Remote Hca Utilization Review Jobs in Michigan (NOW HIRING)

In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...

In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...

The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking ...

Previous experience in quality assurance, utilization review, or clinical leadership * Experience ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...

Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

Experience in utilization review, concurrent review or risk management * Background in managing populations with complex medical or behavioral needs * Acute care experience *All Telecommuters will be ...

Experience in utilization review, concurrent review or risk management * Background in managing populations with complex medical or behavioral needs * Acute care experience *All Telecommuters will be ...

... utilization, past and present treatment plan and services, prognosis, short and long-term goals ... reviewing statistical data Other Requirements: Valid Driver's License with proof of insurance ...

... utilization, past and present treatment plan and services, prognosis, short and long-term goals ... reviewing statistical data Other Requirements: Valid Driver's License with proof of insurance ...

... utilization, past and present treatment plan and services, prognosis, short and long-term goals ... reviewing statistical data Other Requirements: Valid Driver's License with proof of insurance ...

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

The Medical Coding Specialist provides coding expertise to support Utilization Management ... Quality Review • Perform thorough self review of work prior to submission to ensure accuracy ...

... utilization, and policy compliance, while supporting Coupa guided buying, analytics, catalog ... Collaborate with internal customers to understand their needs and review budget requirements

... sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work ... May perform CDI reviews to support program during high volume, short staffing periods. Maintains a ...

S. (Mobile and Remote Service). With Curbee., it's simple: dealerships send the right van to the ... Perform MBRs and QBRs, track key metrics like appointments, utilization, and review results on a ...

... utilization metrics. * Develop business cases and recommendations for executive leadership and ... Prepare investment reviews and recommendations for fiduciary committees. * Maintain a strong ...

This is a remote position with travel requirements of up to 50%. For optimal support and ... Asset & Labor Utilization * Overall Equipment Effectiveness * Remaining useful life * 5-year ...

Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... This role will be responsible for reviewing clinical documents to evaluate their adherence to ...

Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... This role will be responsible for reviewing clinical documents to evaluate their adherence to ...