Concurrent Review Nurse
Troy, MI · On-site
Qualifications Minimum Education/Qualifications/Licensures: Utilization Review background in either Managed Care of Provider environment (at least one year) Interqual experience Other basic computer ...
Troy, MI · On-site
Qualifications Minimum Education/Qualifications/Licensures: Utilization Review background in either Managed Care of Provider environment (at least one year) Interqual experience Other basic computer ...
Troy, MI · On-site
Qualifications Minimum Education/Qualifications/Licensures: Utilization Review background in either Managed Care of Provider environment (at least one year) Interqual experience Other basic computer ...
Troy, MI · On-site
Qualifications Minimum Education/Qualifications/Licensures: Must be an RN Utilization Review background in either Managed Care of Provider environment (at least one year) Interqual experience Other ...
Troy, MI · On-site
Qualifications Minimum Education/Qualifications/Licensures: Must be an RN Utilization Review background in either Managed Care of Provider environment (at least one year) Interqual experience Other ...
Ann Arbor, MI · On-site
$48K - $64K/yr
Collaborate with general education teachers to modify curriculum and provide co-teaching support * Participate in IEP, 504, and Child Study Team meetings; develop and review annual goals * Coordinate ...
Ann Arbor, MI · On-site
$48K - $64K/yr
Collaborate with general education teachers to modify curriculum and provide co-teaching support * Participate in IEP, 504, and Child Study Team meetings; develop and review annual goals * Coordinate ...
Warren, MI · On-site
$47K - $62K/yr
Collaborate with general education teachers to modify curriculum and provide co-teaching support * Participate in IEP, 504, and Child Study Team meetings; develop and review annual goals * Coordinate ...
Warren, MI · On-site
$47K - $62K/yr
Collaborate with general education teachers to modify curriculum and provide co-teaching support * Participate in IEP, 504, and Child Study Team meetings; develop and review annual goals * Coordinate ...
Dearborn, MI · On-site
$46K - $60K/yr
Collaborate with general education teachers to modify curriculum and provide co-teaching support * Participate in IEP, 504, and Child Study Team meetings; develop and review annual goals * Coordinate ...
Dearborn, MI · On-site
$46K - $60K/yr
Collaborate with general education teachers to modify curriculum and provide co-teaching support * Participate in IEP, 504, and Child Study Team meetings; develop and review annual goals * Coordinate ...
Hamtramck, MI · On-site
$45K - $60K/yr
Collaborate with general education teachers to modify curriculum and provide co-teaching support * Participate in IEP, 504, and Child Study Team meetings; develop and review annual goals * Coordinate ...
Hamtramck, MI · On-site
$45K - $60K/yr
Collaborate with general education teachers to modify curriculum and provide co-teaching support * Participate in IEP, 504, and Child Study Team meetings; develop and review annual goals * Coordinate ...
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ... Qualifications EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Bachelor's Degree in nursing or other ...
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ... Qualifications EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Bachelor's Degree in nursing or other ...
Marquette, MI · On-site
$15 - $19.75/hr
Assists in teaching rules, techniques, and skills of all educational, cultural, and recreational ... Must comply with annual driver's license review and insurability standards with the Sault Tribe ...
Marquette, MI · On-site
$15 - $19.75/hr
Assists in teaching rules, techniques, and skills of all educational, cultural, and recreational ... Must comply with annual driver's license review and insurability standards with the Sault Tribe ...
Assists in teaching rules, techniques, and skills of all educational, cultural, and recreational ... Must comply with annual driver's license review and insurability standards with the Sault Tribe ...
Quick apply
Assists in teaching rules, techniques, and skills of all educational, cultural, and recreational ... Must comply with annual driver's license review and insurability standards with the Sault Tribe ...
The committee review will take place via the Interfolio system only. Candidates are asked to submit ... Educational Studies (ES). We seek a scholar who focuses on Civic Education, Reasoning, and/or ...
The committee review will take place via the Interfolio system only. Candidates are asked to submit ... Educational Studies (ES). We seek a scholar who focuses on Civic Education, Reasoning, and/or ...
Ann Arbor, MI · On-site
$120 - $190/hr
The committee review will take place via the Interfolio system only. Candidates are asked to submit ... Educational Studies (ES). We seek a scholar who focuses on Civic Education, Reasoning, and/or ...
Ann Arbor, MI · On-site
$120 - $190/hr
The committee review will take place via the Interfolio system only. Candidates are asked to submit ... Educational Studies (ES). We seek a scholar who focuses on Civic Education, Reasoning, and/or ...
Assists in teaching rules, techniques, and skills of all educational, cultural, and recreational ... Must comply with annual driver's license review and insurability standards with the Sault Tribe ...
Assists in teaching rules, techniques, and skills of all educational, cultural, and recreational ... Must comply with annual driver's license review and insurability standards with the Sault Tribe ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Bachelor's Degree in nursing or other clinical field ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Bachelor's Degree in nursing or other clinical field ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Qualifications EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Bachelor's Degree in nursing or other ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Qualifications EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Bachelor's Degree in nursing or other ...
Troy, MI · On-site
$33 - $37/hr
Qualifications Minimum Education/Qualifications/Licensures: * Must be an RN * Utilization Review background in either Managed Care of Provider environment (at least one year) * Interqual experience ...
Troy, MI · On-site
$33 - $37/hr
Qualifications Minimum Education/Qualifications/Licensures: * Must be an RN * Utilization Review background in either Managed Care of Provider environment (at least one year) * Interqual experience ...
Ypsilanti, MI · On-site
Supplemental insurance options, 401(k) ABOUT GEE Global Educational Excellence (GEE) operates a ... For further information, please review the Know Your Rights notice from the Department of Labor.
Ypsilanti, MI · On-site
Supplemental insurance options, 401(k) ABOUT GEE Global Educational Excellence (GEE) operates a ... For further information, please review the Know Your Rights notice from the Department of Labor.
Direct mentorship with scheduled monthly continuing education review. Our comprehensive benefits package supports your career growth and personal well-being: * Start Strong : Our mentorship and ...
Direct mentorship with scheduled monthly continuing education review. Our comprehensive benefits package supports your career growth and personal well-being: * Start Strong : Our mentorship and ...
... educational provider recognized by the US Department of Education. The CPE Educator may also ... Under the direction of the Director of CPE, reviews, updates, and develops program policies for the ...
... educational provider recognized by the US Department of Education. The CPE Educator may also ... Under the direction of the Director of CPE, reviews, updates, and develops program policies for the ...
Lansing, MI · On-site
$25K - $47K/yr
This educator will deliver high-quality, industry-aligned instruction that prepares students for ... Complete annual CIP self-review and required program reporting * Perform other duties as assigned ...
Lansing, MI · On-site
$25K - $47K/yr
This educator will deliver high-quality, industry-aligned instruction that prepares students for ... Complete annual CIP self-review and required program reporting * Perform other duties as assigned ...
Lansing, MI · On-site
$25K - $47K/yr
This educator will deliver high-quality, industry-aligned instruction that prepares students for ... Complete annual CIP self-review and required program reporting * Perform other duties as assigned ...
Lansing, MI · On-site
$25K - $47K/yr
This educator will deliver high-quality, industry-aligned instruction that prepares students for ... Complete annual CIP self-review and required program reporting * Perform other duties as assigned ...
| Aspect | Educational Reviewer |
|---|---|
| Primary Role | Evaluate and ensure the accuracy, quality, and appropriateness of educational materials. |
| Required Credentials | Typically requires a degree in education or related field, with experience in curriculum or content review. |
| Work Environment | Mostly office-based, reviewing textbooks, online courses, or instructional materials. |
| Employer & Industry Usage | Used by publishers, educational institutions, and content providers to maintain quality standards. |
Educational Reviewers focus on assessing existing educational materials for accuracy and quality, while Educational Content Developers create new educational content. Both roles require educational credentials, but their responsibilities differ significantly in the content lifecycle.
For Educational Reviewer jobs in Michigan, the most frequently searched job titles are:
The top searched job categories for Educational Reviewer jobs in Michigan are:
Cities in Michigan with the most Educational Reviewer job openings:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Company Job Description/Day to Day Duties:
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines
Provider appeals and Utilization reviews and assist with Denial Letters
Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care.
Minimum Education/Qualifications/Licensures:
Utilization Review background in either Managed Care of Provider environment (at least one year)
Interqual experience
Other basic computer skills necessary: Microsoft Office, Data Entry, etc.
Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.
Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.
Are you an experienced Registered Nurse looking for a new opportunity with a prestigious healthcare company in Troy MI? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003