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Flex Schedule Utilization Review Jobs in Michigan

Medix

Utilization Review Nurse

Southfield, MI · On-site

$42 - $46/hr

Job Summary Our client is seeking a Utilization Review Nurse. This role involves managing the full ... Additional Requirements M-F 8-5 schedule preferred CST/MST time zones for training; flexible with ...

Corewell Health

Utilization Mgmt Spec

Southfield, MI · On-site

Provides clerical support for Utilization Management; sorting faxes and mail, obtaining ... Scheduled Hours 20 Hours of Work Variable Days Worked Monday - Saturday Weekend Frequency Variable ...

CVS Health

MI · On-site

$26.01 - $74.78/hr

Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. * Utilizes clinical experience and skills in a collaborative process ...

Corewell Health

Utilization Mgmt Spec

Climax, MI · On-site

Provides clerical support for Utilization Management; sorting faxes and mail, obtaining ... Scheduled Hours 20 Hours of Work Variable Days Worked Monday - Saturday Weekend Frequency Variable ...

Corewell Health

Utilization Mgmt Spec

Southfield, MI · On-site

Provides clerical support for Utilization Management; sorting faxes and mail, obtaining ... Scheduled Hours 20 Hours of Work Variable Days Worked Monday - Saturday Weekend Frequency Variable ...

Spectrum Health

RN Care Coordinator Rehab inpatient

Taylor, MI · On-site

$34.50 - $41.75/hr

Identifies patients that need care management services (i.e. utilization review; care coordination ... Weekly Scheduled Hours 20 Hours of Work 8:00 a.m. to 4:30 p.m. Days Worked variable Weekend ...

Corewell Health

RN Care Coordinator

Farmington, MI · On-site

Identifies patients that need care management services (i.e. utilization review; care coordination ... Scheduled Hours 20 Hours of Work 8:00am to 4:30pm Days Worked Variable Weekend Frequency Variable ...

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All JobsUtilization Review JobsFlex Schedule Utilization Review JobsFlex Schedule Utilization Review Jobs in Michigan

Flex Schedule Utilization Review information

What is the difference between Flex Schedule Utilization Review vs Flex Schedule Nurse?

AspectFlex Schedule Utilization ReviewFlex Schedule Nurse
CredentialsTypically requires healthcare or insurance-related certificationsRN license and nursing certifications
Work EnvironmentInsurance companies, healthcare organizations, remote or office-basedHospitals, clinics, healthcare facilities, often in clinical settings
Employer & IndustryInsurance providers, healthcare organizationsHospitals, clinics, healthcare providers
Primary FocusReviewing patient utilization and scheduling for insurance approvalProviding direct patient care and nursing services

Flex Schedule Utilization Review professionals focus on evaluating patient care plans and utilization for insurance purposes, often working in administrative or remote roles. In contrast, Flex Schedule Nurses provide direct patient care in clinical settings. While both roles may have flexible schedules, their credentials, work environments, and primary responsibilities differ significantly.

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For Flex Schedule Utilization Review jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Flex Schedule Utilization Review jobs in Michigan look for?

The top searched job categories for Flex Schedule Utilization Review jobs in Michigan are:

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Cities in Michigan with the most Flex Schedule Utilization Review job openings:

Flex Schedule Utilization Review jobs near you
Infographic showing various Flex Schedule Utilization Review job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 61% Full Time, 36% Part Time, and 2% Contract. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution.

Utilization Review Nurse

Medix

Southfield, MI • On-site

$42 - $46/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 4 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Utilization Review Nurse. This role involves managing the full lifecycle of Independent Review Organization (IRO) cases, ensuring compliance with regulatory deadlines and maintaining accurate case tracking. The position requires collaboration with various stakeholders to support case progression and process optimization.
Key Responsibilities
  • Manage the full lifecycle of IRO cases from intake through final case closure.
  • Review incoming clinical documentation, verify completeness, and prepare concise case summaries for physician reviewers.
  • Coordinate and route cases to the appropriate physician specialty while managing requests for additional medical records.
  • Perform quality assurance (QA) on physician reports to ensure accuracy, clarity, completeness, and defensibility.
  • Monitor regulatory deadlines, case status, and documentation to ensure timely, compliant case completion.
  • Maintain accurate case tracking and documentation within internal systems and state IRO programs.
  • Collaborate with physicians, clients, and internal teams to resolve documentation gaps and support case progression.
  • Contribute to workflow improvements, new state program implementation, and process optimization as the organization grows.

Qualifications
  • Active RN license and BSN required.
  • Experience with Independent Review Organizations (IROs), or Utilization Review/Appeals within a Health Plan or TPA.
  • Strong clinical documentation review, case summary writing, and quality assurance (QA) skills.
  • Excellent written communication with exceptional attention to detail and ability to identify gaps in physician documentation.
  • Ability to independently manage multiple cases while meeting regulatory turnaround times and deadlines.

Skills
  • Technical skills: Experience with IROs, clinical documentation review, case summary writing, quality assurance.
  • Soft skills: Excellent written communication, attention to detail, ability to manage multiple cases effectively.

Additional Requirements
M-F 8-5 schedule preferred CST/MST time zones for training; flexible with time zones. Some weekend coverage may be needed occasionally. Open to overtime if required and candidates are willing.
Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
* As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient's residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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