Utilization Manager Jobs in Troy, MI (NOW HIRING)

Assess need and provide education to IDT staff regarding authorization processing and management to ... Minimum 2 years' experience in a managed care environment, preferably in a utilization related role;

Assess need and provide education to IDT staff regarding authorization processing and management to ... Minimum 2 years' experience in a managed care environment, preferably in a utilization related role.

Onsite The Director Case Management is responsible for overseeing utilization management, transition management, care coordination, compliance, and operational leadership of the hospital's Case ...

Onsite The Director Case Management is responsible for overseeing utilization management, transition management, care coordination, compliance, and operational leadership of the hospital's Case ...

Care Management Daily Work Times: 0800-1600 Shift : Days Scheduled Bi-Weekly Hours: 80 Benefits ... resource utilization, preventing readmissions and unnecessary emergency room visits. Works ...

Care Management Daily Work Times: 0800-1600 Shift : Day Scheduled Bi-Weekly Hours: 80 Benefits: • ... resource utilization, preventing readmissions and unnecessary emergency room visits. Works ...

Care Management Daily Work Times: 0800-1600 Shift : Days Scheduled Bi-Weekly Hours: 80 Benefits ... resource utilization, preventing readmissions and unnecessary emergency room visits. Works ...

Lead utilization management and medical necessity review processes * Ensure compliance with CMS regulations and Joint Commission standards * Manage patient transition planning and discharge ...

Summary Description Oversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources ...

Utilization Management supporting medical necessity and denial prevention. Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction. Care ...

The Physician Advisor is a physician serving the hospital through teaching, consulting, and advising the care management and utilization review departments and hospital leadership. The Physician ...

The Physician Advisor is a physician serving the hospital through teaching, consulting, and advising the care management and utilization review departments and hospital leadership. The Physician ...

The Physician Advisor is a physician serving the hospital through teaching, consulting, and advising the care management and utilization review departments and hospital leadership. The Physician ...

Utilization Management supporting medical necessity and denial prevention. Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction. Care ...

Utilization Management supporting medical necessity and denial prevention. Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction. Care ...

Integrates national standards for case management scope of services including: • Utilization Management supporting medical necessity and denial prevention • Transition Management promoting ...

Utilization Management supporting medical necessity and denial prevention. Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction. Care ...

Utilization Management supporting medical necessity and denial prevention. Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction. Care ...

Experience in utilization management/case management, critical care, or patient outcomes/quality ... management * Certification in Case Management Certification (ACM or CCM) * Basic Life Support (BLS ...

Minimum of 3 years of utilization management or utilization review experience in an acute care, health plan, or managed care setting preferred. * Demonstrated proficiency in the application and ...