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Part Time Weekend Utilization Review Jobs in Michigan

Spectrum Health

RN Care Coordinator

Grosse Pointe, MI · On-site

Part time- 20 hours a week Scope of Work: Under general direction, integrates cost, quality and ... Identifies patients that need care management services (i.e. utilization review; care coordination ...

Corewell Health

RN Care Coordinator

Grosse Pointe, MI · On-site

Part time- 20 hours a week Scope of Work: Under general direction, integrates cost, quality and ... Identifies patients that need care management services (i.e. utilization review; care coordination ...

Corewell Health

RN Care Coordinator Rehab inpatient

Taylor, MI · On-site

$34.50 - $41.75/hr

Identifies patients that need care management services (i.e. utilization review; care coordination ... Days Worked variable Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply ...

Trinity Health

Case Management

Livonia, MI · On-site

Employment Type: Part time Shift: Day Shift Description: An Opportunity to Join our Remarkable Care ... in utilization review/management/discharge planning or case management. • Current knowledge of ...

Trinity Health

Case Manager

Livonia, MI · On-site

$18.75 - $24/hr

Employment Type: Part time Shift: Rotating Shift Description: An Opportunity to Join our Remarkable ... in utilization review/management/discharge planning or case management. • Current knowledge of ...

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All JobsUtilization Review JobsPart Time Weekend Utilization Review JobsPart Time Weekend Utilization Review Jobs in Michigan

Part Time Weekend Utilization Review information

What is the difference between Part Time Weekend Utilization Review vs Part Time Weekend Medical Coder?

AspectPart Time Weekend Utilization ReviewPart Time Weekend Medical Coder
CertificationsUtilization Review Certification, Medical License (if applicable)Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentHealthcare facilities, insurance companies, remote optionsHospitals, clinics, remote coding jobs
Job FocusReviewing medical necessity, authorizing servicesTranslating medical records into billing codes
Industry UsageInsurance, healthcare managementMedical billing and coding

Part Time Weekend Utilization Review involves assessing medical necessity and authorizing healthcare services, often requiring specific utilization review certifications. In contrast, Part Time Weekend Medical Coder focuses on translating medical records into billing codes, requiring coding certifications. Both roles are common in healthcare but serve different functions within the industry.

What are the most commonly searched types of Weekend Utilization Review jobs in Michigan? The most popular types of Weekend Utilization Review jobs in Michigan are:
What cities in Michigan are hiring for Part Time Weekend Utilization Review jobs? Cities in Michigan with the most Part Time Weekend Utilization Review job openings:
Part Time Weekend Utilization Review jobs near you
Physician - Physician Advisor Utilization Management - Corporate

Physician - Physician Advisor Utilization Management - Corporate

Spectrum Health

Southfield, MI

Part-time

Medical, Retirement

Re-posted 12 hours ago

Job description

Corewell Health is expanding its Utilization Management team and is seeking a collaborative and clinically driven Physician Advisor to support our East Region.

Position Overview

The Physician Advisor collaborates with the Utilization and Care Management Departments, Organization Leadership as well as with staff physicians to ensure compliance with the organizational Utilization Management Plan.

Essential Functions

Develop and cultivate positive and productive working relationships with other CorewellHealth personnel, and promote a culture of safety, teamwork, compassion, collaboration, clarity, curiosity, and courage.

Demonstrate a commitment to service and distinctive, personalizedcare withboth internal customers (coworkers, fellow employees, hospital staff, etc.) and external customers (patients, family members, referring physicians/specialists, etc.), while striving to exceed customer expectations.

Assistin meeting operational, financial, and patient satisfaction goals.

Timely completion of all specific competencies and annual organizational mandatories.

The Physician Advisor will collaborate with the Utilization and Care Management Departments as well as physicians to provide the following functions:

  • Improved accuracy ofdeterminingpatient status upon hospital entry.

  • Improved management of observation patientsincluding reviews for consideration of early discharge or change to inpatient status.

  • Improved timeliness of case reviews not meetingutilizationmanagement screening for inpatient criteria.

  • Improved management of concurrentutilizationmanagement denials.

In addition, the Physician Advisor will collaborate to provide theseadditionalfunctions:

  • Acting as consultant and resource to the medical staff regarding federal and state utilization and quality regulations relative to appropriateness of hospitalization, continued stay, and use of resources

  • Providing feedback to attending and consulting physiciansregardinglevel of care, length of stay, and quality issues.

  • Seekingadditionalclinical information from the attending and consulting physicians.

  • Recommending and requesting morecompletemedical record documentation.

  • Participating in review oflong staypatients, in conjunction with the Care Management Leadership, Care Management Team and other members of the multidisciplinary team tofacilitatethe use of the mostappropriate levelof care.

  • Acting as a liaison with payers tofacilitateapprovals and prevent denials or carved out days whenappropriate.

  • Providing education to physicians and other clinicians related to regulatory requirements,appropriate utilization, and alternative levels of care.

Participate in on-call and weekend coverage, as required by the Department.

Document in the patient's medical record in a manner consistent with hospital, payor, and regulatory standards.

Activelyparticipatesin safety initiatives and risk mitigating measures whereappropriateand completes all position and unit safety related competencies and requirements ona timelybasis.

Qualifications

  • Doctorate. Required

  • License -Physician (MD) - State of Michigan Upon Hire required Or

  • License -Osteopathic Physician (DO) - State of Michigan Upon Hire required

  • CRT-DEA Registration - State of Michigan. Preferred

  • CRT Physician Advisor Certification- American College of Physician Advisors within one-year Preferred OR

  • CRT Physician Advisor Sub-Specialty certification (CHCQM-PHYADV)- American Board of Quality Assurance and Utilization Review Physicians within one-year Preferred OR

  • CRT ACMA Physician Advisor Certification- American Case Management Association/Association for Physician Leadership in Care Management (APLCM) within one-year Preferred

    About Corewell Health

    Our new name signals our bold commitment to health and wellness. At our core, we are here to help people be well so they can live their healthiest life possible. Through health care and health coverage, we create more value. Through compassion, collaboration, clarity,curiosity,and courage, we make anything and everything possible. Through our people, we care for the whole person with respect,dignity,and love. Everyone deserves opportunities and resources for better health. Everyone deserves our relentless pursuit to innovate and always do better. Everyone deserves to have a community be a great place to live, work, learn and play. We believe health and well-being should be within reach for all. We believe the system to support the entire health and wellness journey starts with prevention. We believe that together we will make a difference. Together, we are here to make health better for everyone. Together, we are Corewell Health.


    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 - Corewell Health Southfield Center - 26901 Beaumont Blvd

    Department Name

    Utilization Management - Diversified East WB Mkt

    Employment Type

    Part time

    Shift

    Variable (United States of America)

    Weekly Scheduled Hours

    20

    Hours of Work

    8 a.m. to 5 p.m. (20 hours)

    Days Worked

    Monday to 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.

    Apply