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Remote Utilization Review Social Worker Jobs in Michigan

Headway

Licensed Clinical Social Worker (Remote)

Detroit, MI · On-site +1

$120.94/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $120.94/hour Licensed Clinical Social Worker -- Are you ready to launch or expand your private practice? Headway is here to help you start accepting ...

Integra Partners

Director of Utilization Management

Troy, MI · On-site +1

$160K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... working with the organization to operationalize our UM program. JOB QUALIFICATIONS: KNOWLEDGE ... Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ...

Integra Partners

Utilization Management Coordinator

Troy, MI · On-site +1

$19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

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Remote Utilization Review Social Worker information

What are the key skills and qualifications needed to thrive as a remote utilization review social worker?

To thrive as a Remote Utilization Review Social Worker, you need a background in social work (often a MSW and relevant licensure), knowledge of medical terminology, and experience in patient care coordination. Familiarity with utilization management software, electronic health records (EHRs), and certification such as ACM or CCM is typically required. Strong analytical thinking, communication skills, and the ability to work independently are vital soft skills for this position. These skills ensure effective patient advocacy, compliance with regulations, and optimal resource utilization in a remote healthcare environment.

How does a remote utilization review social worker typically collaborate with interdisciplinary teams while working off-site?

Remote Utilization Review Social Workers regularly communicate with physicians, nurses, case managers, and insurance representatives through virtual meetings, secure emails, and electronic health record systems. Despite working remotely, they play a key role in ensuring appropriate patient care by reviewing cases, discussing treatment plans, and advocating for necessary services. Collaboration often involves scheduled case conferences and prompt responses to queries, requiring strong organizational and digital communication skills. Building effective working relationships remotely is crucial for delivering coordinated, patient-centered care.

What does a remote utilization review social worker do?

A Remote Utilization Review Social Worker evaluates patient care plans and medical records to ensure that healthcare services are medically necessary, appropriate, and cost-effective. Working remotely, they collaborate with healthcare providers, insurance companies, and patients to review treatment plans and make recommendations on care approvals or alternatives. Their goal is to help manage healthcare costs while ensuring patients receive the care they need, often working within hospitals, insurance companies, or third-party review organizations.

What are popular job titles related to Remote Utilization Review Social Worker jobs in Michigan?

For Remote Utilization Review Social Worker jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Social Worker jobs in Michigan look for?

The top searched job categories for Remote Utilization Review Social Worker jobs in Michigan are:

What cities in Michigan are hiring for Remote Utilization Review Social Worker jobs?

Cities in Michigan with the most Remote Utilization Review Social Worker job openings:

Remote Utilization Review Social Worker jobs near you
Infographic showing various Remote Utilization Review Social Worker job openings in Michigan as of August 2026, with employment types broken down into 78% Full Time, 11% Part Time, 3% Temporary, and 8% Contract. Highlights an 1% In-person, and 99% Remote job distribution.

Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote

Henry Ford Health System

Troy, MI • On-site, Remote

Full-time

Re-posted 21 days ago

Henry Ford Health rating

7.0

Company rating: 7.0 out of 10

Based on 565 frontline employees who took The Breakroom Quiz

415th of 887 rated healthcare providers

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.

What Henry Ford Health employees say

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About Henry Ford Health

Sourced by ZipRecruiter

Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915

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