 an hour
- Hybrid work
- Acute care
- Master of Social Work
- Nursing
- Travel reimbursement
- Mileage reimbursement
Quick Apply
10d
Installation Manager - Plumbing and HVAC
Precision Plumbing and Heating Systems —Michigan
- $80,000 - $110,000 a year
- Full-time
- Clean driving record
- Construction site
- Mid-level
- Fuel card
- Health savings account
Assistant General Manager
Taco Bell —Marquette, MI
- $14 - $35 an hour
- Weekends as needed
- 18 years or older
- ServSafe
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Restaurant General Manager
Taco Bell —Marquette, MI
- $50,000 - $100,000 a year
- Weekends as needed
- 18 years or older
- ServSafe
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Permit Supervisor (Drafting)-Telecommunications
CCI Systems, Inc. —Ishpeming, MI
- Full-time
- 6 years
- Mid-level
- Supervising experience
- Paid training
- AD&D insurance
Quick Apply
Inpatient/Outpatient/HH- Physical/Occupational/Speech Therapist (PT ,OT, and SLP)- up to $110,000/yr
Gold Coast Healthcare Staffing LLC —Michigan
- $82,000 - $110,000 a year
- Full-time
- Acute care
- Background check
- CPR Certification
- Travel reimbursement
- Continuing education credits
Quick Apply
Registered Nurse (RN) Case Manager
UP Health System - Marquette —Marquette, MI
- 8 hour shift
- Acute care
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
8d
Community Manager (Part-Time) - Propylon Apartments- Marquette, MI
KMG Prestige —Marquette, MI
- $17 - $19 an hour
- Part-time
- Mid-level
- Apartments
- Leadership
- Disability insurance
- Health insurance
Quick Apply
7d
Senior PIP Litigation Claim Specialist - Michigan
ACS Auto Club Services, Inc. —Michigan
- $76,700 - $102,000 a year
- Weekends as needed
- Hybrid work
- Anatomy knowledge
- 5 years
- Writing skills
- Paid jury duty
- Health savings account
11d
Specialty Business Manager, Derm - Grand Rapids N, MI
Takeda Pharmaceutical —Michigan
- $63.51 - $87.31 an hour
- Full-time
- Remote
- Private practice
- Hospital
- Bachelor of Science
- Paid holidays
- Disability insurance
4d
RFP Manager (Remote)
Pace Analytical Services —Michigan
- Full-time
- Remote
- English
- Mid-level
- Bachelor's degree
- Wellness program
- Health savings account
1d
Inpatient/Acute/Outpatient/HH- Physical/Occupational Therapist Assistant(PTA/OTA)- up to $78,000/yr
Gold Coast Healthcare Staffing LLC —Michigan
- $72,000 - $78,000 a year
- Full-time
- CPR Certification
- Hospital
- Physical & Rehabilitation Medicine
- Travel reimbursement
- Continuing education credits
Quick Apply
Specialty Business Manager, Derm - Ann Arbor, MI
Takeda Pharmaceutical —Michigan
- $63.51 - $87.31 an hour
- Full-time
- Remote
- Private practice
- Hospital
- Bachelor of Science
- Paid holidays
- Disability insurance
4d
Veterinary Practice Manager
Animal Medical Center of Marquette —Marquette, MI
- $60,000 - $75,000 a year
- Email
- 5 years
- Laboratory experience
- Clinic experience
- Continuing education credits
- Paid holidays
Quick Apply
Overnight Stocking Manager - Marquette MI
Meijer —Marquette, MI
- Overnight shift
- Customer service
- Merchandising
- Mid-level
- Store discount
- Paid parental leave
1d
Bakery Department Manager
Coborn's, Inc. —Marquette, MI
- Full-time
- 18 years or older
- Merchandising
- Bakery
- Health savings account
- AD&D insurance
Quick Apply
8d
Community Caseworker
The Salvation Army Central Territory —Marquette, MI
- $20 an hour
- Mid-level
- Office
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
9d
Risk Adjustment Compliance Coder
Upper Peninsula Health Plan —Marquette, MI
- $28.86 an hour
- Hybrid work
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Travel reimbursement
- Mileage reimbursement
Quick Apply
4d
Member Services Supervisor
TruNorth Federal Credit Union —Marquette, MI
- From $22 an hour
- Full-time
- Word processing
- Mid-level
- Office
- Health savings account
- Paid holidays
Quick Apply
Thrift Store Manager
The Salvation Army Central Territory —Marquette, MI
- $20 an hour
- Merchandising
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply

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Clinical Coordinator - Care Manager - Medicaid

Upper Peninsula Health Plan -
Marquette, MI

Quick Apply

Job Details

$29.72 an hour
10 days ago

Benefits

Travel reimbursement
Mileage reimbursement

Qualifications

Computer operation
Microsoft Access
RN License
Driver's License
Typing
Productivity software

Full Job Description

DATE: July 14, 2026

POSITION: Clinical Coordinator - Care Manager Medicaid

DEPARTMENT: Clinical Services

RATE: $29.72 per hour, with potential for additional compensation based on qualifications.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Follows established UPHP policies and procedures, objectives, safety standards, and sensitivity to confidential information.

2. Performs face-to-face visits with members in various care settings including acute care hospitals, outpatient clinics, Federally Qualified Health Centers, Rural Health Clinics, urgent care centers, rehabilitation facilities, nursing homes and other long term care facilities, home health settings, mobile clinics and provider offices. Face-to-face visits may also occur where a member lives, learns, works, plays or worships which may include but is not limited to the member’s home, school, workplace, faith based organization, community center, shelter, library or food pantry.

3. Provides Care Management services for multiple populations including but not limited to the following: disabled populations, pregnant and postpartum members, those members with chronic conditions, members enrolled in or eligible for Children’s Special Health Care Services (CSHCS), children in foster care, former foster care youth in Foster Care Transitional Medicaid, members within Cell and Gene Therapy (CGT), members engaged with mental or behavioral health services.

4. Serves as a member’s single point of contact; gathers vital health history and monitors the member’s home environment, access to community-based services, and behavioral and health related social needs through assessments.

5. Assesses members’ current health status, resource utilization, past and present treatment plan and services, prognosis, short and long-term goals, and treatment and provider options. Develops and maintains person centered care plans based upon assessment with specific objectives, goals, and interventions designed to meet member needs.

6. Monitors and coordinates delivery of services and referrals made to community-based organizations, medical care, behavioral health and other services to support the members’ overall care management plan.

7. Identifies barriers to care to help inform care management and care planning activities.

8. Applies critical thinking skills to address member questions and unmet physical, health related social needs, and behavioral health care needs.

9. Works as a member advocate and collaborates with support teams, medical care offices, medical equipment companies, home health agencies, hospital care teams, and other parties to ensure appropriate discharge plan, care plan, and coordination of inpatient, outpatient, and community setting changes in condition.

10. Identifies related risk management and quality concerns and reports these scenarios to the appropriate body.

11. Performs all assigned tasks in accordance with UPHP plans, policies, and procedures; National Committee for Quality Assurance (NCQA) standards; and all regulatory requirements.

12. Participates in departmental and interdepartmental process improvements, recommending improvements as opportunities are identified, and assists in the development and maintenance of policies and procedures related to care management in accordance with regulatory requirements and accrediting standards.

13. Demonstrates knowledge of all clinical Michigan Department of Health and Human Services (MDHHS), Centers for Medicare and Medicaid Services (CMS), and Department of Insurance and Financial Services (DIFS) standards; all applicable NCQA Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and Responsibility (RR) standards; and Healthcare Effectiveness Data and Information Set (HEDIS®) measures as they relate to clinical functions and the care management program; assumes responsibility for specific NCQA standards as assigned.

14. Serves as backup to other team members in their respective areas in demonstrated times of excessive workload and/or benefit time.

15. Attends and participates in organizational, departmental, or collaborative Interdisciplinary Care Team (ICT) meetings, and other clinical program meetings as required.

16. Maintains confidentiality of client data.

17. Follows all compliance, audit, policy and procedure requirements as it relates to Care Management, Care Coordination, documentation and charting specifications and timelines.

18. Performs other related duties as assigned or requested.

POSITION QUALIFICATIONS:

Education:

Minimum:

Licensed registered nurse

Preferred:

Bachelor of science in nursing, limited licensed bachelor of social work, limited licensed master of

social work, fully licensed bachelor of social work, or fully licensed master of social work

Requirement:

Licensed in state of Michigan

Experience:

Minimum:

Two (2) years of clinical or health-related experience as a licensed registered nurse or social worker

Preferred:

Two (2) years of clinical managed care experience or five (5) years of clinical experience as a licensed

registered nurse or social worker; experience in care management; experience reviewing statistical

data

Other Requirements:

Valid Driver’s License with proof of insurance

Working vehicle

Required Skills:

Keyboarding proficiency and working knowledge of MS Office programs Word and Excel

Excellent human relation and oral/written communication

Excellent organizational and prioritization abilities

Desired Skills:

Ability to interpret and analyze data

Working knowledge of MS Office Access and PowerPoint

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.

Physical Requirements:

[This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:

Ability to enter and access information from a computer

Ability to access all areas of the UPHP offices

Occasionally lifts supplies/equipment

Prolonged periods of sitting

Manual dexterity

Working Conditions:

Position available onsite (in Marquette, Michigan), fully remote, or hybrid with a remote work option up to three (3) days per week

Works in office conditions, but frequent travel is required

Localized travel to conduct face-to-face visits in or at member’s preferred location

Subject to many interruptions

Exposure to situations requiring exceptional interpersonal skills or high productivity

Occasionally subjected to irregular hours

Remote Work Requirements:

Must reside in the Upper Peninsula of Michigan

For remote team members, initial on-site/in-person onboarding and training for a minimum of ten (10) consecutive business days at UPHP’s headquarters in Marquette, Michigan (stipend provided)

Periodic travel to UPHP’s headquarters for regular training including all staff meetings

Private home office required; computer and phone hardware provided

Personal vehicle and proof of insurance required for business travel; mileage reimbursement provided at GSA rate

Quick Apply

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DATE: July 14, 2026

POSITION: Clinical Coordinator - Care Manager Medicaid

DEPARTMENT: Clinical Services

RATE: $29.72 per hour, with potential for additional compensation based on qualifications.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

POSITION QUALIFICATIONS:

Education:

Minimum:

Preferred:

Requirement:

Licensed in state of Michigan

Experience:

Minimum:

Preferred:

Other Requirements:

Required Skills:

Desired Skills:

Physical Requirements:

Working Conditions:

Remote Work Requirements: