Average salary: $60,775 /yearly
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- ...Case Manager at Select Specialty Hospital in Mount Clemens, Michigan. This role involves developing discharge plans, performing utilization reviews, and managing resources for critically ill patients. The ideal candidate will have a current clinical license and experience...SuggestedFull time
Select Medical
Michigan1 day ago - ...insurance Note: Eligibility for benefits may vary by location and is determined by employment status Summary The Group Director, Utilization Review will perform the functions necessary to support and advance Tenet’s Case Management strategy with a specific focus on...SuggestedFull timeFlexible hoursShift work
$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$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...SuggestedFull timeTemporary workLocal areaRemote work$70k - $75k
...or able to secure new DOT Health Card Able to hand-lift and utilize two-wheeler, lift gate and/or other equipment to move and/or stack... ...laws and regulations. Please click on the following links to review: (1) our EEO Policy ; (2) the "EEO is the Law" poster and...SuggestedFull timeLocal areaImmediate startRelocation packageShift workNight shiftCore-Mark
Michigan8 hours agonew- ...Concierge : Internal company assistance in understanding and utilizing your benefit options. Pet Insurance : Three options available... ...therapeutic diet preparation preferred. Job Functions: Reviews menus prior to preparation of food. Prepares food for...SuggestedBi-weekly payHourly payWeekly payDaily paidTemporary workFlexible hours
Port Huron Opco LLC
Michigan6 days ago - ...Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy services: Reviews and authorizes services that meet criteria, along with supporting documentation. It is the responsibility of the URC to ensure...SuggestedLocal area
$29.05 - $67.97 per hour
Molina Healthcare in Detroit, Michigan, seeks a clinical reviewer responsible for evaluating medical necessity and coding compliance in the utilization management process. Candidates must hold an active RN license and have at least 2 years of clinical nursing experience...SuggestedHourly pay- 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
$22 per hour
...or able to secure new DOT Health Card • Able to hand-lift and utilize two-wheeler, lift gate and/or other equipment to move and/or... ...federal laws and regulations. Please click on the following links to review: (1) our EEO Policy; (2) the "EEO is the Law" poster and...SuggestedLocal areaImmediate startShift workNight shiftCore-Mark
Michigana month 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...SuggestedHourly payMonday to Friday- ...Patient Chart Reviewer In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be... ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred....SuggestedRemote jobFull timeMonday to Friday
$65k - $80k
...do: Depending on team assignment, responsible for learning and utilizing various actuarial techniques and procedures, to include but not... ...appropriate communications Compile and organize data for actuarial review Prepare reports, proposals, system documents, filing support...SuggestedFull timeTemporary workH1bWork at officeImmediate startRemote work- ...earn. Field-Based Work : Meet with policyholders onsite, review records, and verify operations—no two days are the same. What... ...applications submitted through our official hiring portal. We do not utilize sites like Facebook or Telegram Ap to recruit or interview...SuggestedFor contractors
$20k - $25k
...our website, please only use or . Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other... ...status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official...SuggestedRelocation packageFlexible hours$160k - $210k
...performance Inventory accuracy Labor productivity and cost control Review site‑level performance and implement corrective actions where... ...Systems, Data, and Operational Visibility Ensure effective utilization of WMS and related distribution systems. Promote data‑driven...Full timeWork at officeImmediate startRemote workFlexible hours- ...Appeals Examiners/Reps to ensure redeterminations are medically reviewed as needed and completed timely. Salary Range 66-68k The... ...of medical/clinical review processes (i.e., Appeals/Utilization Review). * Solid computer skills with experience working in multiple...Full timeContract workFor contractorsLocal areaImmediate startRemote work
- ...voltage or ampere measuring devices. ~Test electrical components. ~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...Local area
- General Summary 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...Full timeShift work
- ...logistics to ensure safety, quality, and efficiency in operations. Review and develop quotes for accuracy, keeping customers informed of... ...successful repairs. Electronic Service Tool Application : Utilizing appropriate electronic tools to diagnose and troubleshoot...Work experience placementRelocation package
- ...and obtainable goals to guide operation and performance. • Utilizes interpersonal and communication skills to lead, influence, and... ...Responds effectively to guest problems and handles complaints. • Reviews guest satisfaction feedback with employees to develop...Hourly payFull timeWork experience placement
$55k - $65k
...training managers to meet or exceed customer service standards # Utilizes insights from customer programs to help elevate the customer’s... ...procedures, maintaining inventory, # managing labor, reviewing financial reports, and taking appropriate actions # Ensure maintenance...Full timeLocal area$116.69k - $135k
...projects, including scope development budgeting, and execution. Review submittals, work progress and makes recommendations as part of... ...with all OSHA regulations, maintaining appropriate documentation. Utilize lean manufacturing principles to drive zero losses and uphold...Permanent employmentFor contractorsWork at office- ...housekeeping and at end of your shift check your area and clean up. ~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...Hourly payLocal areaImmediate startShift work
- ...improvement. Participate in cross-functional projects, supplier reviews, industry events and professional development opportunities to... ...and managing strategic supplier relationships. Experience utilizing ERP/MRP systems and advanced Microsoft Excel skills. Strong...Contract work
- ...conformance with established policies and objectives, recommend changes, review progress, and approve cost estimates/proposals. Determines needed repairs for all equipment, buildings and utilities. Plans and directs the related maintenance activities in conjunction with...For contractorsWorldwide
- ...with good manufacturing process and local and state laws. ~Utilizes GPS processes, driving zero losses and upholds the culture of MWC... ...or oversee training and standard operating procedure reviews to ensure new hires develop proficiency of role. “The Customer...Hourly payLocal areaShift work
- ...participate in key business meetings and support the preparation, review, and presentation of project status briefs. Our JIRA... ...testing, installation, configuration, and maintenance of plug-ins ~Utilize design skills to define Jira workflows, automation, and related...Work at officeRemote work
- ...its 300+ Subsidiaries ~ Shift differentials are paid for evening, night and weekend shifts Position Summary The Utilization Review Coordinator is dedicated to gather and coordinating information regarding patient symptomatology and treatment modalities...Local areaShift workNight shiftWeekend workAfternoon shift
$62.28k - $76k
...claims. Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected... ...and related activities in the assigned claims management system. Utilize strong negotiating skills. Claim Specialist assigned to the...Full timeTemporary workWork experience placementRemote workWork from homeRelocationHome officeFlexible hoursNight shiftWeekend workAfternoon shift
