Average salary: $158,542 /yearly

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  • $25 per hour

    About the Role Join our distributed team and help evaluate online platforms through interactive testing assignments. This is a flexible, remote opportunity with full training provided and no prior experience required. Reel Edge is a gambling technology company focused on...
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    Remote work
    Work from home
    Flexible hours

    Joveo

    Michigan
    2 days ago
  •  ...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... 
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    Hourly pay
    Local area
    Shift work

    Glanbia

    Michigan
    9 days ago
  •  ...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... 
    Suggested
    Work experience placement
    Flexible hours

    Black & Veatch Family of Companies

    Michigan
    13 days ago
  •  ...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... 
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    Local area

    Acadia Healthcare

    Detroit, MI
    4 days ago
  •  ...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... 
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    Local area

    Forest View Hospital

    Grand Rapids, MI
    5 days ago
  •  ...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... 
    Suggested
    Work at office

    PACE

    Southfield, MI
    2 days 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... 
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    Private practice
    Work at office

    Healthcare Support Staffing

    Troy, MI
    4 days ago
  • $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... 
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    Full time
    Temporary work
    Local area
    Remote work
    Monday to Friday
    Shift work

    ABB

    Michigan
    2 days ago
  •  ...discretion of the hiring department. Flexible work agreements are reviewed annually and are subject to change dependent on the business...  ...and accurate chart level abstraction. Validate case data utilizing relevant expertise and clinical judgment. Clarify documentation... 
    Suggested
    Immediate start
    Remote work
    Flexible hours
    Night shift

    University of Michigan

    Michigan
    1 day ago
  •  ...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.... 
    Suggested
    Full time
    Live in

    Henry-Ford-Health-2

    Troy, MI
    2 days ago
  • 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... 
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    Remote job

    Integra Partners

    Troy, MI
    5 days ago
  • $98.7k - $157.92k

     ...development of field services proposals for power delivery, power utilization and automation equipment and systems. In this role you will...  ...or similar business segments preferred.Experienced in reviewing customer specifications, developing proposals, and managing contract... 
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    Full time
    Contract work
    Temporary work
    Remote work
    Monday to Friday

    ABB

    Michigan
    1 day ago
  • 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...
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    Work at office

    PACE Southeast Michigan

    Southfield, MI
    4 days ago
  • 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... 
    Suggested
    Full time

    Henry-Ford-Health-2

    Troy, MI
    2 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... 
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    Healthcare Support Staffing

    Troy, MI
    2 days ago
  • $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 time
    Work at office
    Remote work

    Oakland Community Health Network

    Troy, MI
    5 days 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... 

    Oakland Community Health Network

    Troy, MI
    5 days ago
  •  ...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 office
    Weekend work

    Munson Healthcare

    Traverse City, MI
    3 days ago
  • $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 time
    Live in
    Work at office
    Local area
    Immediate start
    Shift work
    Night shift

    Johnson & Johnson

    Michigan
    1 day ago
  •  ...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 time
    Temporary work
    Work at office
    Local area
    Remote work

    Brown & Brown Insurance Services

    Michigan
    1 day ago
  •  ...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 contractors
    Work at office
    Local area
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    Flexible hours

    NCEC

    Michigan
    1 day ago
  • $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 pay
    Monday to Friday

    Healthcare Support Staffing

    Troy, MI
    1 day 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... 

    Healthcare Support Staffing

    Troy, MI
    5 days ago
  •  ...equipment and machinery in proper operating condition through utilization of the Maintenance and Tooling departments. Other duties required...  ...to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-... 
    Temporary work
    Work at office
    Shift work
    Weekend work

    Means-Industries

    Michigan
    2 days ago
  •  ...members to support resident care and reimbursement accuracy. Review clinical documentation to ensure assessments accurately reflect...  ...Nurse (RN). High level of clinical and technical expertise in Utilization Management, MDS, RAI, third-party reimbursement, discharge planning... 
    Full time
    Temporary work
    Local area
    Monday to Friday

    GOEBEL FIXTURE COMPANY

    Michigan
    2 days ago
  •  ...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

    PACS Group, Inc.

    Michigan
    5 days ago
  • $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 time
    Temporary work
    Part time
    Local area

    Walmart

    Michigan
    1 day ago
  • $50 per hour

     ...pricing, cost control, and disciplined capital investment Review and approve budgets, capital expenditures and planning, customer...  ...Oversee production planning, scheduling, capacity utilization and planning, and resource allocation to ensure on-time, in-full... 
    Contract work
    Temporary work
    For contractors
    Local area

    Jobleads-US

    Michigan
    4 days ago
  •  ...Concierge : Internal company assistance in understanding and utilizing your benefit options. Pet Insurance : Three options available...  ...Corporate Dietitian and/or Regional Director of Operations. Review Consultant reports, Quality Assurance, and survey results from... 
    Bi-weekly pay
    Weekly pay
    Daily paid
    Temporary work
    Local area
    Flexible hours

    Port Huron Opco LLC

    Michigan
    4 days ago
  •  ...stocking and receiving, paperwork, and store needs. This position is utilized to foster interactive development of an external candidate for...  ...and employees. Operate store in store manager’s absence. Review operating statements to identify business trends (including sales... 
    Work experience placement
    Seasonal work
    Night shift

    ∙ Elijah House Foundation

    Michigan
    1 day ago