- Henry Ford Health System (Warren, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution ... well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social,… more
- Tenet Healthcare (Detroit, MI)
- …resolve conflict. Promotes a positive customer relations environment. Coordinates the utilization review function for assigned patients. Performs periodic ... Rehab Care Coordination Specialist Full Time Days - 2506003435 Description :...at the most appropriate level of care. Performs continuous review of services to assure patient progress and maintains… more
- Eaton Corporation (Southfield, MI)
- Eaton's Corporate Sector division is currently seeking a Embedded Software Engineer Specialist . This is a hybrid role at our Southfield, MI location. Relocation ... the US is provided for this position. This Embedded Software Engineer Specialist position responsible for the implementation of embedded software solutions for the… more
- Hospice of Michigan (Southfield, MI)
- …work with minimal supervision. + Requires knowledge of quality assessment and utilization review functions, principles and practices. + Theoretical and practical ... of the organization. Provides leadership and expertise to facilitate and support staff competency through best practice teaching, consultation, collaboration and the… more
- Molina Healthcare (Warren, MI)
- …At least 2 years clinical nursing experience, including at least 1 year of utilization review , medical claims review , long-term services and supports (LTSS), ... work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for medical claim and… more
- Molina Healthcare (Warren, MI)
- …nursing experience in claims auditing, quality assurance, recovery auditing, DRG/clinical validation, utilization review and/or medical claims review , or ... Job Summary The RN Lead, DRG Coding/Validation provides lead level support developing diagnosis-related group (DRG) validation tools and process improvements -… more
- Trinity Health (Livonia, MI)
- …within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional ... directly responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. Ensures that defined goals are… more