Hours are Monday - Friday from 830am until 5pm with no weekends EDUCATION AND EXPERIENCE: * RHIT ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Hours are Monday - Friday from 830am until 5pm with no weekends EDUCATION AND EXPERIENCE: * RHIT ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Hours are Monday - Friday from 830am until 5pm with no weekends EDUCATION AND EXPERIENCE: * RHIT ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Hours are Monday - Friday from 830am until 5pm with no weekends EDUCATION AND EXPERIENCE: * RHIT ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Remote Accounting & Tax Director
Detroit, MI · Remote
$150K - $160K/yr
Review and sign federal/state tax returns and monthly financial statements. Ensure technical ... Monitor team utilization and realization. Identify workflow bottlenecks and implement process ...
Quick apply
Remote Accounting & Tax Director
Detroit, MI · Remote
$150K - $160K/yr
Review and sign federal/state tax returns and monthly financial statements. Ensure technical ... Monitor team utilization and realization. Identify workflow bottlenecks and implement process ...
Field Service Technician Senior - REMOTE
Livonia, MI · On-site +1
Engineering support - Includes gathering images for engineering, reviewing new products and ... Ability to work overtime as needed including weekends Our full-time benefits include: medical ...
Field Service Technician Senior - REMOTE
Livonia, MI · On-site +1
Engineering support - Includes gathering images for engineering, reviewing new products and ... Ability to work overtime as needed including weekends Our full-time benefits include: medical ...
Examples include ADT utilization, TOC eligibility/scheduling, program billing reports, and other ... Weekends: No
Examples include ADT utilization, TOC eligibility/scheduling, program billing reports, and other ... Weekends: No
Engineering support - Includes gathering images for engineering, reviewing new products and ... Ability to work overtime as needed including weekends Our full-time benefits include: medical ...
Quick apply
Engineering support - Includes gathering images for engineering, reviewing new products and ... Ability to work overtime as needed including weekends Our full-time benefits include: medical ...
Engineering support - Includes gathering images for engineering, reviewing new products and ... Ability to work overtime as needed including weekends Our full-time benefits include: medical ...
Quick apply
Engineering support - Includes gathering images for engineering, reviewing new products and ... Ability to work overtime as needed including weekends Our full-time benefits include: medical ...
Virtual Care Veterinarian (Remote)
Detroit, MI · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... weekend availability. You'll be supported by our Clinical Director, Vet Support team, and a ...
Virtual Care Veterinarian (Remote)
Detroit, MI · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... weekend availability. You'll be supported by our Clinical Director, Vet Support team, and a ...
Virtual Care Veterinarian (Remote)
Lansing, MI · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... weekend availability. You'll be supported by our Clinical Director, Vet Support team, and a ...
Virtual Care Veterinarian (Remote)
Lansing, MI · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... weekend availability. You'll be supported by our Clinical Director, Vet Support team, and a ...
Virtual Care Veterinarian (Remote)
Kalamazoo, MI · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... weekend availability. You'll be supported by our Clinical Director, Vet Support team, and a ...
Virtual Care Veterinarian (Remote)
Kalamazoo, MI · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... weekend availability. You'll be supported by our Clinical Director, Vet Support team, and a ...
Supervisor, Clinical Documentation Integrity (CDI) - (Remote)
Livonia, MI · On-site +1
$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 ...
Supervisor, Clinical Documentation Integrity (CDI) - (Remote)
Livonia, MI · On-site +1
$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 ...
... teach warning signs, review discharge instructions, coordination of care, and problem solve ... Weekends: No
... teach warning signs, review discharge instructions, coordination of care, and problem solve ... Weekends: No
Appeal carrier denials through coding review, contract review, medical record review, and carrier ... Occasional evening and weekend work may be required as job duties demand Requirements * Three or ...
Appeal carrier denials through coding review, contract review, medical record review, and carrier ... Occasional evening and weekend work may be required as job duties demand Requirements * Three or ...
Medical Biller & Denial Specialist - Remote See States
Wixom, MI · On-site +1
$19/hr
Appeal carrier denials through coding review, contract review, medical record review, and carrier ... Occasional evening and weekend work may be required as job duties demand Requirements * Three or ...
Medical Biller & Denial Specialist - Remote See States
Wixom, MI · On-site +1
$19/hr
Appeal carrier denials through coding review, contract review, medical record review, and carrier ... Occasional evening and weekend work may be required as job duties demand Requirements * Three or ...
Dealer Success Manager
Detroit, MI · On-site +1
$90K - $115K/yr
S. (Mobile and Remote Service). With Curbee., it's simple: dealerships send the right van to the ... Perform MBRs and QBRs, track key metrics like appointments, utilization, and review results on a ...
Dealer Success Manager
Detroit, MI · On-site +1
$90K - $115K/yr
S. (Mobile and Remote Service). With Curbee., it's simple: dealerships send the right van to the ... Perform MBRs and QBRs, track key metrics like appointments, utilization, and review results on a ...
... utilization metrics. * Develop business cases and recommendations for executive leadership and ... Prepare investment reviews and recommendations for fiduciary committees. * Maintain a strong ...
New
... utilization metrics. * Develop business cases and recommendations for executive leadership and ... Prepare investment reviews and recommendations for fiduciary committees. * Maintain a strong ...
New
No evenings, weekends, or major holidays * 4 day/10-hour schedule available after training Our ... Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ...
No evenings, weekends, or major holidays * 4 day/10-hour schedule available after training Our ... Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ...
No evenings, weekends, or major holidays * 4 day/10-hour schedule available after training Our ... Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ...
No evenings, weekends, or major holidays * 4 day/10-hour schedule available after training Our ... Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ...
No evenings, weekends, or major holidays * 4 day/10-hour schedule available after training Our ... Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ...
No evenings, weekends, or major holidays * 4 day/10-hour schedule available after training Our ... Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ...
No evenings, weekends, or major holidays * 4 day/10-hour schedule available after training Our ... Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ...
No evenings, weekends, or major holidays * 4 day/10-hour schedule available after training Our ... Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ...
Remote Weekend Utilization Review information
What is the difference between Remote Weekend Utilization Review vs Remote Weekday Utilization Review?
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
Other
Re-posted 19 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