- Integra Partners (Troy, MI)
- …Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorizations and appeals. Rate of Pay: ... The UM Coordinator assists and supports the clinical team (UM...allowable quantities or limits. + Strong organizational and time management skills with the ability to prioritize and track… more
- Corewell Health (Southfield, MI)
- …+ Preferred Bachelor's Degree in nursing or related field. + Hospital utilization review/ utilization management experience. Preferred + Clinical appeals ... Location SITE - Beaumont Service Center - 26901 Beaumont Blvd Department Name Utilization Management - CH East Employment Type Part time Shift Day (United States… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… 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
- Trinity Health (Livonia, MI)
- …Shift **Description:** **POSITION SUMMARY:** Provides clinical support within Supply Chain Management for all aspects of supplies and purchase service activities for ... clinical departments. Responsible for identification of utilization and standardization opportunities resulting in supply spend savings and resolution of clinical… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** **Description:** Epic Resolute Certified Application Coordinator **REMOTE: position allows for work remote (90-95%) opportunity** ... **Resolute Certified Application Coordinator experience highly preferred** **POSITION PURPOSE** Responsible for providing primary support and contact for each… more
- Corewell Health (Southfield, MI)
- …part of hospital operations related to bed planning, patient throughput and capacity management . The Mission Control Coordinator has an organization-wide view of ... other departments by removing barriers to patient flow while increasing bed utilization . + Oversight of the day-to-day operations of Mission Control. Provide… 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
- Trinity Health (Livonia, MI)
- …upgrade design process and decision-making. Understanding the workflow for case management and utilization review would be helpful. Recommends innovative ... that support organizational objectives Consults with providers, clinicians, executives and management at all levels in order to provide support for decisions,… more
- Trinity Health (Livonia, MI)
- …that support organizational objectives Consults with providers, clinicians, executives and management at all levels in order to provide support for decisions, ... to colleagues, customers, business owners and all levels of management . Provides specialized guidance for integration, architectures, system selection, strategy,… more
- Trinity Health (Livonia, MI)
- …that support organizational objectives. Consults with providers, clinicians, executives and management at all levels in order to provide support for decisions, ... to colleagues, customers, business owners and all levels of management . Provides specialized guidance for integration, architectures, system selection, strategy,… more
- Corewell Health (Southfield, MI)
- …implementation of strategies for success related quality and process improvement, utilization , and cost. + Manages multiple ambulatory practices in implementing ... Works with ACO data staff to develop reporting procedures that will guide the management of processes and to improve compliance with specified metrics needed to meet… more
- Colliers Engineering & Design (Southfield, MI)
- …marine improvements, water/wastewater transmission, building and vertical project management , park and recreation construction, and condition assessment and ... of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not… more
- Trinity Health (Livonia, MI)
- …assignments for the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator positions, facilitating management of personal time off ... of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator . Working with the Regional Manager, Clinical Documentation Integrity, is… more
- State of Michigan (New Haven, MI)
- …range of technical departmental assignments. The responsibilities require knowledge and utilization of technical methods and techniques to carry out Record Office ... are accurately entered in a timely completion. Uses CMIS (Corrections Management Information System), LEIN (Law Enforcement Information Network), and OMNI (Offender… more