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 ...
Utilization Management Coordinator
Troy, MI · On-site +1
$19/hr
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:
Utilization Management Coordinator
Troy, MI · On-site +1
$19/hr
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:
Acquisition Utilization Specialist
Battle Creek, MI · On-site +1
$74K - $97K/yr
Reviews procurement documents for accuracy, adequacy, and completeness and assists service line ... Acquisition Utilization Specialist / PD99810S Relocation/Recruitment Incentives: Not Authorized ...
Acquisition Utilization Specialist
Battle Creek, MI · On-site +1
$74K - $97K/yr
Reviews procurement documents for accuracy, adequacy, and completeness and assists service line ... Acquisition Utilization Specialist / PD99810S Relocation/Recruitment Incentives: Not Authorized ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Warren, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Warren, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Detroit, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Detroit, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Ann Arbor, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Ann Arbor, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Grand Rapids, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Grand Rapids, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Sterling Heights, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Sterling Heights, MI · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Utilization Management Nurse - LPN/LVN
Troy, MI · On-site +1
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Utilization Management Nurse - LPN/LVN
Troy, MI · On-site +1
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Remote - Associate must reside in the state of Michigan (MI) Responsibilities: * Serves as a single ... Utilization Review Accreditation Commission (URAC) standards Education & Experience: * Bachelor ...
Remote - Associate must reside in the state of Michigan (MI) Responsibilities: * Serves as a single ... Utilization Review Accreditation Commission (URAC) standards Education & Experience: * Bachelor ...
Remote Prior Authorization Pharmacist
Ypsilanti, MI · Remote
$52.75 - $63.25/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Ypsilanti, MI · Remote
$52.75 - $63.25/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Detroit, MI · Remote
$53.25 - $64/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Detroit, MI · Remote
$53.25 - $64/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote - Associate must reside in the state of Michigan (MI) Responsibilities: * Serves as a single ... Utilization Review Accreditation Commission (URAC) standards Education & Experience: * Bachelor ...
Remote - Associate must reside in the state of Michigan (MI) Responsibilities: * Serves as a single ... Utilization Review Accreditation Commission (URAC) standards Education & Experience: * Bachelor ...
Registered Nurse
Detroit, MI · On-site +1
$30 - $35/hr
Two to four years of clinical experience which may include post-acute care, home care, acute patient care, discharge planning, case management, and utilization review, and caring for aging population ...
Registered Nurse
Detroit, MI · On-site +1
$30 - $35/hr
Two to four years of clinical experience which may include post-acute care, home care, acute patient care, discharge planning, case management, and utilization review, and caring for aging population ...
Appeals Pharmacist (Remote)
Ypsilanti, MI · On-site +1
$51.75 - $63/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Appeals Pharmacist (Remote)
Ypsilanti, MI · On-site +1
$51.75 - $63/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Appeals Pharmacist (Remote)
Detroit, MI · On-site +1
$52.50 - $63.75/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Appeals Pharmacist (Remote)
Detroit, MI · On-site +1
$52.50 - $63.75/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Manager Cash Posting/Applications -PFS (Remote)
Farmington Hills, MI · On-site +1
$36.34 - $54.51/hr
POSITION PURPOSE Work Remote Position Manages and oversees a team responsible for daily cash ... utilization. Reviews cash posting trends, makes recommendations for resolution of issues and ...
Manager Cash Posting/Applications -PFS (Remote)
Farmington Hills, MI · On-site +1
$36.34 - $54.51/hr
POSITION PURPOSE Work Remote Position Manages and oversees a team responsible for daily cash ... utilization. Reviews cash posting trends, makes recommendations for resolution of issues and ...
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
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.
What are the most commonly searched types of Weekend Utilization Review jobs in Michigan? The most popular types of Weekend Utilization Review jobs in Michigan are:
What cities in Michigan are hiring for Remote Weekend Utilization Review jobs? Cities in Michigan with the most Remote Weekend Utilization Review job openings:
Other
Posted 29 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