- Integra Partners (Troy, MI)
- …Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES ... The UM Coordinator assists and supports the clinical team (UM...expectations and functions of the UM team + Time Management What will you achieve in the first 12… more
- Henry Ford Health System (Troy, MI)
- …other delegated pharmacist. Facilitates the operations of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy benefit ... management policies and procedures. Major areas of responsibility include...Additional Information + Organization: Community Care Services + Department: Pharmacy- Utilization Mgmt + Shift: Day Job + Union Code:… more
- Henry Ford Health System (Warren, MI)
- …required. + Bachelor of Science Nursing required OR four (4) years Case Management / Appeal/ Utilization Management experience in lieu of bachelor's degree. ... Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered.… more
- Corewell Health (Royal Oak, MI)
- …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... Responsible for managing a case load of patients that includes facilitating utilization management , and/or care coordination during the patient's stay, planning… more
- Henry Ford Health System (Troy, MI)
- …Administration Manual policies and the Master Tiering Database, requests by the Utilization Management Committee and HAP code-related committees, and other ... member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on...work with BCT on coding changes approved by the Utilization Management Committee or leadership. + Work… more
- Trinity Health (Pontiac, MI)
- …provide care to our patients and is publicly reported. The Sepsis Coordinator will educate, provider oversight and ensure these patients receive appropriate ... and nursing staff to meet the necessary objectives of standards of care. The coordinator may be asked to participate in other quality initiatives and projects that… more
- Jacobs (Troy, MI)
- …but we intend to hire the "best" candidates. We are seeking a BIM/VDC Coordinator to support the design and execution of cutting-edge data center projects. This role ... industry trends and emerging technologies in BIM and digital construction. * Improve utilization of point cloud scan data in creating as built models. Collaboration… more
- McLaren Health Care (Grand Blanc, MI)
- …Drug Pricing Program for all qualified entities within the organization. Such management and coordination includes assuring qualifications for the program are met ... program. Works with pharmacists and vendors,to ensure compliance. 5. Achievesmaximum utilization of 340B drugs and pricing through full participationin all qualified… more