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 ...
Participating in regular case consultations and peer reviews to foster an environment of continuous ... Preferred Experience * Experience with teletherapy and remote service delivery models.
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Participating in regular case consultations and peer reviews to foster an environment of continuous ... Preferred Experience * Experience with teletherapy and remote service delivery models.
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The LCSW will empower patients with the knowledge and tools to make lasting behavioral changes that ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
The LCSW will empower patients with the knowledge and tools to make lasting behavioral changes that ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Engage in case consultations and participate in regular peer review sessions to ensure the highest ... your effectiveness in this remote role. Compensation and Benefits This position offers a ...
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Engage in case consultations and participate in regular peer review sessions to ensure the highest ... your effectiveness in this remote role. Compensation and Benefits This position offers a ...
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Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
... working with the organization to operationalize our UM program. JOB QUALIFICATIONS: KNOWLEDGE ... Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ...
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
... working with the organization to operationalize our UM program. JOB QUALIFICATIONS: KNOWLEDGE ... Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ...
Compassionate Licensed Clinical Social Worker (LCSW) - Remote Opportunity
Grand Junction, MI · Remote
This full-time remote position offers an opportunity to make a profound impact in the lives of ... Engage in regular case consultations and peer review sessions to enhance treatment quality and keep ...
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Compassionate Licensed Clinical Social Worker (LCSW) - Remote Opportunity
Grand Junction, MI · Remote
This full-time remote position offers an opportunity to make a profound impact in the lives of ... Engage in regular case consultations and peer review sessions to enhance treatment quality and keep ...
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Work Environment This position is remote, providing you with the flexibility to work from a ... We look forward to reviewing your application and discussing how you can contribute to our mission ...
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Work Environment This position is remote, providing you with the flexibility to work from a ... We look forward to reviewing your application and discussing how you can contribute to our mission ...
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This role is primarily remote, allowing for flexible scheduling, and focuses on providing impactful ... Engaging in regular peer consultations and case reviews to enhance clinical skills and maintain ...
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This role is primarily remote, allowing for flexible scheduling, and focuses on providing impactful ... Engaging in regular peer consultations and case reviews to enhance clinical skills and maintain ...
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Work Environment This position offers a remote work setting that promotes flexibility and work-life balance. As an LCSW in a school-focused role, you will collaborate closely with educators ...
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Work Environment This position offers a remote work setting that promotes flexibility and work-life balance. As an LCSW in a school-focused role, you will collaborate closely with educators ...
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Work Environment As an LCSW with Gotham Enterprises, you'll be working in a dynamic remote setting ... Engaging in ongoing case consultations and participating in peer review meetings to promote ...
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Work Environment As an LCSW with Gotham Enterprises, you'll be working in a dynamic remote setting ... Engaging in ongoing case consultations and participating in peer review meetings to promote ...
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Position Overview Gotham Enterprises Ltd is seeking a dedicated Remote Licensed Clinical Social Worker (LCSW) for a full-time position within our innovative Detox Center team. This role is an ...
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Position Overview Gotham Enterprises Ltd is seeking a dedicated Remote Licensed Clinical Social Worker (LCSW) for a full-time position within our innovative Detox Center team. This role is an ...
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Position Overview Gotham Enterprises Ltd is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team in a remote school-based setting. This full-time role offers ...
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Position Overview Gotham Enterprises Ltd is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team in a remote school-based setting. This full-time role offers ...
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Work Environment This position is remote, allowing for flexibility and a work-life balance that is ... Participating in regular case reviews and consultations among peers to optimize treatment ...
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Work Environment This position is remote, allowing for flexibility and a work-life balance that is ... Participating in regular case reviews and consultations among peers to optimize treatment ...
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Compassionate Licensed Clinical Social Worker (LCSW) - Remote Position at Rehabilitation Center
Westland, MI · Remote
Participate in regular case consultations and peer review meetings to continuously enhance your ... Familiarity with remote therapeutic practices and digital therapeutic tools is also advantageous ...
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Compassionate Licensed Clinical Social Worker (LCSW) - Remote Position at Rehabilitation Center
Westland, MI · Remote
Participate in regular case consultations and peer review meetings to continuously enhance your ... Familiarity with remote therapeutic practices and digital therapeutic tools is also advantageous ...
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This full-time remote position provides an exceptional opportunity to make a significant impact in ... Participating in regular peer review meetings to discuss case strategies, share insights, and ...
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This full-time remote position provides an exceptional opportunity to make a significant impact in ... Participating in regular peer review meetings to discuss case strategies, share insights, and ...
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School Social Worker, LCSW- MDE Required
Holly, MI · Remote
$50/hr
Join Our Team as a Remote Licensed Clinical Social Worker (LMSW) in Michigan! Are you a compassionate, licensed LCSW dedicated to supporting students' mental health and emotional well-being? E ...
Posted today
School Social Worker, LCSW- MDE Required
Holly, MI · Remote
$50/hr
Join Our Team as a Remote Licensed Clinical Social Worker (LMSW) in Michigan! Are you a compassionate, licensed LCSW dedicated to supporting students' mental health and emotional well-being? E ...
Posted today
As an LCSW, you will play a key role in improving the quality of care for our clients while ... Work Environment Our remote work setting allows for a unique blend of autonomy and support. As part ...
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As an LCSW, you will play a key role in improving the quality of care for our clients while ... Work Environment Our remote work setting allows for a unique blend of autonomy and support. As part ...
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... Social Worker (LCSW) to join our team remotely, focusing primarily on hospice care within our ... Work Environment This position is entirely remote, allowing for flexibility and the ability to ...
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... Social Worker (LCSW) to join our team remotely, focusing primarily on hospice care within our ... Work Environment This position is entirely remote, allowing for flexibility and the ability to ...
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This full-time, remote position offers an opportunity for passionate professionals to support ... Participating in regular peer review meetings and case consultations to enhance patient outcomes.
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This full-time, remote position offers an opportunity for passionate professionals to support ... Participating in regular peer review meetings and case consultations to enhance patient outcomes.
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Remote Utilization Review Social Worker information
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 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 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:
- Remote Social Worker
- Therapist Utilization Review Remote
- Remote Unlicensed Social Worker
- Remote Utilization Review Physical Therapist
- Remote Deaf Social Work
- Online Therapist Social Worker
- Remote Recreational Therapist
- Work From Home Remote Mental Health Therapist
- Remote Traveling Social Worker
- Remote Prior Authorization Nurse
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:
Full-time
Re-posted 26 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.
Additional Information
- Organization: Corporate Services
- Department: Central Utilization Mgt
- Shift: Day Job
- Union Code: Not Applicable