Troy, MI · On-site
... utilization * Communicate findings and trends to leadership * Participate in QAPI and quality improvement initiatives as needed * Conduct inter-rater reliability reviews when applicable * Assist with ...
New
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Troy, MI · On-site
... utilization * Communicate findings and trends to leadership * Participate in QAPI and quality improvement initiatives as needed * Conduct inter-rater reliability reviews when applicable * Assist with ...
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 ...
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 ...
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 ...
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 ...
Lansing, MI · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Lansing, MI · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Using BCBA training and behavioral expertise, reviews authorization requests from providers ... assist in clinical services. The UMBA works as part of an interdisciplinary team and is expected to ...
Using BCBA training and behavioral expertise, reviews authorization requests from providers ... assist in clinical services. The UMBA works as part of an interdisciplinary team and is expected to ...
Using BCBA training and behavioral expertise, reviews authorization requests from providers ... assist in clinical services. The UMBA works as part of an interdisciplinary team and is expected to ...
Using BCBA training and behavioral expertise, reviews authorization requests from providers ... assist in clinical services. The UMBA works as part of an interdisciplinary team and is expected to ...
... 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 ...
Troy, MI · On-site
$16/hr
... Assist with the pharmacy utilization review and reporting process Assist provider relations department with educating providers on the health plan's pharmacy process. Qualifications 3+ years of ...
Troy, MI · On-site
$16/hr
... Assist with the pharmacy utilization review and reporting process Assist provider relations department with educating providers on the health plan's pharmacy process. Qualifications 3+ years of ...
Saginaw, MI · On-site
$33 - $39.75/hr
... * Assist with quality improvement initiatives, audits, and regulatory readiness activities ... and utilization review concepts. PREFERRED : * Bachelor's degree in Nursing, Healthcare ...
Saginaw, MI · On-site
$33 - $39.75/hr
... * Assist with quality improvement initiatives, audits, and regulatory readiness activities ... and utilization review concepts. PREFERRED : * Bachelor's degree in Nursing, Healthcare ...
Troy, MI · On-site +1
$24/hr
Identify inventory at risk of exceeding required turnaround times and assist with prioritization ... Apply knowledge of benefit determination, eligibility, authorization requirements, clinical review ...
New
Troy, MI · On-site +1
$24/hr
Identify inventory at risk of exceeding required turnaround times and assist with prioritization ... Apply knowledge of benefit determination, eligibility, authorization requirements, clinical review ...
New
Providing pertinent clinical data to outside agencies as needed to assure compliance with their requirements * Assist with Utilization Review tasks as needed Other duties may be assigned.
Providing pertinent clinical data to outside agencies as needed to assure compliance with their requirements * Assist with Utilization Review tasks as needed Other duties may be assigned.
... assist with Utilization Review tasks as needed. Other duties may be assigned. Responsibilities (25%)* Completion of nursing IOP/PHP assessment for all incoming patients involving biopsychosocial ...
... assist with Utilization Review tasks as needed. Other duties may be assigned. Responsibilities (25%)* Completion of nursing IOP/PHP assessment for all incoming patients involving biopsychosocial ...
Ann Arbor, MI · On-site
$30 - $35/hr
Build a strong occupational therapy assistant program by participating in the following activates ... care, utilization review, case management, administrative staff / department head, and family ...
Ann Arbor, MI · On-site
$30 - $35/hr
Build a strong occupational therapy assistant program by participating in the following activates ... care, utilization review, case management, administrative staff / department head, and family ...
Ann Arbor, MI · On-site
$30 - $35/hr
Build a strong occupational therapy assistant program by participating in the following activates ... care, utilization review, case management, administrative staff / department head, and family ...
Ann Arbor, MI · On-site
$30 - $35/hr
Build a strong occupational therapy assistant program by participating in the following activates ... care, utilization review, case management, administrative staff / department head, and family ...
$28 - $37.25/hr
Build a strong occupational therapy assistant program by participating in the following activates ... care, utilization review, case management, administrative staff / department head, and family ...
$28 - $37.25/hr
Build a strong occupational therapy assistant program by participating in the following activates ... care, utilization review, case management, administrative staff / department head, and family ...
Ann Arbor, MI · On-site
$106K - $137K/yr
... and utilization review processes. In partnership with the supervising physician, the NP/PA ... Current License/Certification as Physician Assistant with the State of Michigan. Experience
Ann Arbor, MI · On-site
$106K - $137K/yr
... and utilization review processes. In partnership with the supervising physician, the NP/PA ... Current License/Certification as Physician Assistant with the State of Michigan. Experience
Lansing, MI · On-site
$130 - $140/hr
Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Lansing, MI · On-site
$130 - $140/hr
Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
$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
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.
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.
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.
The most popular types of Utilization Review jobs in Michigan are:
For Utilization Review Assistant jobs in Michigan, the most frequently searched job titles are:
The top searched job categories for Utilization Review Assistant jobs in Michigan are:
Cities in Michigan with the most Utilization Review Assistant job openings:
Remote OASIS Reviewer
Join Custom Home Health’s Quality team as a contingent OASIS Review Specialist!
We’re looking for detail-oriented clinicians with experience in OASIS review, ICD-10 coding, and home health compliance.
✔ Hybrid Position
✔ Competitive per-chart rate
✔ Collaborative, quality-driven team
Make an impact on patient outcomes—apply today!
About the Role
Custom Home Health is seeking an experienced OASIS Review Specialist to support our Quality team on a contingent, per-chart basis. This fully remote role offers flexibility while allowing you to contribute your expertise in OASIS accuracy, ICD-10 coding, and regulatory compliance.
This is an ideal opportunity for a highly skilled reviewer who values flexibility and is confident working independently while maintaining high-quality standards.
Key Responsibilities
Qualifications
What to Expect
Sourced by ZipRecruiter
201 - 500 Employees
Troy, MI, US
2011
