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Utilization Review Np Jobs in Rochester, MI (NOW HIRING)

CorsoCare

Nurse Practitioner Hospice - PRN

Milford, MI · On-site

Nurse Practitioner Job Status: PRN Coverage Area: Oakland/Macomb/Milford/Tri-City At CorsoCare we ... This position requires the ability to review detailed documents and read computer screens. The ...

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All JobsUtilization Review Np JobsUtilization Review Np Jobs in Rochester, MI

Utilization Review Np information

See Rochester, MI salary details

$19

$38

$63

How much do utilization review np jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for utilization review np in Rochester, MI is $38.92, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $44.71 per hour, depending on experience, location, and employer.

What are some common challenges utilization review nurse practitioners face when collaborating with healthcare providers and insurance companies?

Utilization Review Nurse Practitioners often navigate the challenge of balancing patient advocacy with payer requirements. They must effectively communicate clinical justifications to both healthcare providers and insurance representatives, sometimes mediating disagreements over the necessity of certain treatments or hospital stays. Staying up-to-date with ever-changing insurance guidelines and ensuring timely documentation can also be demanding, but strong organizational and interpersonal skills help facilitate smooth collaboration and successful patient outcomes.

What does a utilization review nurse practitioner do?

A Utilization Review Nurse Practitioner (NP) evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and regulatory requirements. Utilization Review NPs help coordinate care, prevent unnecessary procedures, and support cost-effective healthcare delivery while ensuring patient safety and quality outcomes.

What are the key skills and qualifications needed to thrive as a utilization review nurse practitioner, and why are they important?

To thrive as a Utilization Review Nurse Practitioner (NP), you need expert clinical judgment, a strong understanding of healthcare regulations, and advanced assessment skills, typically supported by an active NP license and clinical experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are commonly required. Excellent communication, attention to detail, and critical thinking are vital soft skills for effective case evaluations and collaboration with providers. These competencies ensure accurate, efficient reviews that support quality care, compliance, and cost-effective treatment decisions.

What is the difference between Utilization Review Np vs Utilization Review Nurse?

AspectUtilization Review NpUtilization Review Nurse
CredentialsMaster's degree in Nursing, Nurse Practitioner certification, state licensureRegistered Nurse (RN) license, possibly with certification in utilization review
Work EnvironmentHealthcare facilities, insurance companies, utilization review organizationsHospitals, insurance companies, outpatient clinics
Job ResponsibilitiesAssess medical necessity, authorize treatments, make clinical decisions, often with greater autonomyReview medical records, support authorization processes, follow established guidelines

Utilization Review NPs typically have advanced clinical training and greater decision-making authority compared to Utilization Review Nurses. Both roles focus on evaluating medical necessity, but NPs often perform more complex assessments and can make independent recommendations, whereas nurses support the review process under supervision or guidelines.

What are popular job titles related to Utilization Review Np jobs in Rochester, MI? For Utilization Review Np jobs in Rochester, MI, the most frequently searched job titles are:
What job categories do people searching Utilization Review Np jobs in Rochester, MI look for? The top searched job categories for Utilization Review Np jobs in Rochester, MI are:
What cities near Rochester, MI are hiring for Utilization Review Np jobs? Cities near Rochester, MI with the most Utilization Review Np job openings:
Utilization Review Np jobs near you
Infographic showing various Utilization Review Np job openings in Rochester, MI as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 20% Part Time, 10% Temporary, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $80,950 per year, or $38.9 per hour.

Contingent Cardiothoracic OR | Nurse Practitioner / Physician Assistant | Henry Ford Health

Henry Ford Medical Group

Detroit, MI

$107K - $139K/yr

Full-time

Posted 27 days ago

Job description

Location: HF Detroit

Status: Contingent, Day Shift

Setting: Inpatient, OR

Call/Weekends: None

Position Overview:

Henry Ford Health is seeking a contingent Nurse Practitioner or Physician Assistant to join our Cardiothoracic Surgery team. This inpatient, operating room-based role provides care for high-acuity adult cardiac surgery patients and includes endoscopic vein harvesting and first and second assisting in a wide variety of cardiothoracic surgical procedures. The APP will work closely with a collaborative team of cardiothoracic surgeons and surgical staff in a fast-paced, highly specialized environment. Candidates must have prior cardiothoracic surgery experience; new graduates will not be considered.

Employment contingent upon credentialing and completion of Employee Health screening per HFHS policy.

Qualifications:

  • NP or PA graduate from an accredited program
  • Current Michigan licensure
  • E.V.H, required (endoscopic vein harvesting)
  • 1st / 2nd Cardiac Surgery Assisting
  • National certification (ANCC, AANP, or NCCPA)
  • BLS, ACLS, DEA, CSL

Education & Training

         Nurse Practitioner (NP): Completion of a Nurse Practitioner program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC)

         Physician Assistant (PA): Completion of a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)

Licensure

         Current licensure as a Nurse Practitioner, or Physician Assistant in the State of Michigan, or in the process of applying (proof of application required)

Certification

         NP: National certification by a certification body recognized by the State of Michigan (e.g., ANCC, AANP)

         PA: Certification by the National Commission on Certification of Physician Assistants (NCCPA)

Required Certifications

  • Basic Life Support (BLS) - required
  • Advanced Cardiovascular Life Support (ACLS) - required (may be obtained after hire)

DEA / Controlled Substance Licensure

  • PA: DEA and Michigan Controlled Substance License (CSL) required through credentialing
  • NP: DEA registration required through credentialing; NPs do not hold a Michigan CSL and will use their Michigan license number during the application process
Additional Information
  • Organization: Henry Ford Medical Group
  • Department: Surgery Cardiac
  • Henry Ford Health Location: Henry Ford Hospital - Detroit Main Campus 
  • Shift: Variable
  • Union Code: Not Applicable

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