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Detroit, MI · Remote
$35 - $39/hr
Utilization Review RN Contract Duration: 12+ months Job Location: 100% REMOTE License Requirements ... Health Insurance (Medical, Dental and Vision) * 9 Days of Paid Time Off * All equipment provided by ...
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Detroit, MI · Remote
$35 - $39/hr
Utilization Review RN Contract Duration: 12+ months Job Location: 100% REMOTE License Requirements ... Health Insurance (Medical, Dental and Vision) * 9 Days of Paid Time Off * All equipment provided by ...
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 ...
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 ...
Troy, MI · On-site +1
$160K - $160K/yr
Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ... Company-paid life insurance * Company-paid short term disability coverage (location restrictions ...
Troy, MI · On-site +1
$160K - $160K/yr
Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ... Company-paid life insurance * Company-paid short term disability coverage (location restrictions ...
Troy, MI · Remote
$160K - $160K/yr
Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ... Company-paid life insurance * Company-paid short term disability coverage (location restrictions ...
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Troy, MI · Remote
$160K - $160K/yr
Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ... Company-paid life insurance * Company-paid short term disability coverage (location restrictions ...
Troy, MI · Remote
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Company-paid life insurance * Company-paid short term disability coverage (location restrictions ...
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Troy, MI · Remote
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Company-paid life insurance * Company-paid short term disability coverage (location restrictions ...
Berkley, MI · Remote
$42K - $55K/yr
... insurance reviews - Cross-selling - Helping customers protect what matters most - Growing their income and career What You'll Do As a Remote Insurance Sales & Digital Relationship Specialist, you ...
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Berkley, MI · Remote
$42K - $55K/yr
... insurance reviews - Cross-selling - Helping customers protect what matters most - Growing their income and career What You'll Do As a Remote Insurance Sales & Digital Relationship Specialist, you ...
Be Seen First
Detroit, MI · On-site
$35 - $38/hr
... insurance plan experience or managed care environment preferred. 5. One (1) year of utilization ... appeals/grievances. 6. Review claims issues pertaining to UM program to ensure correct ...
New
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Be Seen First
Detroit, MI · On-site
$35 - $38/hr
... insurance plan experience or managed care environment preferred. 5. One (1) year of utilization ... appeals/grievances. 6. Review claims issues pertaining to UM program to ensure correct ...
New
Troy, MI · On-site +1
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Company-paid life insurance * Company-paid short term disability coverage (location restrictions ...
Troy, MI · On-site +1
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Company-paid life insurance * Company-paid short term disability coverage (location restrictions ...
Support insurance authorization reviews and documentation standards * Assist with internal clinical ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
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Support insurance authorization reviews and documentation standards * Assist with internal clinical ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
Berkley, MI · Remote
$42K - $55K/yr
... insurance reviews - Cross-selling - Helping customers protect what matters most - Growing their income and career What You'll Do As a Remote Insurance Sales & Digital Relationship Specialist, you ...
Quick apply
Berkley, MI · Remote
$42K - $55K/yr
... insurance reviews - Cross-selling - Helping customers protect what matters most - Growing their income and career What You'll Do As a Remote Insurance Sales & Digital Relationship Specialist, you ...
Detroit, MI · Remote
$43 - $56/hr
Maintain compliance with all applicable federal, state, and payer-specific regulations, including HIPAA and Medicaid/insurance billing standards. * Participate in utilization review and authorization ...
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Detroit, MI · Remote
$43 - $56/hr
Maintain compliance with all applicable federal, state, and payer-specific regulations, including HIPAA and Medicaid/insurance billing standards. * Participate in utilization review and authorization ...
Ann Arbor, MI · Remote
$43 - $56/hr
Maintain compliance with all applicable federal, state, and payer-specific regulations, including HIPAA and Medicaid/insurance billing standards. * Participate in utilization review and authorization ...
Quick apply
Ann Arbor, MI · Remote
$43 - $56/hr
Maintain compliance with all applicable federal, state, and payer-specific regulations, including HIPAA and Medicaid/insurance billing standards. * Participate in utilization review and authorization ...
Detroit, MI · On-site +1
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties • Performs audits in utilization management, care management, member ...
Detroit, MI · On-site +1
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties • Performs audits in utilization management, care management, member ...
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties Performs audits in utilization management, care management, member assessment ...
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties Performs audits in utilization management, care management, member assessment ...
Detroit, MI · Remote
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties • Performs audits in utilization management, care management, member ...
Detroit, MI · Remote
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties • Performs audits in utilization management, care management, member ...
Detroit, MI · On-site +1
$125K - $255K/yr
Remote roles will also have the opportunity to come together in our offices for moments that matter ... insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO)
New
Detroit, MI · On-site +1
$125K - $255K/yr
Remote roles will also have the opportunity to come together in our offices for moments that matter ... insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO)
New
Detroit, MI · On-site +1
$125K - $255K/yr
Remote roles will also have the opportunity to come together in our offices for moments that matter ... In addition, Huntington provides a variety of benefits to colleagues, including health insurance ...
New
Detroit, MI · On-site +1
$125K - $255K/yr
Remote roles will also have the opportunity to come together in our offices for moments that matter ... In addition, Huntington provides a variety of benefits to colleagues, including health insurance ...
New
Farmington Hills, MI · Remote
$64K - $84K/yr
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
Farmington Hills, MI · Remote
$64K - $84K/yr
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
Farmington Hills, MI · Remote
$64K - $84K/yr
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
Farmington Hills, MI · Remote
$64K - $84K/yr
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
$21.18 - $25.46
2% of jobs
$25.46 - $29.75
9% of jobs
$32.68 is the 25th percentile. Wages below this are outliers.
$29.75 - $34.03
21% of jobs
The median wage is $37.50 / hr.
$34.03 - $38.31
23% of jobs
$38.31 - $42.60
13% of jobs
$45.93 is the 75th percentile. Wages above this are outliers.
$42.60 - $46.88
10% of jobs
$46.88 - $51.16
8% of jobs
$51.16 - $55.45
5% of jobs
$55.45 - $59.73
5% of jobs
$59.73 - $64.01
2% of jobs
$64.01 - $68.30
2% of jobs
$21
$41
$68
| Aspect | Remote Insurance Utilization Review | Remote Claims Reviewer |
|---|---|---|
| Credentials | Typically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professional | Usually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H |
| Work Environment | Remote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of services | Remote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance |
| Industry Usage | Commonly used in healthcare insurance to evaluate medical necessity | Used across insurance sectors to process and validate claims |
Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.
The most popular types of Insurance Utilization Review jobs in Detroit, MI are:
For Remote Insurance Utilization Review jobs in Detroit, MI, the most frequently searched job titles are:
The top searched job categories for Remote Insurance Utilization Review jobs in Detroit, MI are:
Cities near Detroit, MI with the most Remote Insurance Utilization Review job openings:
$35 - $39/hr
Contractor
Medical, Dental, Vision, PTO
Posted 12 days ago
Job Title: Utilization Review RN
Contract Duration: 12+ months
Job Location: 100% REMOTE
License Requirements: MI Registered Nurse License
Mandatory Requirements to Apply
Roles & Responsibilities
Salary & Benefits
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.
Kyyba is an Equal Opportunity Employer.
Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other b
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About Kyyba: Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.
Recruiting and staffing services
501 - 1,000 Employees
Farmington Hills, MI, US
1998
