As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... AHCORP #LI-SH1 #LI-SCC Employment Type: FULL_TIME
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... AHCORP #LI-SH1 #LI-SCC Employment Type: FULL_TIME
Utilization Review Manager
New Baltimore, MI · On-site
$25 - $35/hr
Non-Exempt Position Full Time Position Monday - Friday - Day Shift Rate of Pay: $25.00 - $35.00 per ... Evaluate the utilization program for compliance with regulations, policies and procedures. * Review ...
Utilization Review Manager
New Baltimore, MI · On-site
$25 - $35/hr
Non-Exempt Position Full Time Position Monday - Friday - Day Shift Rate of Pay: $25.00 - $35.00 per ... Evaluate the utilization program for compliance with regulations, policies and procedures. * Review ...
Hours are Monday - Friday from 830am until 5pm with no weekends EDUCATION AND EXPERIENCE: * RHIT ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Hours are Monday - Friday from 830am until 5pm with no weekends EDUCATION AND EXPERIENCE: * RHIT ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Hours are Monday - Friday from 830am until 5pm with no weekends EDUCATION AND EXPERIENCE: * RHIT ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Hours are Monday - Friday from 830am until 5pm with no weekends EDUCATION AND EXPERIENCE: * RHIT ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
RN Care Coordinator
Dearborn, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination ... Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through ...
RN Care Coordinator
Dearborn, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination ... Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through ...
RN Care Coordinator
Dearborn, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination ... Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through ...
RN Care Coordinator
Dearborn, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination ... Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through ...
Medical Review Specialist TYPE: Full time - (40 hours per week) Non-Exempt Remote- EST time zone ... Assesses appropriateness and duration of care provided, for possible utilization review.
Medical Review Specialist TYPE: Full time - (40 hours per week) Non-Exempt Remote- EST time zone ... Assesses appropriateness and duration of care provided, for possible utilization review.
Medical Review Specialist TYPE: Full time - (40 hours per week) Non-Exempt Remote- EST time zone ... Assesses appropriateness and duration of care provided, for possible utilization review.
Medical Review Specialist TYPE: Full time - (40 hours per week) Non-Exempt Remote- EST time zone ... Assesses appropriateness and duration of care provided, for possible utilization review.
Drafts policy provisions and provides interpretation of department policies, in accordance with the DMC Utilization Review Plan. Identifies the need for and drafts or defines procedures/protocols in ...
Drafts policy provisions and provides interpretation of department policies, in accordance with the DMC Utilization Review Plan. Identifies the need for and drafts or defines procedures/protocols in ...
Clinical Manager - Behavioral Health
Detroit, MI · On-site
$59K - $81K/yr
Run chart reviews, utilization review, and QA; lead audits and corrective action plans * Oversee ... ASAP Job Type: Full Time, Exempt Salaried Schedule: Monday - Friday standard business hours with ...
Quick apply
Clinical Manager - Behavioral Health
Detroit, MI · On-site
$59K - $81K/yr
Run chart reviews, utilization review, and QA; lead audits and corrective action plans * Oversee ... ASAP Job Type: Full Time, Exempt Salaried Schedule: Monday - Friday standard business hours with ...
Director Case Management
Detroit, MI · On-site
Detroit, MI Job Type: Full-Time Work Model: Onsite The Director Case Management is responsible for ... expertise in utilization review, payer management, care coordination, and interdisciplinary ...
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Director Case Management
Detroit, MI · On-site
Detroit, MI Job Type: Full-Time Work Model: Onsite The Director Case Management is responsible for ... expertise in utilization review, payer management, care coordination, and interdisciplinary ...
RN - Admissions
West Bloomfield, MI · On-site
... utilization review processes to assure continuity for the most appropriate level of care for ... AHRN #LI-CAH1 Employment Type: FULL_TIME
RN - Admissions
West Bloomfield, MI · On-site
... utilization review processes to assure continuity for the most appropriate level of care for ... AHRN #LI-CAH1 Employment Type: FULL_TIME
OASIS REVIEW SPEC
Troy, MI · On-site
... ✔ Full Time - Salary ✔ Collaborative, quality-driven team Make an impact on patient outcomes ... Review visit utilization for appropriateness and potential under/over-utilization * Communicate ...
OASIS REVIEW SPEC
Troy, MI · On-site
... ✔ Full Time - Salary ✔ Collaborative, quality-driven team Make an impact on patient outcomes ... Review visit utilization for appropriateness and potential under/over-utilization * Communicate ...
RN Admissions
Detroit, MI · On-site
Join our StoneCrest Center Admissions Team! We're hiring a full-time Admissions RN to join us ... utilization review processes to assure continuity for the most appropriate level of care for ...
RN Admissions
Detroit, MI · On-site
Join our StoneCrest Center Admissions Team! We're hiring a full-time Admissions RN to join us ... utilization review processes to assure continuity for the most appropriate level of care for ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
RN - Admissions
West Bloomfield, MI · On-site
Evening Shift: 11:00a.m-11:00pm (3-12 hour shifts with weekend rotation) Acadia Healthcare and ... utilization review processes to assure continuity for the most appropriate level of care for ...
RN - Admissions
West Bloomfield, MI · On-site
Evening Shift: 11:00a.m-11:00pm (3-12 hour shifts with weekend rotation) Acadia Healthcare and ... utilization review processes to assure continuity for the most appropriate level of care for ...
RN - Admissions
West Bloomfield, MI · On-site
Evening Shift: 11:00a.m-11:00pm (3-12 hour shifts with weekend rotation) Acadia Healthcare and ... utilization review processes to assure continuity for the most appropriate level of care for ...
RN - Admissions
West Bloomfield, MI · On-site
Evening Shift: 11:00a.m-11:00pm (3-12 hour shifts with weekend rotation) Acadia Healthcare and ... utilization review processes to assure continuity for the most appropriate level of care for ...
... Case Management Full Time: Monday - Friday 8-5pm Clinical license as a registered nurse or ... Utilization Review (UR) and resource management, discharge planning, treatment plan management and ...
New
... Case Management Full Time: Monday - Friday 8-5pm Clinical license as a registered nurse or ... Utilization Review (UR) and resource management, discharge planning, treatment plan management and ...
New
... Case Management Full Time: Monday - Friday 8-5pm Clinical license as a registered nurse or ... Utilization Review (UR) and resource management, discharge planning, treatment plan management and ...
New
... Case Management Full Time: Monday - Friday 8-5pm Clinical license as a registered nurse or ... Utilization Review (UR) and resource management, discharge planning, treatment plan management and ...
New
Full Time Weekend Utilization Review information
See Detroit, MI salary details
$21.18 - $25.46
2% of jobs
$25.46 - $29.75
9% of jobs
$32.68 is the 25th percentile. Wages below this are outliers.
$29.75 - $34.03
21% of jobs
The median wage is $37.50 / hr.
$34.03 - $38.31
23% of jobs
$38.31 - $42.60
13% of jobs
$45.93 is the 75th percentile. Wages above this are outliers.
$42.60 - $46.88
10% of jobs
$46.88 - $51.16
8% of jobs
$51.16 - $55.45
5% of jobs
$55.45 - $59.73
5% of jobs
$59.73 - $64.01
2% of jobs
$64.01 - $68.30
2% of jobs
$21
$41
$68
How much do full time weekend utilization review jobs pay per hour?
What is the difference between Full Time Weekend Utilization Review vs Full Time Weekday Utilization Review?
| Aspect | Full Time Weekend Utilization Review | Full Time Weekday Utilization Review |
|---|---|---|
| Work Schedule | Primarily weekends and possibly some evenings | Primarily weekdays, Monday to Friday |
| Certifications | Typically requires medical or insurance-related certifications | Same certifications as weekend roles, often the same qualifications |
| Work Environment | Remote or office-based, with flexible hours on weekends | Standard office hours during weekdays |
| Employer & Industry | Healthcare insurance companies, utilization review organizations | Same industry, different scheduling focus |
Full Time Weekend Utilization Review roles focus on reviewing cases during weekends, offering flexibility for those who prefer weekend work. Full Time Weekday Utilization Review positions operate during standard business hours on weekdays. Both roles require similar certifications and work in the same industry, but differ mainly in scheduling and work hours.
What are the most commonly searched types of Weekend Utilization Review jobs in Detroit, MI?
The most popular types of Weekend Utilization Review jobs in Detroit, MI are:
What are popular job titles related to Full Time Weekend Utilization Review jobs in Detroit, MI?
For Full Time Weekend Utilization Review jobs in Detroit, MI, the most frequently searched job titles are:
- Remote Utilization Review Nurse
- Part Time Utilization Review Nurse
- Utilization Management Nurse
- Evening Utilization Review Nurse
- Remote Utilization Review Rn
- Per Diem Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
- Full Time Physician Advisor Utilization Review
- Seasonal Remote Hedis Review Nurse
- Remote Utilization Review Social Worker
What job categories do people searching Full Time Weekend Utilization Review jobs in Detroit, MI look for?
The top searched job categories for Full Time Weekend Utilization Review jobs in Detroit, MI are:
- Remote Lpn Utilization Review
- Weekend Utilization Review
- Remote Dental Utilization Review
- Insurance Utilization Review
- Remote Navihealth Utilization Review
- Remote Cigna Utilization Review Nurse
- Cigna Utilization Review Nurse
- Assistant Remote Utilization Review
- Remote Aetna Utilization Review
- Retrospective Review Nurse

Director of Utilization Review
Detroit, MI • On-site
Full-time
Posted 14 days ago
Job description
Join StoneCrest Center, a 182-bed behavioral health hospital in Detroit, Michigan, dedicated to providing compassionate, evidence-based psychiatric care for adolescents, adults, and seniors. StoneCrest offers comprehensive inpatient treatment for a wide range of mental health and co-occurring substance use disorders, with specialized programming for adolescents, older adults, and individuals requiring acute crisis stabilization. The hospital's multidisciplinary approach includes psychiatry, nursing, case management, family therapy, recreational therapy, and other therapeutic services designed to help patients achieve lasting recovery and improved quality of life.
As the Director of Utilization Review, you will play a critical leadership role in ensuring the delivery of high-quality, medically necessary behavioral healthcare while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a mission-driven organization where clinical excellence, collaboration, and patient-centered care are at the heart of everything we do.
PURPOSE STATEMENT:
Direct and manage the day-to-day operations of the Utilization Review department.
ResponsibilitiesESSENTIAL FUNCTIONS:
- Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs.
- Conducts and oversees concurrent and retrospective reviews for all patients.
- Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
- Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.
- Collaborates with ancillary services in order to prevent delays in services.
- Evaluates the UM program for compliance with regulations, policies and procedures.
- May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.
- Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.
- Six or more year's clinical experience with the population of the facility preferred.
- Four or more years' experience in utilization management required.
- Three or more years of supervisoryexperience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
AHCORP
#LI-SH1
#LI-SCC
Employment Type: FULL_TIMEAbout Stonecrest Center
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Detroit, MI, US