Average salary: $158,542 /yearly
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- ...with the good manufacturing process and local and state laws. ~Utilizes GPS processes, driving zero losses, and upholds the culture of... ...or oversee training and standard operating procedure reviews to ensure new hires develop proficiency of role. “The Customer...SuggestedHourly payLocal areaShift work
- ...Systems). This role focuses on leading and delivering Natural Gas Utility and Pipeline Transmission OT/ICS programs, with responsibility... ...station controls, and communications networks. Develop and review solution architectures, integration designs, and technical...SuggestedWork experience placementFlexible hours
$60.53k - $129.63k
...one family and one community at a time. Schedule Fully Remote- WFH Monday-Friday 8a-5p EST/9a-6p CST with 1 hour lunch Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. Position Summary Utilizes...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shift$60.53k - $129.63k
.... Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse Consultant Fully...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shift$102.18k - $163.49k
...communities and residents and to support the safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care...SuggestedFull time- ...other therapeutic services designed to help patients achieve lasting recovery and improved quality of life. As the Director of Utilization Review, you will play a critical leadership role in ensuring the delivery of high-quality, medically necessary behavioral healthcare...SuggestedLocal area
$97.9k - $203.9k
...landscape. At EY, we are committed to building a better working world. We provide innovative solutions to our clients in the Power & Utilities sector, helping them navigate the complexities of regulatory compliance and operational efficiency. Our solutions can be used by...SuggestedFull timeContract workSummer holidayFlexible hours- ...report and record data Validate, refine and modify data Utilize all data to identify and document current health care needs of... ...identify client needs, and establish realistic goals of care Review plan of care on a regular basis to evaluates client response to...SuggestedPart time
Professional Case Management
Michigan7 days ago - ...Utilization Review Manager Forest View Hospital, located just seven miles southeast of downtown Grand Rapids, Michigan, is a private 108 bed psychiatric facility that serves children, adolescents and adults. We are licensed by the State of Michigan, fully accredited...SuggestedLocal area
- ...range of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description The Utilization Manager is responsible for directing and overseeing the Utilization Program...SuggestedLocal area
- ...State of MI with unencumbered license, BSN preferred; Minimum 2 years' experience in a managed care environment, preferably in a utilization related role. Must have one year of experience with a frail, elderly population. WORK ENVIRONMENT Professional office environment...SuggestedWork at office
$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...SuggestedPrivate practiceWork at office$100.5k - $160.8k
...for railway rolling stock, electric buses, mining and off-road utility vehicles. Our state of the art and comprehensive portfolio of traction... ...and Individuals with Disabilities, applicants may request to review the plan of a particular ABB facility between the hours of 9:00...SuggestedFull timeTemporary workLocal areaRemote workMonday to FridayShift work- ...with established policies, procedures, guidelines and criteria, regularly exercises clinical judgment in the review and assessment of patient¿s admissions. Utilizes best practice workflows, evidence-based screening criteria and critical thinking to maximize reimbursement....SuggestedFull timeLive in
- Integra Partners is seeking a Utilization Review Medical Director to lead clinical reviews of DMEPOS requests within a high-volume UM environment. The role emphasizes evidence-based decision making, adherence to Medicare/Medicaid guidelines, and regulatory requirements...SuggestedRemote job
- ...work through improvement huddles, employee surveys, and town hall meetings Job Description A Day In The Life The Utilization Review Specialist (RN) is responsible for ensuring appropriate utilization of healthcare services across the continuum of care. This...Work at officeWeekend work
- Henry Ford Health in Michigan is seeking a coding professional to assess admissions and support utilization management. Under minimal supervision, you will apply evidence-based screening criteria to ensure accurate and timely reimbursement. The role requires RHIT/RHIA certification...Full time
- 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...
- PACE Southeast Michigan seeks a Registered Nurse to oversee processing of authorizations for participant care, including ER and hospital admissions, working with clinical and support staff in a professional office setting. You will coordinate information with the IDT, audit...Work at office
$56.17k - $70.21k
...Professional Troy, Troy, MI, US 4 days ago Requisition ID: 1323 Salary Range: $56,165.00 To $70,206.00 Annually Job Summary Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews of service authorizations, ensuring the appropriate,...Full timeWork at officeRemote work- ...employees engaged in shop-floor processes or operations. They review production schedules, assign work, coordinate set-ups and ensure... ...methods, worker performance, quality and delivery of product Utilizes knowledge of continuous improvement concepts to improve plant...Full timeWork experience placementWork visaShift work
Orchid Orthopedic Solutions
Michigan14 hours ago - Oakland Community Health Network is seeking an experienced Utilization Review Analyst in Troy, MI, to conduct prospective, concurrent, and retrospective reviews for behavioral health services. The role emphasizes medical necessity determinations, authorizations, and cross...
$98k - $172k
...safety controls overseeing safety operational and quality assurance reviews developing and implementing action plans and providing... ...HIPAA compliance adherence and Standard Operating Procedures SOP Utilizes auditing processes to identify compliance issues and implement...Full timeTemporary workPart timeLocal area$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...Hourly payMonday to Friday- ...to support the level of care being billed. Conducts concurrent reviews as directed in the hospital's UR Plan of medical records to... ...Responsibilities: # Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that...Local areaShift work
- 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...
- ...supervisor and other health team members regarding patient progress, problem and plans.• Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed.• Participate in in-services training program for other staff in the...Local area
$164k - $282.9k
...territory within their region and will conduct routine strategy reviews with each MSL direct report, leveraging data, insights, AI... ...coaching, and development to each of their direct reports (MSLs), utilizing the skills framework, routine feedback, and periodic field observation...Full timeLive inWork at officeLocal areaImmediate startShift workNight shift- ...requirements for mechanical, electrical and software disciplines.Utilize the system architecture provided by the core team to verify... ...that we receive for each role and in some cases, we may start to review applications prior to the closing date.Ricardo is a Disability-...For contractorsWork at officeLocal areaWork from homeFlexible hours
- ...aspects of service delivery to BOB; determine the appropriate utilization of internal and external resources as needed • Establish and maintain... ..., assisting with training, guiding and coaching as needed• Review or monitor travel and expenses to ensure resources are being...Full timeTemporary workWork at officeLocal areaRemote work
