Director Case Management
Detroit, MI · On-site
Monitor payer communications, authorizations, denials, and peer-to-peer review processes * Analyze ... Case Management compliance
Quick apply
Director Case Management
Detroit, MI · On-site
Monitor payer communications, authorizations, denials, and peer-to-peer review processes * Analyze ... Case Management compliance
Director Case Management
Detroit, MI · On-site
$120 - $160/hr
Monitor payer communications, authorizations, denials, and peer-to-peer review processes * Analyze ... Case Management compliance #J-18808-Ljbffr
Director Case Management
Detroit, MI · On-site
$120 - $160/hr
Monitor payer communications, authorizations, denials, and peer-to-peer review processes * Analyze ... Case Management compliance #J-18808-Ljbffr
Director Case Management
Detroit, MI · On-site
$103K - $155K/yr
Lead utilization management and medical necessity review processes * Ensure compliance with CMS ... Hospital case management experience required
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Director Case Management
Detroit, MI · On-site
$103K - $155K/yr
Lead utilization management and medical necessity review processes * Ensure compliance with CMS ... Hospital case management experience required
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 ...
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 ...
Director - Case Management
Detroit, MI · On-site
Utilization Management • Implements and monitors processes to ensure medical necessity review ... Five years acute hospital case management experience preferred. McKesson InterQual ® experience ...
Director - Case Management
Detroit, MI · On-site
Utilization Management • Implements and monitors processes to ensure medical necessity review ... Five years acute hospital case management experience preferred. McKesson InterQual ® experience ...
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 ...
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 ...
Integrates national standards for case management scope of services including: • Utilization ... Utilization Management • Implements and monitors processes to ensure medical necessity review ...
Integrates national standards for case management scope of services including: • Utilization ... Utilization Management • Implements and monitors processes to ensure medical necessity review ...
Social Worker Field Case Manager
Bingham Farms, MI · On-site
$28 - $32/hr
At Horizon Case Management Corp, we are dedicated to providing compassionate, patient-centered care ... Educate patients and families on healthcare processes, rights, and available support services.
Social Worker Field Case Manager
Bingham Farms, MI · On-site
$28 - $32/hr
At Horizon Case Management Corp, we are dedicated to providing compassionate, patient-centered care ... Educate patients and families on healthcare processes, rights, and available support services.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
RN Case Manager - Inpatient Case Management - Weekends Only
Detroit, MI · On-site
$70 - $100/hr
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
RN Case Manager - Inpatient Case Management - Weekends Only
Detroit, MI · On-site
$70 - $100/hr
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement ...
In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement ...
Case Management Manager
Detroit, MI · On-site
$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 ...
Case Management Manager
Detroit, MI · On-site
$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 ...
Case Management Manager
$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 ...
Case Management Manager
$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 ...
Case Management Manager
Detroit, MI · On-site
$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 ...
Case Management Manager
Detroit, MI · On-site
$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 ...
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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 ...
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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 ...
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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 ...
Quick apply
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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 ...
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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 ...
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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 ...
Nurse Case Manager II
Warren, MI · On-site
... management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Position Summary: The Case Manager utilizes a collaborative process of assessment ...
Nurse Case Manager II
Warren, MI · On-site
... management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Position Summary: The Case Manager utilizes a collaborative process of assessment ...
Weekend Case Management Processor information
See Beverly Hills, MI salary details
$13.78 - $16.22
6% of jobs
$18.51 is the 25th percentile. Wages below this are outliers.
$16.22 - $18.67
20% of jobs
The median wage is $20.96 / hr.
$18.67 - $21.11
25% of jobs
$21.11 - $23.55
21% of jobs
$24.16 is the 75th percentile. Wages above this are outliers.
$23.55 - $26
9% of jobs
$26 - $28.44
5% of jobs
$28.44 - $30.88
4% of jobs
$30.88 - $33.33
3% of jobs
$33.33 - $35.77
2% of jobs
$35.77 - $38.21
2% of jobs
$38.21 - $40.65
1% of jobs
$13
$23
$40
How much do weekend case management processor jobs pay per hour?
As of Aug 24, 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?
| Aspect | Weekend Case Management Processor | Weekend Medical Coder |
|---|---|---|
| Credentials | Typically requires case management or healthcare certifications | Requires coding certifications like CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or case management agencies | Hospitals, clinics, or medical billing companies |
| Employer & Industry | Healthcare and insurance industries | Medical billing and coding industry |
| Search & Comparison Intent | Understanding roles in healthcare case management | Comparing 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.
Director Case Management
Detroit, MI • On-site
Veracity Ventures Inc.
Full-time
Medical, Dental, Retirement
Posted 10 days ago
Job description
Benefits:
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
Department Operations & Leadership
- 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
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
- 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
- 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
- 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
- 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
- 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