Director of Knowledge Management
MI ยท Remote
This is a REMOTE position and will require travel to our hospitals. POSITION OVERVIEW: The Director ... Monitor platform utilization and adoption trends, identifying opportunities to improve ...
MI ยท Remote
This is a REMOTE position and will require travel to our hospitals. POSITION OVERVIEW: The Director ... Monitor platform utilization and adoption trends, identifying opportunities to improve ...
MI ยท Remote
This is a REMOTE position and will require travel to our hospitals. POSITION OVERVIEW: The Director ... Monitor platform utilization and adoption trends, identifying opportunities to improve ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Partner with regulatory, external quality review organizations such as (but not limited to) the ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Partner with regulatory, external quality review organizations such as (but not limited to) the ...
Flint, MI ยท Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Flint, MI ยท Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Troy, MI ยท On-site +1
$80K - $80K/yr
Analyze healthcare claims, reimbursement data, utilization trends, and financial performance to ... Perform basic margin and pricing reviews to ensure alignment with internal guidelines. * Conduct ad ...
Troy, MI ยท On-site +1
$80K - $80K/yr
Analyze healthcare claims, reimbursement data, utilization trends, and financial performance to ... Perform basic margin and pricing reviews to ensure alignment with internal guidelines. * Conduct ad ...
Flint, MI ยท On-site +1
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Flint, MI ยท On-site +1
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Partner with regulatory, external quality review organizations such as (but not limited to) the ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Partner with regulatory, external quality review organizations such as (but not limited to) the ...
Southfield, MI ยท On-site +1
Remote - The associate can be located anywhere in Michigan (MI). * 50% travel is required to the ... Analyze claims data, utilization trends, and patient outcomes to support performance optimization
Southfield, MI ยท On-site +1
Remote - The associate can be located anywhere in Michigan (MI). * 50% travel is required to the ... Analyze claims data, utilization trends, and patient outcomes to support performance optimization
Warren, MI ยท On-site +1
$55K - $126K/yr
Remote Work: No Job Number: R0246019 Location: Warren,MI,US Share job via: Share Contractor SAP ... and Co-Utilization Agreements (CUAs). Join us. The world can't wait. You Have: * 3+ years of ...
Warren, MI ยท On-site +1
$55K - $126K/yr
Remote Work: No Job Number: R0246019 Location: Warren,MI,US Share job via: Share Contractor SAP ... and Co-Utilization Agreements (CUAs). Join us. The world can't wait. You Have: * 3+ years of ...
Plymouth, MI ยท On-site +1
Review technician notes, parts usage, and labor hours for accuracy and completeness before closing ... Generate weekly and monthly metrics on technician utilization, ticket resolution times, and ...
Plymouth, MI ยท On-site +1
Review technician notes, parts usage, and labor hours for accuracy and completeness before closing ... Generate weekly and monthly metrics on technician utilization, ticket resolution times, and ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Detroit, MI ยท Remote
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...
Detroit, MI ยท Remote
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...
Grand Rapids, MI ยท On-site +1
$49.50 - $66/hr
Development programs for advancement and career growth Please review the job profile below and ... Monday-Wednesday in Grand Rapids MI corporate office, Thursday-Friday remote. Not eligible for ...
Grand Rapids, MI ยท On-site +1
$49.50 - $66/hr
Development programs for advancement and career growth Please review the job profile below and ... Monday-Wednesday in Grand Rapids MI corporate office, Thursday-Friday remote. Not eligible for ...
Battle Creek, MI ยท On-site +1
$85K - $158K/yr
Summary The Battle Creek VA Medical Center's Psychiatry Service is hiring a Psychologist to serve ... Learn more about this agency Duties Help Due the to nature of the work, there are no remote ...
Battle Creek, MI ยท On-site +1
$85K - $158K/yr
Summary The Battle Creek VA Medical Center's Psychiatry Service is hiring a Psychologist to serve ... Learn more about this agency Duties Help Due the to nature of the work, there are no remote ...
Grand Rapids, MI ยท On-site +1
$77K - $100K/yr
This position offers remote flexibility; however, it firmly requires in-office presence at our ... Prepare, review, and submit required regulatory documents, including Form 5500 and related ...
Grand Rapids, MI ยท On-site +1
$77K - $100K/yr
This position offers remote flexibility; however, it firmly requires in-office presence at our ... Prepare, review, and submit required regulatory documents, including Form 5500 and related ...
Ensure full utilization of vendor tools and functionality by coordinating new feature ... Reviews vendor invoices for accuracy, contract alignment, and proper service categorization.
Ensure full utilization of vendor tools and functionality by coordinating new feature ... Reviews vendor invoices for accuracy, contract alignment, and proper service categorization.
$32.50 - $43.75/hr
... 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 ...
$32.50 - $43.75/hr
... 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 ...
| Aspect | Remote Psychiatric Utilization Review | Remote Mental Health Case Manager |
|---|---|---|
| Credentials | Licensed Psychiatrist, Psychologist, or Certified Utilization Review Professional | Licensed Clinical Social Worker, Mental Health Counselor, or Case Management Certification |
| Work Environment | Reviewing medical records, insurance documentation, and making utilization decisions remotely | Coordinating care, assessing client needs, and providing support remotely |
| Employer & Industry Usage | Insurance companies, health plans, and utilization review organizations | Healthcare providers, community agencies, and insurance companies |
Remote Psychiatric Utilization Review focuses on evaluating medical necessity for psychiatric services, often within insurance and healthcare organizations. In contrast, Remote Mental Health Case Managers actively coordinate and support patient care. Both roles require mental health credentials but differ in daily tasks and focus areas.
For Remote Psychiatric Utilization Review jobs in Michigan, the most frequently searched job titles are:
The top searched job categories for Remote Psychiatric Utilization Review jobs in Michigan are:
Cities in Michigan with the most Remote Psychiatric Utilization Review job openings:
