Pharmacy Coordinator
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 ...
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 ...
... 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 ...
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.
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 ...
... 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
$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
$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 ...
$85 - $110/hr
... * Assist in developing and integrating quality measures and evidence into clinical practice. * Perform initial comprehensive assessments for utilization review, determining appropriate intensity of ...
$85 - $110/hr
... * Assist in developing and integrating quality measures and evidence into clinical practice. * Perform initial comprehensive assessments for utilization review, determining appropriate intensity of ...
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
Grand Rapids, MI · On-site
$86K - $117K/yr
... mapping, utilization review meeting, triple check, etc.) · Oversees improvement plans for RAI ... Assist in ensuring that quality improvement measures are continually maintained. · Maintain an ...
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Grand Rapids, MI · On-site
$86K - $117K/yr
... mapping, utilization review meeting, triple check, etc.) · Oversees improvement plans for RAI ... Assist in ensuring that quality improvement measures are continually maintained. · Maintain an ...
Grand Rapids, MI · On-site
$86K - $117K/yr
... mapping, utilization review meeting, triple check, etc.) • Oversees improvement plans for RAI ... Assist in ensuring that quality improvement measures are continually maintained. • Maintain an ...
Grand Rapids, MI · On-site
$86K - $117K/yr
... mapping, utilization review meeting, triple check, etc.) • Oversees improvement plans for RAI ... Assist in ensuring that quality improvement measures are continually maintained. • Maintain an ...
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 ...
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 ...
Cadillac, MI · On-site
$900/day
Serve on medical staff committees, participate in peer review, quality assurance, and utilization review activities; assist with training and continuing education to OSH staff; maintain ...
Cadillac, MI · On-site
$900/day
Serve on medical staff committees, participate in peer review, quality assurance, and utilization review activities; assist with training and continuing education to OSH staff; maintain ...
Verify documentation supports skilled need, visit utilization, and reimbursement requirements ... delivery. * Assist with resolution of clinical documentation issues impacting patient care or ...
New
Verify documentation supports skilled need, visit utilization, and reimbursement requirements ... delivery. * Assist with resolution of clinical documentation issues impacting patient care or ...
New
Clinical Review Manager Compensation: Salary, processed bi-weekly (26 pay periods). Shift Type: Full-time, on-site, Monday - Friday, with participation in on-call rotations. Benefits: * 100% Company ...
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Clinical Review Manager Compensation: Salary, processed bi-weekly (26 pay periods). Shift Type: Full-time, on-site, Monday - Friday, with participation in on-call rotations. Benefits: * 100% Company ...
Support insurance authorization reviews and documentation standards * Assist with internal clinical ... Previous experience in quality assurance, utilization review, or clinical leadership * Experience ...
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Support insurance authorization reviews and documentation standards * Assist with internal clinical ... Previous experience in quality assurance, utilization review, or clinical leadership * Experience ...
Lansing, MI · On-site
$130 - $145/hr
Serve as the Physician match reviewer in Radiation Oncology and imaging cases, that do not ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Lansing, MI · On-site
$130 - $145/hr
Serve as the Physician match reviewer in Radiation Oncology and imaging cases, that do not ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Serve as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases, that do not initially ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Serve as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases, that do not initially ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Flint, MI · On-site +1
$60K - $82K/yr
Participate in utilization review committee meetings for the purpose of reviewing case records for ... Willingness to support and assist consumers with trauma related issues. * Ensures that all ...
Flint, MI · On-site +1
$60K - $82K/yr
Participate in utilization review committee meetings for the purpose of reviewing case records for ... Willingness to support and assist consumers with trauma related issues. * Ensures that all ...
$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.
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.
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.
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:

$16/hr
Full-time
Re-posted 8 days ago
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!
This person will be supporting the pharmacy department coordinating services.
Receive and respond to provider and pharmacy calls regarding prior authorizations
Track overrides to ensure criteria has been met
Audit prior authorizations
Assist with member inquires related to formulary process
Collaborate with quality improvement department with various meeting preparation and transcription of minutes
Assist with the pharmacy utilization review and reporting process
Assist provider relations department with educating providers on the health plan's pharmacy process.
3+ years of pharmacy experience
Pharm D experience
PDE (Prescription Drug Event) Error resolution experience
High school diploma or equivalent
Advantages of this Opportunity:
Hours for this Position: Monday- Friday 8a-5p
Pay $16.00 per hour, negotiable
Immediate opening, Temp-to-Perm position with excellent benefits offered.
If you are interested, please call, Omar cervantes at 407-478-0332 ext. 129 and email your resume to me.
If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.
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.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003