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  • FOOD SERVICE UTILITY (FULL TIME AND PART TIME) We are hiring immediately for full‑time and part‑time FOOD SERVICE UTILITY positions at Henry Ford Rochester Hospital - 1101 West University Drive, Rochester, MI 48307. Online applications only. Full‑time and part‑time schedules... 
    Suggested
    Full time
    Part time
    Immediate start
    Flexible hours

    TouchPoint Support Services

    Rochester, MI
    5 days ago
  • $25 - $35 per hour

    Overview Harbor Oaks Hospital is looking for a Utilization Review Manager to join our team! Harbor Oaks Hospital, New Baltimore's leading Mental Health and Addiction Treatment Center is seeking a passionate Utilization Review Manager to work at our facility in New Baltimore... 
    Suggested
    Hourly pay
    Relief
    Monday to Friday
    Day shift

    Harboroaks

    New Baltimore, MI
    1 day ago
  • $25 - $35 per hour

    A leading mental health facility in New Baltimore, MI, is seeking a Utilization Review Manager to optimize service utilization and ensure effective reimbursement processes. The ideal candidate will have the necessary clinical licensure and experience in healthcare utilization... 
    Suggested
    Hourly pay
    Relief
    Day shift

    Harboroaks

    New Baltimore, MI
    5 days ago
  •  ...accurate records of activity participation, hydration, etc., utilizing the appropriate forms. Completes activity assessments for residents...  ...employee templates and schedule in OnShift including reviewing employee request offs and posts schedule in OnShift All other... 
    Suggested
    Hourly pay
    Weekly pay
    Temporary work
    Immediate start
    Flexible hours

    River Oaks

    Rochester, MI
    5 days ago
  • $14 - $17 per hour

     ...provide support and coverage to the teaching staff so they can utilize their planning time effectively, as well as provide coverage during...  ...Paid Planning Time Referral bonuses Annual performance reviews and increases Free breakfast, lunch and snacks Birthday benefits... 
    Suggested
    Part time
    Monday to Friday

    Heartfeltimpressions

    Rochester, MI
    5 days ago
  • Overview 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 risk and... 
    Suggested
    Remote job
    Full time
    Shift work

    Henry Ford Health

    Warren, MI
    4 days ago
  •  ...consolidating all cases to prepare for shipping. Responsible for utilizing UPS and FedEx software and properly maintaining database...  ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.... 
    Suggested
    Full time
    Work at office
    Local area
    Monday to Friday

    Michigan Staffing

    Rochester, MI
    4 days ago
  •  ...Maintaining a calendar system for the office and each advisor Scheduling and documenting annual reviews Creating reports and preparing for client meetings Utilizing Redtail CRM and Jump AI notetaker to record client notes and manage workflows Creating and monitoring... 
    Suggested
    Full time
    Work at office

    AnchorPointe Wealth Advisors

    Rochester, MI
    4 days ago
  • $15 per hour

     ...have or would use AI for. \n Use the tool of rubrics to address user needs in a structured way. \n Evaluate AI outputs by reviewing and ranking reasoning and problem-solving responses from large language models. \n Contribute across projects depending on... 
    Suggested
    Remote job
    Weekly pay
    Freelance
    Work from home
    Flexible hours

    Outlier AI

    Detroit, MI
    3 days ago
  • $77.97k - $141.37k

     ...Remote position Essential Job Duties • Performs clinical/medical reviews of previously denied cases in which a formal appeals request...  ...denial decisions. • Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues.... 
    Suggested
    Remote job
    Work experience placement
    Work at office
    Monday to Friday

    Molina Healthcare

    Rochester, MI
    2 days ago
  • $62k

     ...office and maintenance checklists, schedules, and assignments Review and approve purchase orders Ensure staff compliance with policies...  ...with Microsoft Word, Excel and Outlook, and ability to utilize RealPage Excellent written and verbal communication skills Demonstrate... 
    Suggested
    Full time
    Work at office

    Redwood Communities

    Rochester, MI
    2 days ago
  • $14 - $18 per hour

     .... You will provide coverage for the teaching staff so they can utilize their planning time effectively and take breaks and lunches. You...  ...401K with company match Referral bonuses Annual performance reviews and increases Free breakfast, lunch, and snacks Birthday benefits... 
    Suggested
    Full time
    Immediate start
    Relocation
    Monday to Friday

    Heartfelt Impressions Learning Centers

    Rochester, MI
    5 days ago
  •  ...Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple... 
    Suggested

    Pharmacy Careers

    Detroit, MI
    more than 2 months ago
  •  ...performance. Responsibility requires a high level of documentation, investigative writing, production planning and labor utilization skills. Reviews and releases batch record documentation; completes yield transactions or component returns. Ensures people and processes... 
    Suggested
    Hourly pay
    Full time
    Contract work
    Local area
    Shift work
    Night shift

    Endo

    Rochester, MI
    2 days ago
  • $2,509.24 per week

     ...Gross per Week \nJob Summary: \n \nProvides leadership in the coordination and delivery of quality compassionate patient care. Utilizes the nursing process of assessment, planning, implementation, and evaluation, to provide, delegate, supervise and document care and... 
    Suggested
    Shift work
    Night shift
    Weekend work

    Core Staffing

    Rochester, MI
    10 days ago
  •  ...degree in Nursing (BSN) preferred \n• Provide leadership in coordination and delivery of quality compassionate patient care \n• Utilize nursing process of assessment, planning, implementation, and evaluation \n• Delegate, supervise and document care and teaching of... 
    Shift work
    Night shift
    Weekend work

    ADEX Healthcare Staffing LLC

    Rochester, MI
    12 days ago
  •  ...holiday required No blocked scheduling is permitted No on-call requirements May float to a nearby sister hospital as needed Utilizes Impella and intra-aortic balloon pump (IABP) equipment Cerner EMR experience is required Nurses are responsible for... 
    Daily paid
    Shift work
    Night shift
    Weekend work

    American Traveler

    Rochester, MI
    12 days ago
  • $26.41 - $51.49 per hour

     ...DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services...  ...teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications... 
    Hourly pay
    Work experience placement
    Work at office
    Rotating shift

    Molina Healthcare

    Detroit, MI
    4 days ago
  •  ...Job Description The Utility Locating Technician role is to ensure the safety of excavation projects by accurately identifying and marking the location of utilities such as gas lines, water pipes, electrical cables, and communication lines. Using specialized industrial... 
    Full time
    For contractors
    Long distance
    Monday to Friday
    Shift work
    Weekend work

    PEA Group

    Auburn Hills, MI
    22 days ago
  • $60k - $200k

     ...liability, watercraft, aviation, and other specialized policies. Utilize World’s broad platform to offer a holistic approach to risk...  ...Deliver a high‑touch client experience, ensuring proactive policy reviews, personalized coverage recommendations, and ongoing risk... 
    Base plus commission
    Immediate start

    World Insurance Associates, LLC.

    Rochester, MI
    5 days ago
  • $60 - $75 per hour

    Overview Hmong Chinese Language Document Reviewer — Employment Type: Full Time, Mid-Level — Department: Legal. As a CGS Hmong Chinese...  ...terminology; Produces a variety of written documents and materials utilizing a wide range of office software applications; Establishes and... 
    Full time
    Work at office
    Flexible hours

    CGS Federal (Contact Government Services)

    Detroit, MI
    4 days ago
  •  ...s leading manufacturers of paper products including paper plates, cups, bowls, and bags, is seeking a versatile and self‑motivated Utility to join our team in Detroit, MI. This wide‑encompassing role will provide experience while supporting various departments through facility... 
    Temporary work
    Flexible hours

    AJM Packaging Corporation

    Detroit, MI
    1 day ago
  •  ...opportunities Referral program - refer a friend and earn a bonus *Benefits may vary by position so ask your recruiter for details. The Utility associate is responsible for various services to include but not limited to cleaning equipment, floors, workstations, utensils,... 
    Flexible hours

    HMSHost

    Detroit, MI
    4 days ago
  • $21.67 - $34.86 per hour

    The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types...  ...compensation claims process Prospective, concurrent and retrospective utilization review PAY RANGE: CorVel uses a market based approach to pay... 
    Hourly pay
    Minimum wage
    Full time
    Local area
    Flexible hours

    CorVel

    Novi, MI
    2 days ago
  • $21.16 - $31.71 per hour

     ...Job Summary Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement...  ...for the coordination of benefits (COB) team. Phones or utilizes other insurance company portals to validate state, vendor, and... 
    Remote job
    Hourly pay
    Work experience placement
    Work at office

    Michigan Staffing

    Sterling Heights, MI
    1 day ago
  •  ...steadily grow. Job Description Location: Troy, MI Shifts: Monday through Friday Only - 8 am - 5 pm Responsibilities Perform utilization reviews in skilled nursing facilities. Assess patient transfer needs from inpatient to nursing facility. Review nursing facility... 
    Work at office
    Monday to Friday
    Shift work

    Integrated Resources Inc.

    Troy, MI
    4 days ago
  • Join to apply for the Utility Buffet Server role at Resort Lifestyle Communities Resort Lifestyle Communities is accepting applications...  ...guests into the dining room buffet line for the evening meal, review menu options and take orders. You will be responsible for a... 
    Part time
    Work at office
    Work from home
    Home office
    Monday to Friday
    Afternoon shift

    Resort Lifestyle Communities

    Northville, MI
    5 days ago
  •  ...needs and practice self‑care for life. Position Summary The Utilization Management Case Manager has responsibility for organizing and...  ...process. Duties include conducting timely admission and stay record reviews with external payers, determining medical necessity and level... 
    Local area

    Havenwyck Hospital

    Auburn Hills, MI
    4 days ago
  • $75k - $100k

    Role Snapshot Utilization Management RN evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures...  .... This role uses clinical knowledge to provide judgment to review medical services with evidence-based criteria, authorize requested... 
    For contractors
    Work at office
    Local area
    Immediate start
    Remote work

    WPS Health Solutions

    Detroit, MI
    4 days ago
  • $19 per hour

     ...with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals.  JOB RESPONSIBILITIES Monitor incoming faxes Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes Verify... 
    Full time
    Temporary work
    Local area
    Remote work

    Integra Partners

    Troy, MI
    2 days ago