Proficiency in intake assessments, treatment planning, discharge planning, utilization review, and case management. Join our team and make a meaningful impact on the lives of those we serve through ...
Quick apply
Proficiency in intake assessments, treatment planning, discharge planning, utilization review, and case management. Join our team and make a meaningful impact on the lives of those we serve through ...
Participates in utilization review of medical records as assigned. 19. Gives total patient care as needed. 20. Takes on-call duty nights, weekends and holidays, as assigned. 21. Completes and submits ...
Participates in utilization review of medical records as assigned. 19. Gives total patient care as needed. 20. Takes on-call duty nights, weekends and holidays, as assigned. 21. Completes and submits ...
Registered Nurse
West Bloomfield, MI · On-site
Participates in utilization review of medical records as assigned. 19. Gives total patient care as needed. 20. Takes on-call duty nights, weekends and holidays, as assigned. 21. Completes and submits ...
Registered Nurse
West Bloomfield, MI · On-site
Participates in utilization review of medical records as assigned. 19. Gives total patient care as needed. 20. Takes on-call duty nights, weekends and holidays, as assigned. 21. Completes and submits ...
Participates in utilization review of medical records as assigned. 19. Gives total patient care as needed. 20. Takes on-call duty nights, weekends and holidays, as assigned. 21. Completes and submits ...
Participates in utilization review of medical records as assigned. 19. Gives total patient care as needed. 20. Takes on-call duty nights, weekends and holidays, as assigned. 21. Completes and submits ...
Flex Clinical Pharmacist
Brighton, MI · On-site
$113K - $135K/yr
Documents clinical interventions, participates in quality assurance monitors, drug utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as assigned. Consults with ...
Flex Clinical Pharmacist
Brighton, MI · On-site
$113K - $135K/yr
Documents clinical interventions, participates in quality assurance monitors, drug utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as assigned. Consults with ...
Flex Clinical Pharmacist
Brighton, MI · On-site
$113K - $135K/yr
Documents clinical interventions, participates in quality assurance monitors, drug utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as assigned. Consults with ...
Flex Clinical Pharmacist
Brighton, MI · On-site
$113K - $135K/yr
Documents clinical interventions, participates in quality assurance monitors, drug utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as assigned. Consults with ...
Flex Clinical Pharmacist
Brighton, MI · On-site
$113K - $135K/yr
Documents clinical interventions, participates in quality assurance monitors, drug utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as assigned. Consults with ...
Flex Clinical Pharmacist
Brighton, MI · On-site
$113K - $135K/yr
Documents clinical interventions, participates in quality assurance monitors, drug utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as assigned. Consults with ...
Flex Clinical Pharmacist
Brighton, MI · On-site
$113K - $135K/yr
Documents clinical interventions, participates in quality assurance monitors, drug utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as assigned. Consults with ...
Flex Clinical Pharmacist
Brighton, MI · On-site
$113K - $135K/yr
Documents clinical interventions, participates in quality assurance monitors, drug utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as assigned. Consults with ...
RN Field Case Manager
Howell, MI · On-site
$73K - $92K/yr
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays, as assigned. * Completes and submits OASIS ...
RN Field Case Manager
Howell, MI · On-site
$73K - $92K/yr
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays, as assigned. * Completes and submits OASIS ...
RN Field Case Manager
$73K - $92K/yr
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays, as assigned. * Completes and submits OASIS ...
Quick apply
RN Field Case Manager
$73K - $92K/yr
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays, as assigned. * Completes and submits OASIS ...
RN Field Case Manager
Novi, MI · On-site
$73K - $93K/yr
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays, as assigned. * Completes and submits OASIS ...
RN Field Case Manager
Novi, MI · On-site
$73K - $93K/yr
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays, as assigned. * Completes and submits OASIS ...
RN Field Case Manager
Gaines, MI · On-site
$65K - $83K/yr
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays, as assigned. * Completes and submits OASIS ...
RN Field Case Manager
Gaines, MI · On-site
$65K - $83K/yr
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays, as assigned. * Completes and submits OASIS ...
Engineering Manager
Corunna, MI · On-site
$120K - $130K/yr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
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Engineering Manager
Corunna, MI · On-site
$120K - $130K/yr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
Engineering Manager
Corunna, MI · On-site
$120K - $130K/yr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
Quick apply
Engineering Manager
Corunna, MI · On-site
$120K - $130K/yr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
Engineering Manager
Owosso, MI · On-site
$120K - $130K/yr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
Quick apply
Engineering Manager
Owosso, MI · On-site
$120K - $130K/yr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
Engineering Manager
Corunna, MI · On-site
$125 - $150/hr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
New
Engineering Manager
Corunna, MI · On-site
$125 - $150/hr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
New
Engineering Manager
Owosso, MI · On-site
$120K - $130K/yr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
Quick apply
Engineering Manager
Owosso, MI · On-site
$120K - $130K/yr
Reviews and issues manufacturing engineering cost estimates (methods, equipment and manpower utilization) process as applicable. * Assists in fiscal year budget preparation, planning and defining ...
MDS Part Time RN
$34.50 - $41.75/hr
Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B and insurance patients * Review Triple Check components daily, weekly and monthly to assure ...
MDS Part Time RN
$34.50 - $41.75/hr
Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B and insurance patients * Review Triple Check components daily, weekly and monthly to assure ...
MDS Part Time RN
West Bloomfield, MI · On-site
$33 - $43.25/hr
Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B and insurance patients * Review Triple Check components daily, weekly and monthly to assure ...
MDS Part Time RN
West Bloomfield, MI · On-site
$33 - $43.25/hr
Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B and insurance patients * Review Triple Check components daily, weekly and monthly to assure ...
MDS Part Time RN
West Bloomfield, MI · On-site
$34.50 - $41.75/hr
Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B and insurance patients * Review Triple Check components daily, weekly and monthly to assure ...
Quick apply
MDS Part Time RN
West Bloomfield, MI · On-site
$34.50 - $41.75/hr
Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B and insurance patients * Review Triple Check components daily, weekly and monthly to assure ...
Utilization Reviewer information
See Howell, MI salary details
$29K - $30.1K
3% of jobs
$30.1K - $31.2K
14% of jobs
$32K is the 25th percentile. Wages below this are outliers.
$31.2K - $32.3K
12% of jobs
$32.3K - $33.4K
12% of jobs
$33.4K - $34.5K
9% of jobs
The median wage is $34.6K / yr.
$34.5K - $35.6K
5% of jobs
$35.6K - $36.7K
0% of jobs
$36.7K - $37.9K
3% of jobs
$37.9K - $39K
9% of jobs
$39.4K is the 75th percentile. Wages above this are outliers.
$39K - $40.1K
20% of jobs
$40.1K - $41.2K
13% of jobs
$29K
$35.6K
$41.2K
How much do utilization reviewer jobs pay per year?
As of Sep 7, 2026, the average yearly pay for utilization reviewer in Howell, MI is $35,552.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,800.00 and $39,300.00 per year, depending on experience, location, and employer.
What does a utilization reviewer do?
A Utilization Reviewer is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient records, treatment plans, and insurance policies to ensure that care meets established guidelines and standards. Their role helps control healthcare costs while maintaining quality patient care and ensuring compliance with regulatory requirements. Utilization Reviewers often communicate with healthcare providers, insurance companies, and patients to gather information and make informed decisions.
What does a utilization reviewer do?
There are different types of Utilization Reviewer jobs, including Nurse Utilization Reviewers, Insurance Utilization Reviewers, Speech Therapy, Physical Therapy, and Occupational Therapy Utilization Reviewers. Regardless of the area of focus, a Utilization Reviewer is responsible for setting best practices, reviewing healthcare program requirements, ensuring the quality of care, controlling costs, and developing and implementing initiatives for review processes. Utilization Reviewers ensure compliance of programs, regularly audit patient and client records, work with staff to implement best practices and correct problem areas, monitor industry trends, and remain up-to-date and train others on industry standards and requirements.
What are the key skills and qualifications needed to thrive as a utilization reviewer?
To thrive as a Utilization Reviewer, you need a clinical background (such as RN or LCSW), in-depth knowledge of medical terminology, and an understanding of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or URAC accreditation is typically required. Strong critical thinking, attention to detail, and effective communication skills help in evaluating patient care and collaborating with providers. These competencies are crucial for ensuring appropriate, cost-effective care while maintaining compliance with healthcare standards.
How does a utilization reviewer typically collaborate with healthcare providers to ensure appropriate patient care?
Utilization Reviewers work closely with physicians, nurses, and other healthcare professionals to assess the necessity and efficiency of medical services provided to patients. They review clinical documentation, verify that treatments meet established guidelines, and may discuss care plans directly with providers to clarify information or suggest alternatives. This collaboration ensures that patients receive appropriate care while controlling costs and complying with insurance or regulatory requirements. Effective communication and a thorough understanding of medical protocols are essential for success in this role.
What is the difference between Utilization Reviewer vs Medical Coder?
| Aspect | Utilization Reviewer | Medical Coder |
|---|---|---|
| Required Credentials | Typically requires healthcare-related certifications, such as RHIT, RHIA, or CPC | Usually requires coding certifications like CPC, CCS, or CCS-P |
| Work Environment | Healthcare facilities, insurance companies, or utilization review organizations | Hospitals, clinics, or medical billing companies |
| Employer & Industry Usage | Used in insurance, managed care, and healthcare administration | Used in medical billing, coding, and health information management |
While both roles work within healthcare settings, Utilization Reviewers focus on evaluating the necessity of medical services for insurance and care management, whereas Medical Coders translate medical records into standardized codes for billing and documentation. Understanding these differences helps professionals choose the right career path or job search focus.
How do I become a utilization review nurse?
To become a utilization review nurse, you typically need to hold a registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional Utilization Review (CPUR) or Certified Case Manager (CCM) can enhance job prospects, and strong knowledge of healthcare policies and documentation is essential.
Is utilization review a good job?
Utilization reviewers evaluate medical necessity and appropriateness of healthcare services, often working in healthcare or insurance settings. The role requires attention to detail, knowledge of healthcare policies, and sometimes certification, with typical schedules being standard business hours. It can offer stable employment and opportunities for advancement in healthcare administration.
More about Utilization Reviewer jobs
What are popular job titles related to Utilization Reviewer jobs in Howell, MI?
For Utilization Reviewer jobs in Howell, MI, the most frequently searched job titles are:
What job categories do people searching Utilization Reviewer jobs in Howell, MI look for?
The top searched job categories for Utilization Reviewer jobs in Howell, MI are:
What cities near Howell, MI are hiring for Utilization Reviewer jobs?
Cities near Howell, MI with the most Utilization Reviewer job openings:
Licensed Social Worker (LMSW) & Limited License Social Worker (LLMSW)
South Lyon, MI • On-site
Full-time
Medical, Retirement, PTO
Re-posted 13 days ago
Job description
Benefits:
About Us:
Rushton Recovery provides Medical Detox and Residential treatment services in the heart of South Lyon, MI. With a dedicated team of medical and therapeutic professionals, we offer 24/7 support during detox, individualized treatment plans for lasting recovery, and expertise in addressing the underlying symptoms of addiction.
Our 30+ acre campus offers evidence-based treatment in a structured and spacious environment. We offer a wide variety of therapeutic, recreational, and mindfulness services to promote the healing process.
Our goal is to treat individuals, educate their families, and promote health through healing the mind, body, and spirit.
Required Skills & Qualifications:
Overview
We are seeking a dedicated and compassionate Licensed (LMSW) or Limited License Social Worker (LLMSW) to join our team. The ideal candidate will possess a strong background in substance abuse, providing essential support to individuals and families facing various challenges. This role involves delivering high-quality patient care through individual and group therapy sessions, as well as collaborating with other healthcare professionals to ensure comprehensive treatment plans.
Contingent -including weekends, holidays
Qualifications
- 401(k)
- Paid time off
About Us:
Rushton Recovery provides Medical Detox and Residential treatment services in the heart of South Lyon, MI. With a dedicated team of medical and therapeutic professionals, we offer 24/7 support during detox, individualized treatment plans for lasting recovery, and expertise in addressing the underlying symptoms of addiction.
Our 30+ acre campus offers evidence-based treatment in a structured and spacious environment. We offer a wide variety of therapeutic, recreational, and mindfulness services to promote the healing process.
Our goal is to treat individuals, educate their families, and promote health through healing the mind, body, and spirit.
Required Skills & Qualifications:
Overview
We are seeking a dedicated and compassionate Licensed (LMSW) or Limited License Social Worker (LLMSW) to join our team. The ideal candidate will possess a strong background in substance abuse, providing essential support to individuals and families facing various challenges. This role involves delivering high-quality patient care through individual and group therapy sessions, as well as collaborating with other healthcare professionals to ensure comprehensive treatment plans.
Contingent -including weekends, holidays
Qualifications
- Master’s degree in Social Work (MSW) from an accredited institution.
- Prefer experience in addiction/substance abuse.
- Strong skills in mental health counseling, patient care, clinical counseling, and social work practices.
- Proficiency in facilitating group therapy and individual group counseling sessions.
- Excellent communication skills, both verbal and written, with the ability to build rapport with clients effectively.
- Commitment to providing empathetic care while maintaining professional boundaries.
- CAADC or willingness to start a development plan.
- Proficiency in intake assessments, treatment planning, discharge planning, utilization review, and case management.