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Part Time Insurance Utilization Review Jobs in Michigan

Advantage Health Centers

ORG Seeking Full time or Part-time Psychiatrist. Open Salary, Open Schedule OVERVIEW Under ... utilization reviews; remaining available for emergency consultations. * Maintains historical ...

Advantage Health Centers

$59 - $69.25/hr

Part Time/Contingent Staff Pharmacist Summary: Under the supervision of the Pharmacist In Charge ... Perform drug utilization reviews and check for drug interactions when filling every prescription

Trinity Health

Flex Clinical Pharmacist

Brighton, MI · On-site

$113K - $135K/yr

Employment Type: Part time Shift: Rotating Shift Description: Position Purpose A Clinical ... utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as ...

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All JobsPart Time Insurance Utilization Review JobsPart Time Insurance Utilization Review Jobs in Michigan

Part Time Insurance Utilization Review information

What is the difference between Part Time Insurance Utilization Review vs Part Time Claims Reviewer?

AspectPart Time Insurance Utilization ReviewPart Time Claims Reviewer
CredentialsTypically requires insurance or healthcare-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, claims processing centers, or third-party administrators
Job FocusEvaluating medical necessity and appropriateness of servicesReviewing and processing insurance claims for accuracy and coverage

Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.

What are the most commonly searched types of Insurance Utilization Review jobs in Michigan? The most popular types of Insurance Utilization Review jobs in Michigan are:
What cities in Michigan are hiring for Part Time Insurance Utilization Review jobs? Cities in Michigan with the most Part Time Insurance Utilization Review job openings:
Part Time Insurance Utilization Review jobs near you
Clinical Social Worker MSW PRN

Clinical Social Worker MSW PRN

Corewell Health

Dearborn, MI • On-site

Part-time

Medical, Retirement

Posted 10 days ago

Corewell Health rating

6.9

Company rating: 6.9 out of 10

Based on 761 frontline employees who took The Breakroom Quiz

444th of 877 rated healthcare providers

Job description

Scope of work
To work collaboratively with members of an interdisciplinary team in order to assist patients and families with complex psychosocial needs. These interventions may include, but are not exclusive to: alternate site coordination, discharge planning, addressing all forms of identified abuse/neglect, adoption, substance use disorders, assisting with end of life decisions, providing appropriate referral resources, bereavement support, adjustment counseling, facilitating guardianships and behavioral health concerns (including psychiatric transfers).
  • Conducts psychosocial assessments with patient and or family to assist with identified psychosocial needs or who may be identified to require an alternate site of care post discharge and executes a plan.
  • Communicates with alternate sites of care and/or community agencies in an effective and timely manner, to best address the patient's needs.
  • Completes and documents the assessment and plan in the electronic medical record, accurately reflecting the patient's current condition, situational factors, transition of care needs and psychosocial imperatives.
  • Provides consultation and resources to members of the healthcare team.
  • Responsible for maintaining relevant and current knowledge of community resources.
  • Participates or assists in department or hospital committees, projects etc., as assigned/requested.
  • Develops and maintains current knowledge of federal and state regulations as they pertain to role.
  • Inpatient psychiatric duties: (when exists)
  • Conducts daily group therapy sessions with eligible inpatients and Partial program patients and also may perform utilization review for this patient population
  • Provides discharge planning and utilization approvals for post inpatient care.
  • This document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described.

About Dearborn Hospital
Recognized by U.S. News & World Report as one of the "Top 10 Hospitals" in Michigan, this major teaching and research hospital has been advancing care since 1953. It is a Level II trauma center and has been recognized for clinical excellence and innovation in the fields of orthopedics, neurosciences, women's health, heart & vascular, and cancer care.
QUALIFICATIONS:
  • Master's degree in social work
  • Experience in individual, family assessment, crisis intervention, grief and loss counseling, and discharge planning preferred
  • State of Michigan Social Work License. LMSW expected within 5 years of employment.

How Corewell Health cares for you
  • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance
  • Traditional and Roth retirement options with service contribution and match savings
  • Eligibility for benefits is determined by employment type and status

Primary Location
SITE - Dearborn Hospital - 18101 Oakwood Blvd - Dearborn
Department Name
Care Management - Dearborn Hosp
Employment Type
Part time
Shift
Day (United States of America)
Weekly Scheduled Hours
0.04
Hours of Work
8AM-4:30PM
Days Worked
Monday- Friday
Weekend Frequency
Variable weekends
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.

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