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Mid Level Occupational Therapy Utilization Review Jobs in Michigan

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Mid Level Occupational Therapy Utilization Review information

What is the difference between Mid Level Occupational Therapy Utilization Review vs Entry Level Occupational Therapy Utilization Review?

AspectMid Level Occupational Therapy Utilization ReviewEntry Level Occupational Therapy Utilization Review
CredentialsOccupational Therapy License, Certification in Utilization Review (if required)Occupational Therapy License, Basic understanding of Utilization Review processes
Work EnvironmentHealthcare facilities, insurance companies, case review teamsHealthcare settings, insurance companies, supervised review tasks
Employer & Industry UsageHospitals, insurance providers, rehab centersInsurance companies, outpatient clinics, healthcare agencies

The Mid Level Occupational Therapy Utilization Review typically involves more independent decision-making, advanced knowledge of insurance policies, and greater responsibility in case assessments. Entry Level roles focus on learning review processes under supervision, gaining experience, and developing foundational skills. Both roles are essential in healthcare and insurance industries, but the mid level position offers increased autonomy and expertise.

What are the most commonly searched types of Occupational Therapy Utilization Review jobs in Michigan?

The most popular types of Occupational Therapy Utilization Review jobs in Michigan are:

What cities in Michigan are hiring for Mid Level Occupational Therapy Utilization Review jobs?

Cities in Michigan with the most Mid Level Occupational Therapy Utilization Review job openings:

Mid Level Occupational Therapy Utilization Review jobs near you

Director of Utilization Review

Acadia Healthcare

Detroit, MI • On-site

Full-time

Posted 2 days ago

New

Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

701st of 887 rated healthcare providers

Job description

PURPOSE STATEMENT: 

Direct and manage the day-to-day operations of the Utilization Review department. 


ESSENTIAL 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.

What Acadia Healthcare employees say

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About Acadia Healthcare

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Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

Social media

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