As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
Vendor Programs 1. Responsible for responding to client member level inquiries received from ... Therapist or Licensed Occupational Therapist required. 11. Extensive experience in post-acute ...
Posted today
Vendor Programs 1. Responsible for responding to client member level inquiries received from ... Therapist or Licensed Occupational Therapist required. 11. Extensive experience in post-acute ...
Posted today
Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI · On-site
$56K - $70K/yr
Job Summary Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) Must maintain Child ...
Quick apply
Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI · On-site
$56K - $70K/yr
Job Summary Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) Must maintain Child ...
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
Job Summary The Supervisor of Utilization Review (UR) oversees the development, implementation, and ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) Must maintain Child ...
Quick apply
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
Job Summary The Supervisor of Utilization Review (UR) oversees the development, implementation, and ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) Must maintain Child ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
Occupational Therapy Assistant Senior Living
Ann Arbor, MI · On-site
$30 - $35/hr
Provide Occupational Therapy and related services for patients under the direction of a licensed ... care, utilization review, case management, administrative staff / department head, and family ...
Occupational Therapy Assistant Senior Living
Ann Arbor, MI · On-site
$30 - $35/hr
Provide Occupational Therapy and related services for patients under the direction of a licensed ... care, utilization review, case management, administrative staff / department head, and family ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
Provide Occupational Therapy and related services for patients under the direction of a licensed ... care, utilization review, case management, administrative staff / department head, and family ...
Provide Occupational Therapy and related services for patients under the direction of a licensed ... care, utilization review, case management, administrative staff / department head, and family ...
Occupational Therapy Assistant Senior Living
Ann Arbor, MI · On-site
$28 - $37.25/hr
Provide Occupational Therapy and related services for patients under the direction of a licensed ... care, utilization review, case management, administrative staff / department head, and family ...
Occupational Therapy Assistant Senior Living
Ann Arbor, MI · On-site
$28 - $37.25/hr
Provide Occupational Therapy and related services for patients under the direction of a licensed ... care, utilization review, case management, administrative staff / department head, and family ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
Assists management in department functions and special projects, i.e., utilization review, quality ... Therapy (NBCOT)
Assists management in department functions and special projects, i.e., utilization review, quality ... Therapy (NBCOT)
Participates in the selection and evaluation of occupational therapy personnel. Coordinates and ... Assists management in department functions and special projects, i.e., utilization review, quality ...
Participates in the selection and evaluation of occupational therapy personnel. Coordinates and ... Assists management in department functions and special projects, i.e., utilization review, quality ...
Participates in the selection and evaluation of occupational therapy personnel. Coordinates and ... Assists management in department functions and special projects, i.e., utilization review, quality ...
Participates in the selection and evaluation of occupational therapy personnel. Coordinates and ... Assists management in department functions and special projects, i.e., utilization review, quality ...
Participates in the selection and evaluation of occupational therapy personnel. Coordinates and ... Assists management in department functions and special projects, i.e., utilization review, quality ...
Participates in the selection and evaluation of occupational therapy personnel. Coordinates and ... Assists management in department functions and special projects, i.e., utilization review, quality ...
PER VISIT OCCUPATIONAL THERAPIST - COVENANT AT HOME
Saginaw, MI · On-site
$37.50 - $49.50/hr
Therapy will be designed and adapted for the physically and/or mentally challenged patient to ... Participates in inservice education, chart/peer review for quarterly audit and utilization review ...
PER VISIT OCCUPATIONAL THERAPIST - COVENANT AT HOME
Saginaw, MI · On-site
$37.50 - $49.50/hr
Therapy will be designed and adapted for the physically and/or mentally challenged patient to ... Participates in inservice education, chart/peer review for quarterly audit and utilization review ...
Assists management in department functions and special projects, i.e., utilization review, quality ... Occupational Therapy. 2. Three to five years of progressively more responsible experience in a ...
Assists management in department functions and special projects, i.e., utilization review, quality ... Occupational Therapy. 2. Three to five years of progressively more responsible experience in a ...
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?
| Aspect | Mid Level Occupational Therapy Utilization Review | Entry Level Occupational Therapy Utilization Review |
|---|---|---|
| Credentials | Occupational Therapy License, Certification in Utilization Review (if required) | Occupational Therapy License, Basic understanding of Utilization Review processes |
| Work Environment | Healthcare facilities, insurance companies, case review teams | Healthcare settings, insurance companies, supervised review tasks |
| Employer & Industry Usage | Hospitals, insurance providers, rehab centers | Insurance 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:
Acadia Healthcare rating
6.2
Based on 190 frontline employees who took The Breakroom Quiz
698th of 893 rated healthcare providers
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.
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.
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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