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Part Time Insurance Utilization Review Jobs in Michigan

Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time, part time, and per diem * Employer features: Adoption Assistance, Best Places to ...

Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time, part time, and per diem * Employer features: Adoption Assistance, Best Places to ...

Participates in utilization review of medical records as assigned. 19. Gives total patient care as needed. 20. Takes on-call duty nights, weekends and holidays, as assigned. 21. Completes and submits ...

NP/PA Surgery - Urology

Ann Arbor, MI · On-site

$106K - $137K/yr

Employment Type: Part time Shift: Rotating Shift Description: POSITION PURPOSE The Urology NP/PA ... and utilization review processes. In partnership with the supervising physician, the NP/PA ...

... perform utilization review for this patient population * 2. Provides discharge planning and ... Optional identity theft protection, home and auto insurance * Traditional and Roth retirement ...

... perform utilization review for this patient population * 2. Provides discharge planning and ... Optional identity theft protection, home and auto insurance * Traditional and Roth retirement ...

NP/PA Surgery - Urology

Ann Arbor, MI · On-site

$106K - $137K/yr

Employment Type: Part time Shift: Description: The Urology NP/PA provides health care services ... utilization review processes. In partnership with the supervising physician the NP/PA evaluates ...

Showing results 21-40

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:

$72K - $111K/yr

Full-time, Part-time, Per diem

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago


Job description

Hospitals on Incredible Health are actively hiring and accepting applications in the Grand Blanc, MI area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review.
  • Shift(s) available: day shift
  • Job types available: full time, part time, and per diem
  • Employer features: Adoption Assistance, Best Places to Work recognition, Child Care Benefits, Cross training, Family Care Benefits, Level 2 trauma center, Paid Parental Leave, Phone Plan Discount, PTO, Retirement Plan, Tuition Assistance, Union facility, U.S. News best hospital
Qualifications:
  • Bachelor of Science in Nursing (BSN) or higher educational attainment from an accredited program
  • Active and unencumbered Registered Nurse license
  • 1+ years experience in case management, preferably within a healthcare or hospital setting
  • Exceptional interpersonal and communication skills, both written and verbal, to effectively collaborate with medical professionals, patients, and family members
  • Proficiency in electronic health records (EHR) software
Responsibilities:
  • Conduct comprehensive assessments of patients, including their medical history, medication, treatment plans, and psychosocial needs
  • Collaborate closely with healthcare providers, patients, and families to develop and implement individualized care plans
  • Monitor and evaluate patient progress, adjusting care plans as needed and communicating any changes to the healthcare team
  • Serve as the main point of contact between the patient and healthcare providers, ensuring seamless communication and care coordination
  • Maintain up-to-date records and case notes, adhering to all confidentiality and compliance standards
Benefits:
  • Healthcare coverage: Medical, Dental, Vision
  • 401K
  • Paid Time Off
  • Tuition Assistance
Salary: $72,470 to $111,200 /year