Care Review Clinician
Troy, MI · On-site
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 ...
Troy, MI · On-site
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 ...
Troy, MI · On-site
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 ...
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Care Review Clinician II Location : Troy, MI Duration : 3+ Months (possible extension ... Follow members from admission process all the way through to discharge, find discharge plan and ...
Care Review Clinician II Location : Troy, MI Duration : 3+ Months (possible extension ... Follow members from admission process all the way through to discharge, find discharge plan and ...
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 ...
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 ...
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 ...
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 ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... are while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... are while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... are while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... are while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a ...
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 ...
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 ...
Grand Rapids, MI · On-site
At Versiti, we are passionate about improving the lives of patients and helping our healthcare ... Seeks to participate in process improvement projects. * Completes projects/tasks according to ...
New
Grand Rapids, MI · On-site
At Versiti, we are passionate about improving the lives of patients and helping our healthcare ... Seeks to participate in process improvement projects. * Completes projects/tasks according to ...
New
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... are while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... are while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a ...
Port Huron, MI · On-site
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
Port Huron, MI · On-site
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
Port Huron, MI · On-site
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
Port Huron, MI · On-site
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
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 ...
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 ...
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
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 ...
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 ...
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
$24.25 - $33/hr
Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches and revisions as needed; utilizes multidisciplinary team strategies.
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 ...
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 ...
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance ... Understanding of medical terminology, healthcare services, and insurance procedures (worker ...
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance ... Understanding of medical terminology, healthcare services, and insurance procedures (worker ...
Mount Pleasant, MI · On-site
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance ... Understanding of medical terminology, healthcare services, and insurance procedures (worker ...
Mount Pleasant, MI · On-site
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance ... Understanding of medical terminology, healthcare services, and insurance procedures (worker ...
$7.75 - $9.10
6% of jobs
$9.10 - $10.46
6% of jobs
$11.63 is the 25th percentile. Wages below this are outliers.
$10.46 - $11.81
14% of jobs
$11.81 - $13.16
19% of jobs
The median wage is $13.50 / hr.
$13.16 - $14.51
15% of jobs
$14.51 - $15.87
13% of jobs
$15.99 is the 75th percentile. Wages above this are outliers.
$15.87 - $17.22
9% of jobs
$17.22 - $18.57
5% of jobs
$18.57 - $19.92
5% of jobs
$19.92 - $21.28
3% of jobs
$21.28 - $22.63
3% of jobs
$7
$14
$22
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.
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.
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.
For Care Review Processor jobs in Michigan, the most frequently searched job titles are:
The top searched job categories for Care Review Processor jobs in Michigan are:

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 DescriptionLocation: 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
QualificationsMust Haves: UM experience Computer skills Licensed RN in the state of Michigan. Nice to Have: Familiar with interqual or MCG software
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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.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996