Get new jobs by email
$250k
...A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. This full-time role emphasizes adherence to workflow timelines and requires an MD or DO degree along with board...SuggestedFull timeRemote workIntegra Partners
Troy, MI3 days ago$18 - $20 per hour
Utilization Review Coordinator Primary Purpose To assign utilization review requests; to verify and enter data in appropriate system(s); and... ...demographics and UR information into claims or clinical management system; maintains data integrity. Obtains all necessary information...SuggestedWork at officeLocal areaFlexible hours- In this position you will be reviewing patient charts to determine if pre‑elective surgical cases should be boarded as inpatient... ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred. Certifications/...SuggestedRemote jobFull timeMonday to FridayShift work
- ...services for higher education, healthcare campuses, and cities, managing utility infrastructures across 10 U.S. cities and serving over 170+... ...delivery methods and procedures; identifies resource needs; reviews with appropriate management staff; and implements improvements...SuggestedContract workPart timeFor contractorsWork at officeLocal areaRemote workRelocation
CenTrio
Ypsilanti, MI2 days ago $90.61k
...Division is seeking to fill an exciting Project Manager position in our established and growing business with electric utility clients across the United States. This Project... ...engineers. • Performing guidance and review at the project level while assuring discipline...SuggestedFull timeH1bCDM Smith
Detroit, MI1 day 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
$18 - $20 per hour
A leading insurance services provider is seeking a Utilization Review Coordinator in Lansing, Michigan. The role involves assigning utilization review cases, verifying data, and providing support to clinical staff. Candidates should have a high school diploma, two years...SuggestedHourly pay- Job Summary Reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Essential Functions... ...Prepares any reports assigned or requested by the Manager of Case Management or his/her supervisor...SuggestedCasual workWork at office
- A leading healthcare organization in Detroit is seeking a Utilization Review Analyst to analyze admission information and support discharge planning. Responsibilities include assessment of clinical documentation, coordinating with third-party payers, and data analysis...Suggested
- Position Overview This Utilization Review role is primarily responsible for accurate data entry and administrative support, including patient... ...strongly preferred Highly organized, self‑motivated, and able to manage detailed administrative tasks Strong verbal and written...Suggested
$100k - $185k
...Project Manager - Heavy Civil (Various Sites - Travel Required) Join Our Team at R-2 Contractors... .... From renewable energy to major utility work, we deliver expert excavation, grading... ...and maintenance Monthly billings Timecard review/approval Budget review and understanding...SuggestedDaily paidFor contractorsFor subcontractorWork at officeMonday to FridayR-2 Contractors Inc
Grand Rapids, MI4 hours ago- Overview Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered... .... Serves as a liaison between Inpatient Case Management and payers, establishing relationships that...SuggestedFull timeWork at officeShift work
- Substation Project Manager - Motor City Electric Utilities Motor City Electric Utilities is an electrical transmission and distribution company that provides... ...management. Monthly reports require comprehensive cost reviews and projections. Travel to client sites/field/vendor...Suggested
- Project Manager - Motor City Electric Utilities We are an electrical contractor looking for an experienced Project Manager with 5-7 years of expertise... ...environment and manage multiple projects at the same time. Review plan documents and project specifications, objectives,...SuggestedFor contractors
- RN Utilization Review Specialist PRN Corewell Health Location: 4700 60th St - Grand Rapids, MI Employment Type: Part time Shift: Day (United... ...of acute care services and diagnosis-related group (DRG) management. Assesses appropriateness of inpatient admissions and...SuggestedPart timeReliefShift work
- A regional healthcare provider is seeking a part-time RN Utilization Review Specialist in Caledonia, Michigan. The role involves assessing... ...acute care services, and educating medical staff on utilization management. Ideal candidates must have an Associate's Degree in Nursing...Part timeReliefDay shift
- A healthcare provider in Auburn Hills is seeking a Utilization Management Case Manager/Appeal Coordinator responsible for overseeing managed... ...and a valid Michigan license. Key responsibilities include reviewing admissions, managing appeals, and collaborating across departments...
- A leading healthcare provider in Auburn Hills, Michigan, is seeking a Utilization Management Case Manager. The role involves managing patient care processes, conducting reviews with external payers, and ensuring accurate medical records. The ideal candidate should have...
- ...A leading healthcare firm in Michigan is seeking a Medical Director to oversee clinical reviews and support decision-making in inpatient care. The ideal candidate will have significant post-residency experience, a medical license, and board certification. Responsibilities...Remote work
Humana
Lansing, MI3 days ago - ...A leading solutions provider is seeking a Project Manager to lead project execution for electric utility clients. The position requires a Bachelor’s degree in Engineering and at least 3 years of project management experience specifically within the Electric Utility Industry...
Construction Association of Michigan
Walled Lake, MI3 days ago - A leading healthcare organization in Michigan is seeking a professional to review patient charts for determining surgical case boarding. This role involves analyzing CPTs in relation to inpatient and outpatient criteria as per payer requirements. The ideal candidate will...Monday to Friday
- ...evening, night and weekend shifts Position Summary The Utilization Review Coordinator is dedicated to gather and coordinating... ...and orderly form. 12. Provides feedback to the Department Manager on the development/modification of the utilization review...Local areaShift workNight shiftWeekend workAfternoon shift
$90.82k - $145.31k
...Behavioral Health Utilization Management Medical Case Manager CalOptima Join Us in this Amazing Opportunity The Team You'll Join... ...your career while making a difference, we encourage you to review and apply today and help us build healthier communities for...Temporary workWork at officeLocal areaImmediate startRemote workFlexible hoursWeekend workAfternoon shift2 days per weekCalOptima
Detroit, MI8 hours ago$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra’s Utilization Management (UM) operations. This full-time, salaried role functions within a structured, high...Full timeTemporary workLocal areaRemote work$105.1k - $192.6k
...career wherever you want it to go. Join EY and help to build a better working world. Tax - Indirect Tax - Sales & Use Lookback Review COE - Manager Will you shape the future or will the future shape you? The opportunity Our Sales and Use Tax Lookback Review COE is a...Summer holidayFlexible hours- ...candidates! This is a hybrid role in the Detroit area. As a Project Manager in our Project Management Office, you will lead and manage... ...systems and solutions. This role spans a diverse portfolio of utility-focused work, including Substations, Conversions, Sub-Transmission...Full timeImmediate startRelocationFlexible hours
ENTRUST Solutions Group
Detroit, MI3 days ago - ...leading engineering firm located in Detroit is looking for a Project Manager to oversee complex electrical systems projects. The role... ...electrical engineering and project management, particularly with utilities. This hybrid position offers a supportive work environment and...
ENTRUST Solutions Group
Detroit, MI3 days ago $107.9k - $172.64k
...Job Description We’re hiring a Manager, Clinical Teams for the Behavioral Health Utilization Management Team! In this critical role, you will collaborate and engage... ...management, wellness, medical policy, medical review, and/or related services. What You’ll Do Assist in...Work at officeBlue Cross and Blue Shield of North Carolina
Lansing, MI3 days ago$94.4k - $293.8k
...the world’s most critical — and most dynamic — industries? The Utilities Industry is transforming at unprecedented speed. Clean energy... ...Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting,...Work experience placementLive inWork at officeLocal areaAccenture
Detroit, MI3 days ago- **Employment Type**Full Time**Job Summary**The Utility Maintenance Group is currently seeking a Lead Maintenance Worker for the Sewer... ...interested in this opportunity, apply today!**For more details, review the full job details and requirements below.**The Lead Utility...Full timeFor contractorsNight shift
