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.
Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives. Identify process improvement strategies. Promotes individual professional ...
Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives. Identify process improvement strategies. Promotes individual professional ...
... 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, Trade Client Relations
Three Rivers, MI · Remote
$155K - $175K/yr
... and utilization management strategies * Client Relations - Serve as Trade's primary point of ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
Director, Trade Client Relations
Three Rivers, MI · Remote
$155K - $175K/yr
... and utilization management strategies * Client Relations - Serve as Trade's primary point of ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
Remote Community Based Clinical Coordinator - Care Manager- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager- Chippewa County, MI
Sault Sainte Marie, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager- Chippewa County, MI
Sault Sainte Marie, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Medical Coding Specialist
Troy, MI · On-site +1
$65K - $65K/yr
The Medical Coding Specialist provides coding expertise to support Utilization Management ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Medical Coding Specialist
Troy, MI · On-site +1
$65K - $65K/yr
The Medical Coding Specialist provides coding expertise to support Utilization Management ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
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 ...
Director of Loan Origination
Troy, MI · Remote
Flexible hours & Remote positions available. * Comprehensive benefits package and a 401(k) plan ... utilization * Manages staff and carries out supervisory responsibilities in accordance with the ...
Director of Loan Origination
Troy, MI · Remote
Flexible hours & Remote positions available. * Comprehensive benefits package and a 401(k) plan ... utilization * Manages staff and carries out supervisory responsibilities in accordance with the ...
CAD Supervisor
Grand Rapids, MI · Remote
$101K - $151K/yr
Lead and manage the workload of Controls CAD designers supporting the LSS Modernizations & Upgrades ... Optimize team utilization by balancing workloads to drive efficiency and meet project demands.
CAD Supervisor
Grand Rapids, MI · Remote
$101K - $151K/yr
Lead and manage the workload of Controls CAD designers supporting the LSS Modernizations & Upgrades ... Optimize team utilization by balancing workloads to drive efficiency and meet project demands.
CAD Supervisor
Grand Rapids, MI · Remote
$101K - $151K/yr
Lead and manage the workload of Controls CAD designers supporting the LSS Modernizations & Upgrades ... Optimize team utilization by balancing workloads to drive efficiency and meet project demands.
CAD Supervisor
Grand Rapids, MI · Remote
$101K - $151K/yr
Lead and manage the workload of Controls CAD designers supporting the LSS Modernizations & Upgrades ... Optimize team utilization by balancing workloads to drive efficiency and meet project demands.
Supervisor, Clinical Documentation Integrity (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Working with the Regional Manager, Clinical Documentation Integrity, is directly responsible for ... sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work ...
Supervisor, Clinical Documentation Integrity (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Working with the Regional Manager, Clinical Documentation Integrity, is directly responsible for ... sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work ...
... remote patient monitoring, and more. Job Summary We're seeking a Payer Credentialing Manager to ... supervisory or managerial role. * Demonstrated experience with payer enrollment processes.
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... remote patient monitoring, and more. Job Summary We're seeking a Payer Credentialing Manager to ... supervisory or managerial role. * Demonstrated experience with payer enrollment processes.
Lead Software Asset Management Specialist
Detroit, MI · On-site +1
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Ability to travel 0-10%, on average, based on the work you do; this role is predominantly remote ...
Lead Software Asset Management Specialist
Detroit, MI · On-site +1
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Ability to travel 0-10%, on average, based on the work you do; this role is predominantly remote ...
... management review * Lead operational governance activities across assigned Clubs, including ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
... management review * Lead operational governance activities across assigned Clubs, including ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
... management review * Lead operational governance activities across assigned Clubs, including ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
... management review * Lead operational governance activities across assigned Clubs, including ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
... supervisory or management experience. * Project management experience and skills to accurately ... Please note we are hiring for this role remote anywhere in the United States with the following ...
... supervisory or management experience. * Project management experience and skills to accurately ... Please note we are hiring for this role remote anywhere in the United States with the following ...
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.
- Remote Cvs Utilization Management Nurse
- Flex Schedule Remote Utilization Review Nurse
- Seasonal Remote Hedis Review Nurse
- Contract Hedis Review Nurse
- No Experience Utilization Review Nurse
- Utilization Review Nurse
- No Experience Utilization Management Nurse
- Remote Chart Review Nurse
- Evening Utilization Review Nurse
- Night Shift Remote Utilization Review Nurse
- Dental Utilization Review
- Utilization Care Manager
- Full Time Cigna Utilization Review Nurse
- Remote Hca Utilization Review
- Remote Insurance Utilization Review
- Temporary Aetna Utilization Review Nurse
- Remote Bcba Utilization Review
- Utilization Review Manager
- Volunteer Navihealth Utilization Review
- From Home International Utilization Review Nurse
Other
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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