Search Results: 11,745 vacancies

Department: Utilization Management Daily Work Times: 7:00am-3:30pm Shift: Days Scheduled Bi-Weekly Hours: 40 Position Summary: Responsible...  ...care team to ensure hospital admissions are based on medical necessity and documentation is sufficient to support the level... 
Suggested
Part time
Shift work
Weekend work

McLaren Health Care

Detroit, MI
1 day ago
 ...We Are: Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected, and sustainable...  ...to design and implement the next generation of work and asset management solutions: your bread and butter are the utility processes underlying... 
Suggested
Local area
Flexible hours

Accenture

Detroit, MI
4 days ago
 ...Implements and supports with business case staffing requests utilizing the Tenet Case Management staffing recommendations and hospital budgetary...  ...Utilization ManagementImplements and monitors processes to ensure medical necessity review processes are in place for patients to... 
Suggested
Full time
Local area

Skillfi

Detroit, MI
2 days ago
 ...The Group Director, Case Management will execute on the strategic plan and will provide subject matter...  ....  · Will ensure effective utilization of resources, timely and accurate revenue...  ...including utilization management supporting medical necessity and denial prevention,... 
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Wealth Recruitment, LLC

Detroit, MI
1 day ago
 ...The Detroit Medical Center (DMC) is a nationally recognized health care system that...  .... Job Summary The Group Director, Case Management will perform the functions necessary...  ...regulations. Will ensure effective utilization of resources, timely and accurate revenue... 
Suggested
Full time
Shift work

Detroit Medical Center Shared Services

Detroit, MI
2 days ago
Find YOUR fit at Ohio CAT (a division of Ohio Machinery Co)! Join a winning culture that strives to be the top performing, dynamic industry leader and partner of choice for the products and solutions that help our customers build, improve, feed, power and protect our ...
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Ohio CAT

Troy, MI
a month ago
 ...Job Description DIRECTOR CASE MANAGEMENT -  \n \n ~ Full-time \n ~ DAYS \n ~ Direct Hire...  ...with business case staffing requests utilizing the Case Management staffing recommendations...  ...and monitors processes to ensure medical necessity review processes are in... 
Suggested
Full time
Local area
Relocation package

Job Juncture

Detroit, MI
22 days ago
 ...Description Title: Medical Director, House Calls Program (MSO) Program Overview @HOME...  ...population attributed to Oak Street Health's Managed Service Organization (MSO). Our Care...  ...Things' approach Optimize hospice utilization and care Sharing data and helping... 
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Local area
Flexible hours

Oak Street Health

Detroit, MI
1 day ago
 ...Sr. Director, Product Management - Coding The Sr. Director of Product will be responsible for both...  ...generative AI as part of the medical coding process to develop an innovative...  ...initiation through build and ramp-up to full utilization Manage and prioritize the flow of... 
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Local area

R1 RCM

Detroit, MI
2 days ago
 ...Utility Worker Job Reference Number: 18047 Employment Type: Full-Time , Onsite...  ...: $14 per/hr Our Benefits: ~ Medical (FT Employees) ~ Dental ~ Vision ~...  ...segments. Disclaimer: This job description can be revised by management as needed.... 
Suggested
Holiday work
Full time

Trio Community Meals

Detroit, MI
4 days ago
 ...POSITION IS FILLED. We have a Full Time Utilization Management Care Coordinator opportunity available, this position reports to the Director of Utilization Management. Schedules...  ...we offer the following benefits: Medical, Vision, Dental, Life Insurance Short... 
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Full time
Temporary work
For contractors
Local area
Flexible hours

Shift Day

Southgate, MI
14 days ago
 ...Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral...  ...payers, utilizing approved criteria to make determinations of medical necessity and level of care planning, verifying active... 
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Local area

Shift Day

Dearborn, MI
17 days ago
 ...Managing Director-NA, Autis Engineering LLC, Ferndale, MI. Plan, lead, act as key company representative/contact in U.S., manage, &represent activities incl. business dvlpmt; customer mgmt, supplier &Tier 1 partner relations; ops &project mgmt, team mentoring &recruitment... 
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Autis Engineering LLC

Ferndale, MI
15 hours ago
 ...strategic direction for one or more defined medical areas or functions. Responsible for...  ...in area of specialization plus utilization review experience. * Current unrestricted...  ...collaborate with leaders for medical and network management, partnering with network providers... 
Suggested
Temporary work

Blue Cross and Blue Shield Association

Detroit, MI
15 hours ago
 ...Description Job Description Group Director, Case Management Hospital Location: Detroit,...  ...regulations. Will ensure effective utilization of resources, timely and accurate revenue...  ...including utilization management supporting medical necessity and denial prevention,... 
Suggested
Full time
Relocation package

Murtech

Detroit, MI
4 days ago
 ...quality and affordability outcomes within the Office of the Chief Medical Officer and across business units. ESSENTIAL DUTIES AND...  ...year's recent clinical experience in area of specialization plus utilization review experience. * Current unrestricted state of Michigan... 

Blue Cross and Blue Shield Association

Detroit, MI
1 day ago
 ...or general equivalent * Work experience as a Dishwasher or Utility * Hands-on experience with industrial washing machines * Ability...  ...instructions and help with various tasks, as needed * Time management skills * Attention to detail and sanitation standards *... 
Hourly pay
Work experience placement
Local area
Shift work
Weekend work
Afternoon shift

Imperial Ferndale

Detroit, MI
2 days ago
 ...JOIN OUR TEAM JOB SUMMARY The Department Manager 4 is responsible for supervising and leading the medical billing team and efficient and compliant billing...  ...information regarding the Department of Justice - EEO Utilization Report, please visit -postings.aspx.... 
Local area

Wayne County Government

Detroit, MI
5 days ago
 ...This position requires an employee to be on-site on a full-time basis The Role: Regional Medical Directors are responsible for either leadership and management of multiple Health Centers/complexes, or one or more global medical operations or programs.  Other... 
Full time
Contract work
Local area
Work from home
Relocation
H1b

General Motors

Warren, MI
8 days ago
 ...services to the eight hospitals of Detroit Medical Center. DMC University Laboratories...  ...conjunction with Genetics Division Medical Director, assumes responsibility for effective...  ...clinical test procedures and results to management. * Maintains liaison with physicians and... 
Temporary work
Remote job

Tenet Healthcare Corporation

Detroit, MI
15 hours ago