Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required. Additional Information
Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required. Additional Information
Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required.
Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required.
Remote Prior Authorization Pharmacist
Detroit, MI · Remote
$53.25 - $64/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Detroit, MI · Remote
$53.25 - $64/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Ypsilanti, MI · Remote
$52.75 - $63.25/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Ypsilanti, MI · Remote
$52.75 - $63.25/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Appeals Pharmacist (Remote)
Ypsilanti, MI · On-site +1
$51.75 - $63/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Appeals Pharmacist (Remote)
Ypsilanti, MI · On-site +1
$51.75 - $63/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Appeals Pharmacist (Remote)
Detroit, MI · On-site +1
$52.50 - $63.75/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Appeals Pharmacist (Remote)
Detroit, MI · On-site +1
$52.50 - $63.75/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Epic/Tapestry Utilization Mgmt. Interface Analyst (Remote) - Health Alliance Plan
Southfield, MI · On-site +1
EPIC Tapestry Utilization Management and/or Case Management. * EPIC Tapestry Appeals and Grievances. * EPIC Tapestry Membership/Eligibility and Enrollment Administration. * EPIC Tapestry Provider ...
Epic/Tapestry Utilization Mgmt. Interface Analyst (Remote) - Health Alliance Plan
Southfield, MI · On-site +1
EPIC Tapestry Utilization Management and/or Case Management. * EPIC Tapestry Appeals and Grievances. * EPIC Tapestry Membership/Eligibility and Enrollment Administration. * EPIC Tapestry Provider ...
Supervisory Acquisition & Utilization Specialist
Detroit, MI · On-site +1
$98K - $128K/yr
Directs, maintains, and carries out management duties involving many separate and distinct phases ... Supervisory Acquisition & Utilization Specialist / PD99867-A Relocation/Recruitment Incentives: Not ...
Supervisory Acquisition & Utilization Specialist
Detroit, MI · On-site +1
$98K - $128K/yr
Directs, maintains, and carries out management duties involving many separate and distinct phases ... Supervisory Acquisition & Utilization Specialist / PD99867-A Relocation/Recruitment Incentives: Not ...
Clinical Support Specialist-Remote
Auburn Hills, MI · On-site +1
... Utilization Management, disease management, and/or population health * 2 years experience of high functioning data spreadsheet manipulation Preferred: * Bachelor's Degree in healthcare or related ...
Clinical Support Specialist-Remote
Auburn Hills, MI · On-site +1
... Utilization Management, disease management, and/or population health * 2 years experience of high functioning data spreadsheet manipulation Preferred: * Bachelor's Degree in healthcare or related ...
Clinical Support Specialist-Remote
Auburn Hills, MI · On-site +1
... Utilization Management, disease management, and/or population health * 2 years experience of high functioning data spreadsheet manipulation Preferred: * Bachelor's Degree in healthcare or related ...
Clinical Support Specialist-Remote
Auburn Hills, MI · On-site +1
... Utilization Management, disease management, and/or population health * 2 years experience of high functioning data spreadsheet manipulation Preferred: * Bachelor's Degree in healthcare or related ...
... Utilization Management, disease management, and/or population health * 2 years experience of high functioning data spreadsheet manipulation Preferred: * Bachelor's Degree in healthcare or related ...
... Utilization Management, disease management, and/or population health * 2 years experience of high functioning data spreadsheet manipulation Preferred: * Bachelor's Degree in healthcare or related ...
Director & Product Management
Ann Arbor, MI · Remote
$156K - $195K/yr
... placement, utilization management, and lives data-into clear, actionable intelligence for our ... This is a remote role The expected base salary for this position is $156,000 - $195,000 USD per ...
Director & Product Management
Ann Arbor, MI · Remote
$156K - $195K/yr
... placement, utilization management, and lives data-into clear, actionable intelligence for our ... This is a remote role The expected base salary for this position is $156,000 - $195,000 USD per ...
Director & Product Management
Ann Arbor, MI · Remote
$156K - $195K/yr
... placement, utilization management, and lives data-into clear, actionable intelligence for our ... This is a remote role The expected base salary for this position is $156,000 - $195,000 USD per ...
Director & Product Management
Ann Arbor, MI · Remote
$156K - $195K/yr
... placement, utilization management, and lives data-into clear, actionable intelligence for our ... This is a remote role The expected base salary for this position is $156,000 - $195,000 USD per ...
Central Authorization Specialist /Full Time/ Remote-Michigan Residents
Detroit, MI · Remote
$17.75 - $23.75/hr
Current working knowledge of hospital operations, utilization management, case management, and managed care reimbursement, preferred. General understanding of revenue cycle with an emphasis on ...
Central Authorization Specialist /Full Time/ Remote-Michigan Residents
Detroit, MI · Remote
$17.75 - $23.75/hr
Current working knowledge of hospital operations, utilization management, case management, and managed care reimbursement, preferred. General understanding of revenue cycle with an emphasis on ...
Supervisor, Clinical Documentation Integrity (CDI) - Remote
Livonia, MI · On-site +1
$32.50 - $43.75/hr
POSITION PURPOSE Work Remote Position At the direction of the Regional Manager, Clinical ... sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work ...
Supervisor, Clinical Documentation Integrity (CDI) - Remote
Livonia, MI · On-site +1
$32.50 - $43.75/hr
POSITION PURPOSE Work Remote Position At the direction of the Regional Manager, Clinical ... sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work ...
Supervisor, Clinical Documentation Integrity (CDI) - (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
POSITION PURPOSE Work Remote Position At the direction of the Regional Manager, Clinical ... sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work ...
Supervisor, Clinical Documentation Integrity (CDI) - (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
POSITION PURPOSE Work Remote Position At the direction of the Regional Manager, Clinical ... sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work ...
Chief Psychiatrist (Education Debt Repayment and Sign on Bonus)
Battle Creek, MI · On-site +1
$285K - $336K/yr
... A REMOTE POSITION. The Chief of Psychiatry will split time between administrative/supervisory ... Provide Mental Health oversight to National Utilization Management Integration (NUMI) to complete ...
Chief Psychiatrist (Education Debt Repayment and Sign on Bonus)
Battle Creek, MI · On-site +1
$285K - $336K/yr
... A REMOTE POSITION. The Chief of Psychiatry will split time between administrative/supervisory ... Provide Mental Health oversight to National Utilization Management Integration (NUMI) to complete ...
Remote Accounting & Tax Director
Detroit, MI · Remote
$150K - $160K/yr
Service Delivery Management: Oversee tax and accounting engagements for a diverse client portfolio ... Monitor team utilization and realization. Identify workflow bottlenecks and implement process ...
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Remote Accounting & Tax Director
Detroit, MI · Remote
$150K - $160K/yr
Service Delivery Management: Oversee tax and accounting engagements for a diverse client portfolio ... Monitor team utilization and realization. Identify workflow bottlenecks and implement process ...
Apply Early
... management, recognizing employee's achievements and counsels employees on performance issues ... supervisory capacity * FCAS * Experience performing account-level rating and pricing analyses for ...
... management, recognizing employee's achievements and counsels employees on performance issues ... supervisory capacity * FCAS * Experience performing account-level rating and pricing analyses for ...
... management, recognizing employee's achievements and counsels employees on performance issues ... supervisory capacity * FCAS * Experience performing account-level rating and pricing analyses for ...
... management, recognizing employee's achievements and counsels employees on performance issues ... supervisory capacity * FCAS * Experience performing account-level rating and pricing analyses for ...
Remote Supervisor Utilization Management information
What is the highest paying job in healthcare management?
How to make 2000 a week working from home?
Is a utilization manager the same as a risk manager?
How to make $1000 a week remotely?
What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?
| Aspect | Remote Supervisor Utilization Management | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or supervisor certifications | RN, with clinical review certifications |
| Work Environment | Supervises teams, manages utilization processes remotely | Performs clinical reviews, assesses patient necessity remotely |
| Employer & Industry Usage | Health insurance companies, managed care organizations | Insurance companies, third-party administrators |
| Primary Focus | Overseeing utilization management operations | Conducting clinical utilization reviews |
Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.
- No Experience Utilization Management Nurse
- Registered Nurse Utilization Review
- Remote Cvs Utilization Management Nurse
- Remote Utilization Management Nurse
- Remote Utilization Management
- Evening Utilization Review Nurse
- No Experience Utilization Review Nurse
- Independent Contractor Remote Utilization Management Nurse
- Telecommute Hedis Review Nurse
- Remote Prior Authorization Nurse
- Remote Dental Utilization Review
- Full Time Cigna Utilization Review Nurse
- Temporary Aetna Utilization Review Nurse
- Optum Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
- Remote Lpn Utilization Review
- From Home International Utilization Review Nurse
- Utilization Care Manager
- Cigna Utilization Review Nurse
- Remote Dental Utilization Management
Other
Posted 10 days ago
Job description
In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as inpatient instead of outpatient. You will also review the CPTs that were boarded for meeting inpatient on the CMS inpatient list and the InterQual inpatient list based on payer criteria used.
Hours are Monday - Friday from 830am until 5pm with no weekends
EDUCATION AND EXPERIENCE:
- RHIT, RHIA, or related coding certification required.
- Minimum 3-5 years of clinical experience preferred.
- Previous utilization management or case management experience preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
- RHIT, RHIA, or related coding certification required.
- Organization: Corporate Services
- Department: Central Utilization Mgt
- Shift: Day Job
- Union Code: Not Applicable