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Utilization Management Auditor Jobs in Michigan (NOW HIRING)

Medstar Ambulance

$20.75 - $27.75/hr

Operations Manager, Payroll Manager, or Human Resources Director Position Summary The EMS ... auditing, and approving employee timecards to ensure accurate payroll processing. This position ...

Walbridge

Preconstruction Systems Analyst

Detroit, MI · On-site

... management, optimization, and auditing of our core preconstruction technology stack. This role ... Expand the utilization of CMiC within the preconstruction phase, specifically regarding Drawing ...

Walbridge

Preconstruction Systems Analyst

Detroit, MI · On-site

... management, optimization, and auditing of our core preconstruction technology stack. This role ... Expand the utilization of CMiC within the preconstruction phase, specifically regarding Drawing ...

Walbridge

Preconstruction Systems Analyst

Detroit, MI · On-site

... management, optimization, and auditing of our core preconstruction technology stack. This role ... Expand the utilization of CMiC within the preconstruction phase, specifically regarding Drawing ...

LECO Corporation

Accountant

Saint Joseph, MI · On-site

... auditing and maintaining internal controls. This individual will be an integral part of the ... Informational reporting to upper management * Daily use of Oracle and Excel for Accounting ...

LECO Corporation

Accountant

Saint Joseph, MI · On-site

... auditing and maintaining internal controls. This individual will be an integral part of the ... Informational reporting to upper management * Daily use of Oracle and Excel for Accounting ...

Easterseals

Accountant II

Auburn Hills, MI · On-site

Auditing and verifying documents. Preparation of certain internal management information reports ... utilization and other performance related information. Monitors cash flow activity and ensure that ...

Easterseals MORC

Accountant II

Auburn Hills, MI · On-site

Auditing and verifying documents. Preparation of certain internal management information reports ... utilization and other performance related information. Monitors cash flow activity and ensure that ...

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Utilization Management Auditor information

What is the difference between Utilization Management Auditor vs Utilization Review Nurse?

AspectUtilization Management AuditorUtilization Review Nurse
CredentialsTypically requires a nursing license, certifications like CCM or CUCLicensed Registered Nurse (RN), often with additional certifications
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinics, insurance companies, often in clinical settings
Primary FocusAuditing and reviewing utilization data for compliance and cost managementAssessing patient care needs and determining appropriate services

While both roles involve healthcare utilization, the Utilization Management Auditor primarily reviews data for compliance and cost efficiency, whereas the Utilization Review Nurse focuses on patient care assessments. Both require nursing credentials and work within healthcare or insurance settings, but their core responsibilities differ.

What are some common challenges faced by utilization management auditors and how can they be addressed?

Utilization Management Auditors often encounter challenges such as keeping up with constantly changing healthcare regulations and payer requirements, interpreting complex medical documentation, and ensuring compliance with both internal and external policies. To address these challenges, auditors should engage in ongoing professional development, collaborate closely with clinical and administrative teams for accurate information, and make use of robust audit tools and resources. Effective communication and a proactive approach to regulatory changes can help streamline the audit process and maintain high standards of accuracy.

What is a utilization management auditor?

A Utilization Management Auditor is a healthcare professional responsible for reviewing medical records, claims, and utilization data to ensure that healthcare services provided to patients are necessary, appropriate, and comply with established guidelines and policies. They help identify overuse, underuse, or misuse of medical resources and ensure regulatory compliance. Utilization Management Auditors work closely with healthcare providers, insurance companies, and regulatory agencies to improve the quality and cost-effectiveness of patient care.

What are the key skills and qualifications needed to thrive as a utilization management auditor?

To thrive as a Utilization Management Auditor, you need a strong background in healthcare administration, case management, and medical coding, often supported by a clinical degree or certification such as RN, LPN, or RHIA. Familiarity with utilization management software, electronic health records (EHRs), and regulatory standards like CMS guidelines is essential. Analytical thinking, attention to detail, and effective communication are crucial soft skills for identifying compliance issues and collaborating with healthcare teams. These skills ensure accurate audits, regulatory compliance, and optimal resource utilization within healthcare organizations.

What are popular job titles related to Utilization Management Auditor jobs in Michigan?

For Utilization Management Auditor jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Utilization Management Auditor jobs in Michigan look for?

The top searched job categories for Utilization Management Auditor jobs in Michigan are:

What cities in Michigan are hiring for Utilization Management Auditor jobs?

Cities in Michigan with the most Utilization Management Auditor job openings:

Utilization Management Auditor jobs near you
Infographic showing various Utilization Management Auditor job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, and 4% Contract. Highlights an 91% Physical, 4% Hybrid, and 5% Remote job distribution.

Fleet & Equipment Manager (3219)

Ironclad Environmental Solutions

Auburn Hills, MI • On-site

Full-time

Posted 27 days ago

Ironclad Environmental Solutions rating

7.4

Company rating: 7.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

29th of 90 rated recycling and waste

Job description

Job Summary:

The primary responsibilities of the Fleet & Equipment Manager will include overseeing and optimizing the performance and safety of Mersino’s fleet trucks and heavy equipment.  This will include the management and oversight of various aspects of equipment management, operations, maintenance, and training programs. 

Typical Duties and Responsibilities:

  • Manage the acquisition and disposal of vehicles and equipment.
  • Evaluate equipment requests, including vehicle transfer requests within the organization, and make recommendations for transfers, additions, or replacements. 
  • Develop processes to ensure efficient utilization of assets; report on findings and make recommendations on actions to correct any underutilization.
  • Establish, implement, and manage maintenance schedules for all vehicles and equipment, auditing to ensure compliance throughout the organization.
  • Ensure The Mersino Way is a guiding document in all daily activities,

Qualifications:

  • Bachelor's degree in a relevant field or equivalent work experience.
  • Strong knowledge of DOT regulations and compliance.
  • Proven experience in fleet and equipment management, preferably in a similar industry.
  • Excellent organizational and communication skills.
  • Proficiency in computer systems and fleet management software.
  • CDL (Commercial Driver's License) preferred but not required.

Specific Expectations:

  •  A professional demeanor.
  • Excellent written and verbal communication skills.
  • Excellent attention to detail.
  • Excellent analytical and problem-solving skills.
  • Effective communication abilities.
  • Strong time management and organizational skills.
  • The ability to work under pressure to meet deadlines.
  • The ability to work a flexible schedule to meet job requirements.
  • Required intermittent periods during which continuous physical exertion is required, such as walking, standing, stooping, climbing, lifting material or heavy equipment, some of which may be heavy or awkward.

 

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. 

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