... assist with Denial Letters Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. Identifies ...
... assist with Denial Letters Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. Identifies ...
... assist with Denial Letters Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. Identifies ...
... assist with Denial Letters Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. Identifies ...
RN Utilization Review Nurse
$33 - $37/hr
... assist with Denial Letters * Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team. * Identifies appropriate ...
RN Utilization Review Nurse
$33 - $37/hr
... assist with Denial Letters * Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team. * Identifies appropriate ...
The primary focuses of the position include: 1. Utilization Management Review Services: Using BCBA ... assist in clinical services. The UMBA works as part of an interdisciplinary team and is expected to ...
The primary focuses of the position include: 1. Utilization Management Review Services: Using BCBA ... assist in clinical services. The UMBA works as part of an interdisciplinary team and is expected to ...
The primary focuses of the position include: 1. Utilization Management Review Services: Using BCBA ... assist in clinical services. The UMBA works as part of an interdisciplinary team and is expected to ...
The primary focuses of the position include: 1. Utilization Management Review Services: Using BCBA ... assist in clinical services. The UMBA works as part of an interdisciplinary team and is expected to ...
Physician Advisor- Utilization Management & Clinical Documentation Integrity- ONSITE
Grand Rapids, MI · On-site
DRG assignment * Assist with case mix index (CMI) improvement initiatives * Review complex cases for documentation opportunities that accurately reflect patient acuity Utilization Management & Length ...
Physician Advisor- Utilization Management & Clinical Documentation Integrity- ONSITE
Grand Rapids, MI · On-site
DRG assignment * Assist with case mix index (CMI) improvement initiatives * Review complex cases for documentation opportunities that accurately reflect patient acuity Utilization Management & Length ...
DRG assignment * Assist with case mix index (CMI) improvement initiatives * Review complex cases for documentation opportunities that accurately reflect patient acuity Utilization Management & Length ...
DRG assignment * Assist with case mix index (CMI) improvement initiatives * Review complex cases for documentation opportunities that accurately reflect patient acuity Utilization Management & Length ...
... Utilization reviews and assist with Denial Letters Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management ...
... Utilization reviews and assist with Denial Letters Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management ...
Two years of case management or utilization review, billing, or coding experience • Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification ...
Two years of case management or utilization review, billing, or coding experience • Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification ...
Two years of case management or utilization review, billing, or coding experience Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification as a ...
Two years of case management or utilization review, billing, or coding experience Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification as a ...
Two years of case management or utilization review, billing, or coding experience • Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification ...
Two years of case management or utilization review, billing, or coding experience • Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification ...
... managed care environment preferred. 5. One (1) year of utilization management preferred ... Assist with answering questions, supplying information and training on UM program (internally and ...
New
... managed care environment preferred. 5. One (1) year of utilization management preferred ... Assist with answering questions, supplying information and training on UM program (internally and ...
New
... utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient ...
... utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient ...
... utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient ...
... utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient ...
Bachelor's degree in coding/medical records/billing or UM Two years of case management or utilization review experience Three years of recent experience doing third party payer certification ...
Bachelor's degree in coding/medical records/billing or UM Two years of case management or utilization review experience Three years of recent experience doing third party payer certification ...
Physician Advisor (IPAS)
Detroit, MI · On-site
Perform Peer-to-Peer calls for inpatient and post-acute care denials * Assist with length of stay management and utilization of resources * Review and make suggestions related to resource and service ...
Physician Advisor (IPAS)
Detroit, MI · On-site
Perform Peer-to-Peer calls for inpatient and post-acute care denials * Assist with length of stay management and utilization of resources * Review and make suggestions related to resource and service ...
Physician Advisor (IPAS)
Detroit, MI · On-site
Perform Peer-to-Peer calls for inpatient and post-acute care denials * Assist with length of stay management and utilization of resources * Review and make suggestions related to resource and service ...
Physician Advisor (IPAS)
Detroit, MI · On-site
Perform Peer-to-Peer calls for inpatient and post-acute care denials * Assist with length of stay management and utilization of resources * Review and make suggestions related to resource and service ...
Perform Peer-to-Peer calls for inpatient and post-acute care denials * Assist with length of stay management and utilization of resources * Review and make suggestions related to resource and service ...
Perform Peer-to-Peer calls for inpatient and post-acute care denials * Assist with length of stay management and utilization of resources * Review and make suggestions related to resource and service ...
Perform Peer-to-Peer calls for inpatient and post-acute care denials * Assist with length of stay management and utilization of resources * Review and make suggestions related to resource and service ...
Perform Peer-to-Peer calls for inpatient and post-acute care denials * Assist with length of stay management and utilization of resources * Review and make suggestions related to resource and service ...
Review utilization management-related claims issues and assist with resolving identified gaps. * Collaborate with cross-functional teams to resolve member and provider inquiries. What We Offer:
Review utilization management-related claims issues and assist with resolving identified gaps. * Collaborate with cross-functional teams to resolve member and provider inquiries. What We Offer:
Utilization Management Assistant information
See Michigan salary details
$25.3K - $28.5K
1% of jobs
$28.5K - $31.7K
4% of jobs
$31.7K - $34.9K
7% of jobs
$37.1K is the 25th percentile. Wages below this are outliers.
$34.9K - $38.1K
18% of jobs
The median wage is $40.4K / yr.
$38.1K - $41.3K
27% of jobs
$43.4K is the 75th percentile. Wages above this are outliers.
$41.3K - $44.5K
28% of jobs
$44.5K - $47.7K
7% of jobs
$47.7K - $50.9K
3% of jobs
$50.9K - $54.2K
2% of jobs
$54.2K - $57.4K
1% of jobs
$57.4K - $60.6K
1% of jobs
$25.3K
$42.2K
$60.6K
How much do utilization management assistant jobs pay per year?
As of Aug 25, 2026, the average yearly pay for utilization management assistant in Michigan is $42,182.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,600.00 and $42,300.00 per year, depending on experience, location, and employer.
What is a utilization management assistant?
A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the key skills and qualifications needed to thrive as a utilization management assistant?
To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.
What are some common challenges utilization management assistants face when working with insurance pre-authorizations?
Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.
Is utilization management assistant a good job?
Utilization Management Assistants support healthcare organizations by reviewing medical records and authorizations to ensure appropriate care and cost management. The role typically requires attention to detail, knowledge of healthcare policies, and proficiency with electronic health records systems. It can offer stable employment with opportunities for advancement in healthcare administration.
What are the most commonly searched types of Utilization Management jobs in Michigan?
The most popular types of Utilization Management jobs in Michigan are:
What cities in Michigan are hiring for Utilization Management Assistant jobs?
Cities in Michigan with the most Utilization Management Assistant job openings:
Utilization Review Nurse
Troy, MI
Healthcare Support Staffing •
Recruiting and Staffing Services • 201 - 500 employees201 - 500 employees
Contractor
Re-posted 27 days ago
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Company: Molina Healthcare
Location: 880 Long Lake Rd Suite 600 Troy, Michigan 48098
Shift: Daytime hours
Employment: Contract: 1-2 months (possibility of going longer depending on business needs)
Company Job Description/Day to Day Duties:
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines
Provider appeals and Utilization reviews and assist with Denial Letters
Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care.
Qualifications
Minimum Education/Qualifications/Licensures:
Must be an RN
Utilization Review background in either Managed Care of Provider environment (at least one year)
Interqual experience
Other basic computer skills necessary: Microsoft Office, Data Entry, etc.
Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.
Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.
Additional Information
Apply now for immediate consideration. After applying, a recruiting consultant will contact you for pre-screening. Please provide your best phone number to contact.
Thanks and look forward to hearing from you!
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003