ZipRecruiter

Log In

1

Weekend Case Management Processor Jobs in Beverly Hills, MI

TH Medical

Director - Case Management

Detroit, MI · On-site

Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials ...

TH Medical

Director - Case Management

Detroit, MI · On-site

Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials ...

TH Medical

Case Management Manager

Detroit, MI

$19.75 - $25.50/hr

... Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in ... Ensures consistent and coordinated delivery of all assigned processes within the hospital. Manages ...

TH Medical

Case Management Manager

Detroit, MI

$19.75 - $25.50/hr

... Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in ... Ensures consistent and coordinated delivery of all assigned processes within the hospital. Manages ...

Bridge Rehabilitation Center Llc

Be Seen First

Horizon Case Management - Field Case Manager

Birmingham, MI · On-site

$20 - $30/hr

Collaborate with the Director of Nursing and case management team to communicate updates from ... No weekends or holidays. Perks of the Job * Health Insurance - Medical, Dental, and Vision coverage ...

Bridge Rehabilitation Center Llc

Be Seen First

Horizon Case Management - Field Case Manager

Birmingham, MI · On-site

$20 - $30/hr

Collaborate with the Director of Nursing and case management team to communicate updates from ... No weekends or holidays. Perks of the Job * Health Insurance - Medical, Dental, and Vision coverage ...

E3 Case Managers, LLC

Be Seen First

Nurse Case Manager

Auburn Hills, MI · On-site

$65K - $75K/yr

... management efforts to maximize patient recovery so they can reach their greatest level of ... E3 processes, procedures, and protocols so clients receive consistent care -Monitor and adjust ...

next page

Showing results 1-20

All JobsCase Management Processor JobsWeekend Case Management Processor JobsWeekend Case Management Processor Jobs in Beverly Hills, MI

Weekend Case Management Processor information

See Beverly Hills, MI salary details

$13

$23

$40

How much do weekend case management processor jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for weekend case management processor in Beverly Hills, MI is $23.66, according to ZipRecruiter salary data. Most workers in this role earn between $18.37 and $25.72 per hour, depending on experience, location, and employer.

What is the difference between Weekend Case Management Processor vs Weekend Medical Coder?

AspectWeekend Case Management ProcessorWeekend Medical Coder
CredentialsTypically requires case management or healthcare certificationsRequires coding certifications like CPC or CCS
Work EnvironmentHealthcare facilities, insurance companies, or case management agenciesHospitals, clinics, or medical billing companies
Employer & IndustryHealthcare and insurance industriesMedical billing and coding industry
Search & Comparison IntentUnderstanding roles in healthcare case managementComparing healthcare coding roles

The Weekend Case Management Processor focuses on coordinating patient care and managing cases, often requiring case management certifications. In contrast, a Weekend Medical Coder specializes in translating medical records into billing codes, requiring coding certifications. Both roles operate in healthcare settings but serve different functions within the industry.

Weekend Case Management Processor jobs near you

Director Case Management

Veracity Ventures Inc.

Detroit, MI • On-site

$120 - $160/hr

Other

Medical, Dental, Retirement

Posted 8 days ago

Job description

Benefits

  • 401(k)

  • 401(k) matching

  • Dental insurance

  • Health insurance

  • Relocation bonus


Director Case Management

Location: Detroit, MI
Job Type: Full-Time


Work Model: Onsite


The Director Case Management is responsible for overseeing utilization management, transition management, care coordination, compliance, and operational leadership of the hospital’s Case Management Department.


This leadership role drives hospital utilization performance improvement, denial prevention, patient throughput efficiency, regulatory compliance, and reimbursement optimization. The ideal candidate will possess strong acute hospital case management leadership experience with expertise in utilization review, payer management, care coordination, and interdisciplinary collaboration.


Work Environment

  • Hospital-based leadership role within a Level I Trauma Center

  • Fast-paced acute care environment

  • Collaboration with physicians, nursing leadership, finance, revenue cycle, ancillary teams, and executive leadership

  • Oversight of utilization management, transition planning, compliance, and care coordination

  • Data-driven operational improvement environment


Key Responsibilities
Department Operations & Leadership

  • Lead and oversee daily operations of the Case Management Department

  • Ensure effective patient throughput and reimbursement optimization

  • Maintain adequate staffing and skill mix across 7-day operations

  • Conduct staff competency evaluations and performance reviews

  • Lead departmental meetings, education sessions, and operational initiatives


Utilization Management

  • Implement and oversee the hospital Utilization Management Plan

  • Ensure accurate and timely medical necessity reviews in compliance with CMS and organizational policies

  • Monitor payer communications, authorizations, denials, and peer-to-peer review processes

  • Analyze Avoidable Days and utilization trends to drive performance improvement

  • Participate in Revenue Cycle and Medicare Performance Improvement initiatives


Transition Management & Care Coordination

  • Ensure timely transition planning assessments within 24 hours of admission

  • Monitor patient placement and discharge planning workflows

  • Support efficient sequencing of consults, procedures, and care delivery

  • Lead Complex Case Review and Patient Care Conference processes

  • Collaborate with interdisciplinary teams to optimize patient outcomes and throughput


Compliance & Regulatory Oversight

  • Ensure compliance with:

    • CMS Conditions of Participation

    • TJC Accreditation Standards

    • Federal and state regulations

    • Organizational policies



  • Implement and monitor compliance with Tenet Case Management practices

  • Support internal and external audit readiness activities


Education & Physician Engagement

  • Provide physician education regarding:

    • Medical necessity

    • Documentation accuracy

    • Regulatory compliance

    • Utilization performance



  • Educate case management staff and healthcare teams on progression of care and transition planning best practices


Must-Have Qualifications

  • Bachelor’s Degree in:

    • Nursing

    • Healthcare-related field
      OR

    • Master’s Degree in Social Work (MSW)



  • Active RN or LCSW/LMSW license

  • Minimum 3–5 years of acute hospital case management leadership experience

  • Strong experience with:

    • Utilization Management

    • Transition Management

    • Care Coordination

    • Denial Prevention

    • Patient Throughput

    • Revenue Cycle collaboration



  • Strong understanding of:

    • CMS Regulations

    • TJC Standards

    • Case Management compliance



#J-18808-Ljbffr

Apply