Search Results: 15,527 vacancies
...Job Description
Job Description Utilization Management Review/Appeals
37.00 AN HOUR + 5 PTO days
Responsible for providing telephonic and e-Referral case review and authorization of services utilizing established mental health and substance abuse medical necessity...
Suggested
Holiday work
Full time
Temporary work
Remote job
Work from home
Shift work
Afternoon shift
Monday to Friday
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Detroit, Michigan.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours per week
~ Shift...
Suggested
Weekly pay
Holiday work
Shift work
...be remote role for Nurses in Michigan
Should have a valid MI RN License
Should Have utilization management experience.
Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously.
The candidate...
Suggested
Remote job
...Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Detroit, Michigan.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours...
Suggested
Weekly pay
Holiday work
Shift work
...Initial authorizations of outpatient physical therapy services: Reviews and authorizes services that meet criteria, along with... ...ensure services continue to meet defined plan guidelines.
Care Management : Reviews all cases meeting criteria to determine if the member...
Suggested
Local area
...Detroit Medical Center is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Detroit, Michigan.
Job Description &... ...appropriate level of care based on medical necessity. This position manages the medical necessity process for accurate and timely...
Suggested
Hourly pay
Holiday work
Local area
Shift work
...Elevance Health Medical Oncology Medical Director - Utilization Review Dearborn , Michigan Apply Now
Utilization Management of Medical Oncology Benefits
Carelon Benefits Management
$20,000 Sign On Bonus
Location : The ideal candidate will live within 50 miles...
Suggested
Work experience placement
Local area
Remote job
Work from home
Relocation bonus
Responsibilities
Utilization Management Case Manager
Beaumont Behavioral Health (a UHS Facility)
A growing 144-bed behavioral health facility... ...to: conducting timely admission and continued stay record reviews with external payers, utilizing approved criteria to make...
Suggested
Local area
...Detroit Wayne Integrated Health Network (DWIHN), the Director of Utilization Management is responsible for managing the day-to-day operations of... ...the Chief Medical Officer to ensure timely and accurate reviews that result in medically necessary, appropriate, efficient,...
Suggested
Remote job
...Job Description JOB SUMMARY
Looking for a qualified account manager to join our team. The account manager will be responsible for... ...proven sales experience.
• Experience working in Energy or with Utilities, preferably.
• Experience in delivering daily successful...
Suggested
STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!
Strategic Staffing Solutions (S3) is currently looking for a Registered Nurse-Review Analysis for a contract opening with one of our largest clients located in Detroit, MI.
This is a....
Suggested
Contract work
...This position is responsible for overseeing, managing, and directing the day-to-day operations and maintenance activities for the utility and energy assets located within the... ...is mainly self-directed with work results reviewed through the achievement of set goals and adherence...
Suggested
Hourly pay
For contractors
Work experience placement
Seasonal work
...JOB DESCRIPTION
This critical role reviews individual, trust, and business tax returns... ...of our tax team, the reviewer will utilize their technical skills and educational background... ...strong operational and project management skills
- Proficient use of applicable...
Suggested
Full time
Seasonal work
Remote job
Flexible hours
...Utility Worker
Job Reference Number: 19445
Employment Type: Full-Time , Onsite
Segment: Community Meals
Brand... ...with our corporate office or one of our brand segments.
Disclaimer: This job description can be revised by management as needed....
Suggested
Holiday work
Full time
...Description:
Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services... ...in ICU, ER, or medical surgical unit preferred.
Prefer utilization management experience.
Resource will be able to perform this role...
Suggested
This is an in-office position.
Delta Dental of Michigan, Ohio, and Indiana is a leader in dental benefits, plus so much more.
We improve oral health through benefit plans, advocacy and community support, and our corporate giving builds healthy, smart, vibrant communities...
Local area
...paid weekly, your uniforms are paid for, and more!
As Utility Person, you're responsible for cleaning china, glass, silver,... ...Casino Hotel is dedicated to the city of Detroit. Our associates, management, and ownership contribute to the metro-Detroit community...
Weekly pay
Local area
Shift work
Utility - Food &Beverage
** Utility - Food & Beverage**
The Utility associate is responsible for various services to include but not... ...responsibilities as directed by the business or as assigned by management. This is a non- exempt position .
**Essential Functions**
*...
Work experience placement
...Health provides medical consulting and review, as well as data analysis to federal agencies... ...completing thoughtful and impartial utilization review, dispute resolution and peer reviews... ...:
Utilizes time and project management skills to ensure assigned activities are...
Remote job
Contract work
Temporary work
...Health provides medical consulting and review, as well as data analysis to federal agencies... ...completing thoughtful and impartial utilization review, dispute resolution and peer reviews... ...beneficiaries.
* Utilizes the case management approach to handle telephonic, state selected...
Remote job
Contract work
Temporary work
Shift work
