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 ...
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Previous experience in quality assurance, utilization review, or clinical leadership * Experience ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
Quick apply
Previous experience in quality assurance, utilization review, or clinical leadership * Experience ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
RN Care Manager - PRN
Almont, MI · Remote
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
RN Care Manager - PRN
Almont, MI · Remote
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · On-site +1
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties • Performs audits in utilization management, care management, member ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · On-site +1
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties • Performs audits in utilization management, care management, member ...
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties Performs audits in utilization management, care management, member assessment ...
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties Performs audits in utilization management, care management, member assessment ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · Remote
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties • Performs audits in utilization management, care management, member ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · Remote
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Essential Job Duties • Performs audits in utilization management, care management, member ...
Remote Community Based Clinical Coordinator - Care Manager- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... weekend hours. DATE: July 17, 2026 POSITION: Remote Community Based Clinical Coordinator - Care ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... weekend hours. DATE: July 17, 2026 POSITION: Remote Community Based Clinical Coordinator - Care ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... weekend hours. DATE: July 17, 2026 POSITION: Remote Community Based Clinical Coordinator - Care ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... weekend hours. DATE: July 17, 2026 POSITION: Remote Community Based Clinical Coordinator - Care ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager- Chippewa County, MI
Sault Sainte Marie, MI · On-site +1
$29.72/hr
... weekend hours. DATE: July 17, 2026 POSITION: Remote Community Based Clinical Coordinator - Care ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager- Chippewa County, MI
Sault Sainte Marie, MI · On-site +1
$29.72/hr
... weekend hours. DATE: July 17, 2026 POSITION: Remote Community Based Clinical Coordinator - Care ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Health & Social Services RN - Remote in Michigan
Southfield, MI · Remote
$28.94 - $51.83/hr
Experience in utilization review, concurrent review or risk management * Background in managing populations with complex medical or behavioral needs * Acute care experience *All Telecommuters will be ...
Health & Social Services RN - Remote in Michigan
Southfield, MI · Remote
$28.94 - $51.83/hr
Experience in utilization review, concurrent review or risk management * Background in managing populations with complex medical or behavioral needs * Acute care experience *All Telecommuters will be ...
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 ...
Remote Assistance Specialist
Ann Arbor, MI · Remote
$19.50 - $24.75/hr
Train and help develop RAAs and FCCOs by conducting team huddles and coaching through video review ... Flexibility to work weekends and adjust schedule to align with site operating hours and project ...
Remote Assistance Specialist
Ann Arbor, MI · Remote
$19.50 - $24.75/hr
Train and help develop RAAs and FCCOs by conducting team huddles and coaching through video review ... Flexibility to work weekends and adjust schedule to align with site operating hours and project ...
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 ...
Remote Assistance Specialist
Ann Arbor, MI · On-site +1
$19.50 - $24.75/hr
Train and help develop RAAs and FCCOs by conducting team huddles and coaching through video review ... Flexibility to work weekends and adjust schedule to align with site operating hours and project ...
Remote Assistance Specialist
Ann Arbor, MI · On-site +1
$19.50 - $24.75/hr
Train and help develop RAAs and FCCOs by conducting team huddles and coaching through video review ... Flexibility to work weekends and adjust schedule to align with site operating hours and project ...
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 ...
Director, Trade Client Relations
Three Rivers, MI · Remote
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Director, Trade Client Relations
Three Rivers, MI · Remote
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
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 9 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