Average salary: $65,402 /yearly

More stats
Get new jobs by email
  • $33 - $37 per hour

    A national healthcare staffing firm seeks an experienced RN Utilization Review Nurse in Troy, MI. Responsibilities include utilization review for Medicaid and Medicare, managing authorization processes, and collaborating with healthcare teams to ensure quality care. Ideal... 
    Suggested
    Hourly pay
    Monday to Friday

    Healthcare Support Staffing

    Troy, MI
    1 day ago
  • RN Utilization Review Specialist PRN Corewell Health Location: 4700 60th St - Grand Rapids, MI Employment Type: Part time Shift: Day (United States of America) Hours of Work: 8:00 a.m. to 4:30 p.m. Job Responsibilities Provides health information, interacts and acts... 
    Suggested
    Part time
    Relief
    Shift work

    Corewell Health

    Caledonia, MI
    12 hours ago
  • A regional healthcare provider is seeking a part-time RN Utilization Review Specialist in Caledonia, Michigan. The role involves assessing inpatient admissions, advocating for patients within acute care services, and educating medical staff on utilization management. Ideal... 
    Suggested
    Part time
    Relief
    Day shift

    Corewell Health

    Caledonia, MI
    12 hours ago
  • $29.05 - $67.97 per hour

    A healthcare provider in Michigan seeks a Clinical Reviewer to support medical claim and internal appeals activities. The role includes clinical...  ...include a minimum of 2 years in clinical nursing and a valid RN license. Preferred qualifications include additional healthcare... 
    Suggested
    Hourly pay

    Molina Healthcare

    Lansing, MI
    4 days ago
  • A national healthcare staffing firm is seeking an experienced Registered Nurse for a position focused on Utilization Review. This role involves collaborating to enhance care continuity and conducting reviews for Medicaid and Medicare patients. The ideal candidate will... 
    Suggested

    Healthcare Support Staffing

    Troy, MI
    2 days ago
  • A healthcare staffing firm is seeking an experienced Registered Nurse in Michigan to provide utilization review for healthcare services. Candidates should possess a valid RN license and experience in both utilization review and Interqual. This opportunity offers a competitive... 
    Suggested

    Healthcare Support Staffing

    Troy, MI
    2 days ago
  • Overview Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill to reduce significant financial risk and... 
    Suggested
    Full time
    Work at office
    Shift work

    Henry Ford Health - Careers

    Lansing, MI
    1 day ago
  • $33 - $37 per hour

     ...today to see how a conversation can turn into a long‑lasting and rewarding career! Job Description Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Utilization Review Nurse. Do you want the... 
    Suggested
    Private practice
    Work at office

    Healthcare Support Staffing

    Troy, MI
    3 days ago
  • A leading healthcare provider in Michigan is looking for a Utilization Review professional to ensure accurate data entry and provide administrative support in patient scheduling. The role involves engaging with clients to facilitate their treatment process and communicating... 
    Suggested

    Henry Ford Health - Careers

    Lansing, MI
    3 days ago
  • Job Summary Reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Essential Functions Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and... 
    Suggested
    Casual work
    Work at office

    Infor

    Lansing, MI
    3 days ago
  • Position Overview This Utilization Review role is primarily responsible for accurate data entry and administrative support, including patient scheduling and registration via phone and computer systems. The position also plays an important front‑line role in client engagement... 
    Suggested

    Henry Ford Health - Careers

    Lansing, MI
    3 days ago
  • A healthcare company is seeking a Registered Nurse for Utilization Management in Michigan. This role involves reviewing services and patient care quality, conducting stay reviews, and preparing appeals to payors. Candidates must be licensed in Michigan with three years... 
    Suggested
    Work at office

    Infor

    Lansing, MI
    2 days ago
  • A leading staffing firm is seeking a Utilization Management professional who is responsible for inpatient medical necessity and utilization review. The ideal candidate will have an RN license, strong problem-solving skills, and at least 4 years of clinical nursing experience... 
    Suggested

    Integrated Resources Inc.

    Troy, MI
    3 days ago
  •  ...Medical Review Specialist Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix...  .... Position Summary: The incumbent reviews medical bills utilizing professional knowledge and clinical experience to determine relationship... 
    Suggested
    Remote job
    Work at office

    Medlogix

    Southfield, MI
    2 hours agonew
  • $90.87 - $154.33 per hour

     ...build the future of pharmacy with us. Job Title Physician Clinical Reviewer- Pediatric Neurology- REMOTE Responsibilities Reviews cases in...  ...Clinical Reviewers as needed to discuss cases and problems. Utilizes medical/clinical review guidelines and parameters to assure consistency... 
    Suggested
    Work at office
    Local area
    Remote work
    Visa sponsorship
    Work visa

    Prime Therapeutics

    Lansing, MI
    2 days ago
  • $26.01 - $68.55 per hour

     ...coordinate clinical solutions. The role requires a nursing degree and 2-3 years of professional experience. Responsibilities include reviewing claims, training staff, and providing support to customer service teams. The company offers a competitive pay range of $26.01 - $6... 

    Hispanic Alliance for Career Enhancement

    Lansing, MI
    12 hours ago
  • $29.05 - $67.97 per hour

     ...support for medical claim and internal appeals review activities - ensuring alignment with...  ...Resolves escalated complaints regarding utilization management and long-term services and supports...  ...and experience. Registered Nurse (RN). License must be active and unrestricted... 
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Lansing, MI
    4 days ago
  • $26.01 - $68.55 per hour

     ...clinical judgment and perform duties as a nurse. Review and interpret clinical documentation...  .... Apply clinical decision‑making to utilize appropriate clinical criteria and policies...  ...requirements. Qualifications Nursing degree (RN). Minimum of 2‑3 years of professional experience... 
    Full time
    Local area
    Flexible hours

    Hispanic Alliance for Career Enhancement

    Lansing, MI
    12 hours ago
  • $60k - $65k

    A healthcare services company is seeking a Remote RN to utilize evidence-based tools for evaluating prescribed medications and ensuring...  ...assessments, collaborating with healthcare professionals, and reviewing drug usage guidelines. An active RN license and two years of... 
    Remote job

    Sedgwick

    Lansing, MI
    2 days ago
  •  ...you! Responsibilities Provides concurrent review and prior authorizations (as needed)...  ...policy for Molina members as part of the Utilization Management team Identifies appropriate benefits...  ...Provider environment (at least one year) RN License in Michigan Interqual experience... 

    Healthcare Support Staffing

    Troy, MI
    1 day ago
  • $90.87 - $154.33 per hour

     ...healthcare solutions company is seeking a Physician Clinical Reviewer for a remote role focused on timely medical reviews of service...  ...to ensure compliance with medical necessity guidelines and the utilization management process, making this a critical position in the care... 
    Hourly pay
    Remote work

    Prime Therapeutics

    Lansing, MI
    2 days ago
  •  ...founded over 30 years ago by a Dialysis RN who believes everyone is entitled to excellent...  ...as a resource for staff. You will be utilizing your assessment skills, technical skills,...  ...based on current knowledge; consistently reviews and evaluates priorities as changes occur... 
    Relief
    Work at office
    Immediate start
    Remote work
    Shift work

    Rendevor Dialysis

    Detroit, MI
    1 day ago
  •  ...A healthcare company is looking for a Medical Bill Coordinator to review and process medical bills remotely. The ideal candidate must have a high school diploma and at least two years of experience in workers compensation or bill reviews, with knowledge of medical terminology... 
    Remote work

    Sedgwick

    Lansing, MI
    2 days ago
  •  ...Administers medication as ordered by physicians, tracks electronically. Utilizes the nursing process in planning, providing and evaluating each...  ...established standards of care; keeps treatment plan updated; reviews the plan with patients. Documents nursing interventions and... 

    Behavioral Center of Michigan

    Detroit, MI
    1 day ago
  •  ...Job Details MS RN's care for adult patients who are acutely ill with a wide variety...  ...quality nursing care through the utilization of the nursing process. Works collaboratively...  ...forward Upon Submission: AHSA will review and deem a clinician's application eligible... 
    Daily paid
    Full time
    Temporary work
    Shift work

    AMN Healthcare

    Michigan
    4 days ago
  •  ...Title Operating Room Registered Nurse (RN) Internship - Bronson Methodist...  ...needs/strengths for assigned patients o Reviews vital signs to assess condition of patient...  ...plan individualized to the patient o Utilizes the patient/family input when defining outcomes... 
    Full time
    Internship
    Local area
    Shift work
    Night shift
    Day shift

    Bronson Healthcare

    Kalamazoo, MI
    3 days ago
  • $90.87 - $154.33 per hour

     ...A care-focused pharmacy organization seeks a Physician Clinical Reviewer specializing in dermatology. This remote position involves reviewing service requests, collaborating with healthcare providers, and ensuring compliance with medical necessity guidelines. Candidates... 
    Hourly pay
    Remote work

    Prime Therapeutics

    Lansing, MI
    2 days ago
  •  ...JOB TITLE: Clinical Peer Reviewer REPORTS TO: President & CEO DEPARTMENT: Peer Review Committee FLSA STATUS: Hourly ? Non Exempt Summary Description Reviews patient information to ensure treatment/service provided falls within the plan guidelines and that... 
    Hourly pay
    Permanent employment

    Advantage Health Centers

    Detroit, MI
    1 day ago
  •  ...as independent contractors. This telework opportunity allows for schedule flexibility and involves conducting comprehensive medical reviews and providing objective opinions without establishing a doctor-patient relationship. Applicants must have a Michigan license and at... 
    For contractors
    Remote work

    Dane Street

    Lansing, MI
    2 days ago
  •  ...families. ~ Collect and construct identifying information by reviewing past and present medical, social, and family histories,...  ...according to patient wishes. ~ Charts in the medical record utilizing age-appropriate wellness assessment tools, assuring accurate... 
    Permanent employment
    Temporary work
    Work at office
    Flexible hours

    MyCare Health Center

    Center Line, MI
    5 days ago