... 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 ...
Utilization Review- RN
Troy, MI · On-site
... 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 ...
Utilization Review- RN
Troy, MI · On-site
... 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
Provider appeals and Utilization reviews and assist with Denial Letters * Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization ...
RN Utilization Review Nurse
$33 - $37/hr
Provider appeals and Utilization reviews and assist with Denial Letters * Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization ...
... 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 ...
... 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 ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Utilization Specialist
Battle Creek, MI · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Utilization Specialist
Battle Creek, MI · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
... review, protocol updates, and quarterly and end of year activity reports Assist in the development and periodic evaluation of regional clinical practice guidelines Facilitate and support provider ...
New
... review, protocol updates, and quarterly and end of year activity reports Assist in the development and periodic evaluation of regional clinical practice guidelines Facilitate and support provider ...
New
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 ...
DRG assignment * Assist with case mix index (CMI) improvement initiatives * Review complex cases for documentation opportunities that accurately reflect patient acuity Utilization Management & Length ...
... expectations. Assist in meeting operational, financial, and patient satisfaction goals. Timely ... Improved timeliness of case reviews not meeting utilization management screening for inpatient ...
... expectations. Assist in meeting operational, financial, and patient satisfaction goals. Timely ... Improved timeliness of case reviews not meeting utilization management screening for inpatient ...
... expectations. Assist in meeting operational, financial, and patient satisfaction goals. Timely ... Improved timeliness of case reviews not meeting utilization management screening for inpatient ...
... expectations. Assist in meeting operational, financial, and patient satisfaction goals. Timely ... Improved timeliness of case reviews not meeting utilization management screening for inpatient ...
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 ...
Care Management Assistant - ED Navigation
$20.07 - $28.59/hr
The Care Management Assistant is a patient-focused role that manages and optimizes patient care in ... utilization review RNs, revenue cycle, and payers as needed to coordinate processes and research ...
Care Management Assistant - ED Navigation
$20.07 - $28.59/hr
The Care Management Assistant is a patient-focused role that manages and optimizes patient care in ... utilization review RNs, revenue cycle, and payers as needed to coordinate processes and research ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
... utilization review experience • Three years of recent experience doing third party payer certification
New
... utilization review experience • Three years of recent experience doing third party payer certification
New
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Utilization Review Assistant information
See Michigan salary details
$9.29 - $13.51
14% of jobs
$15.67 is the 25th percentile. Wages below this are outliers.
$13.51 - $17.73
22% of jobs
$17.73 - $21.95
13% of jobs
The median wage is $22.44 / hr.
$21.95 - $26.18
14% of jobs
$26.18 - $30.40
11% of jobs
$31.45 is the 75th percentile. Wages above this are outliers.
$30.40 - $34.62
9% of jobs
$34.62 - $38.84
7% of jobs
$38.84 - $43.06
4% of jobs
$43.06 - $47.29
3% of jobs
$47.29 - $51.51
2% of jobs
$51.51 - $55.73
1% of jobs
$9
$27
$55
How much do utilization review assistant jobs pay per hour?
As of Jul 27, 2026, the average hourly pay for utilization review assistant in Michigan is $27.18, according to ZipRecruiter salary data. Most workers in this role earn between $15.41 and $33.35 per hour, depending on experience, location, and employer.
What is a Utilization Review Assistant job?
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
What are the key skills and qualifications needed to thrive in the Utilization Review Assistant position, and why are they important?
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
What does a typical day look like for a Utilization Review Assistant and who do they work with?
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.
What are the most commonly searched types of Utilization Review jobs in Michigan? The most popular types of Utilization Review jobs in Michigan are:
What are popular job titles related to Utilization Review Assistant jobs in Michigan? For Utilization Review Assistant jobs in Michigan, the most frequently searched job titles are:
- Cvs Health Utilization Management
- Weekend Physician Advisor Utilization Review
- Remote Cvs Utilization Management Nurse
- Full Time Physician Advisor Utilization Review
- Utilization Review Physician
- Remote Utilization Management
- Remote Chart Review Nurse
- Evening Utilization Review Nurse
- Night Shift Remote Utilization Review Nurse
- Utilization Management
What job categories do people searching Utilization Review Assistant jobs in Michigan look for? The top searched job categories for Utilization Review Assistant jobs in Michigan are:
- Authorization Utilization Review Bcba
- Manager Optum Utilization Review
- Utilization Review Coordinator
- Flexible Cigna Utilization Review Nurse
- Aetna Utilization Review Nurse
- Optum Utilization Review Nurse
- Cigna Utilization Review Nurse
- Lpn Utilization Review Work From Home
- Dental Utilization Review
- Remote Hca Utilization Review
What cities in Michigan are hiring for Utilization Review Assistant jobs? Cities in Michigan with the most Utilization Review Assistant job openings:
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