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Care Review Processor Jobs in Michigan (NOW HIRING)

Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... Follow members from admission process all the way through to discharge, find discharge plan and ...

Licensed Practical Nurse

Port Huron, MI · On-site

$24.25 - $33/hr

Will notify clinical coordinator and/or physician of resident status via written and verbal communication. • Participates in the resident care review process and assists in establishing resident ...

Licensed Practical Nurse

Port Huron, MI · On-site

$24.25 - $33/hr

Will notify clinical coordinator and/or physician of resident status via written and verbal communication. • Participates in the resident care review process and assists in establishing resident ...

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Care Review Processor information

See Michigan salary details

$7

$14

$22

How much do care review processor jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for care review processor in Michigan is $14.59, according to ZipRecruiter salary data. Most workers in this role earn between $11.73 and $16.78 per hour, depending on experience, location, and employer.

What is a care review processor?

A Care Review Processor is responsible for reviewing medical claims, authorizations, and healthcare documentation to ensure accuracy, completeness, and compliance with company policies and regulations. They work with healthcare providers, insurance companies, and internal teams to process claims efficiently. Their role helps streamline patient care by validating medical necessity and ensuring proper claim adjudication. Strong attention to detail and knowledge of medical terminology are essential for success in this position.

What are the typical daily responsibilities of a care review processor?

As a Care Review Processor, your day-to-day responsibilities usually include reviewing medical records and authorization requests, verifying insurance coverage, ensuring documentation is complete, and coordinating with healthcare providers to clarify information. You may also be responsible for entering data into claims systems, communicating with patients or case managers, and helping to resolve discrepancies or incomplete submissions. Most of your work will involve close attention to detail and following established healthcare or insurance processes. Teamwork is often part of the role, as you may collaborate with clinicians, billing teams, and customer service representatives to facilitate accurate and timely care reviews.

What are the key skills and qualifications needed to thrive in the care review processor position, and why are they important?

A Care Review Processor requires a solid understanding of healthcare procedures, medical terminology, and insurance guidelines, typically supported by experience in medical claims or healthcare administration. Familiarity with claims management software, electronic health records (EHR) systems, and Microsoft Office is often necessary, along with knowledge of HIPAA compliance requirements. Strong attention to detail, organizational skills, and the ability to communicate effectively with medical professionals and insurance providers are vital soft skills. These competencies ensure accurate review and processing of care requests while supporting efficient, compliant healthcare operations.

Infographic showing various Care Review Processor job openings in Michigan as of August 2026, with employment types broken down into 2% As Needed, 66% Full Time, 22% Part Time, 2% Temporary, 7% Contract, and 1% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $30,351 per year, or $14.6 per hour.

Care Review Clinician

Integrated Resources

Troy, MI • On-site

Other

Re-posted 9 days ago


Job description

Care Review Clinician

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Location: Troy, MI

Shift: M-F 8:30 am to 5 pm

Duties: Will be an inpatient UM, get cases from hospitals, review info about patient, enter info into computer system (interqual, or MCG) determine if it meets criteria, work with medical director for approval, notify Hospital of approval. Follow members from admission process all the way through to discharge, find discharge plan and where patient is being discharged to. Top 3 Skills: Strong Communication both verbal and written Attention to detail Computer skills

Qualifications

Must Haves: UM experience Computer skills Licensed RN in the state of Michigan. Nice to Have: Familiar with interqual or MCG software


Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996