- 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
- Common Ground (Flint, MI)
- …Disabilities Professional (QIDP) defined by the State of Michigan + Certified Utilization Review Professional (URAC), CCM, or similar preferred. Active Michigan ... Exciting Career Opportunity! The Behavioral Health Utilization Management (UM) Specialist is responsible...and care teams to coordinate appropriate treatment plans. + Review prior authorization requests and make determinations or escalate… more
- University of Michigan (Ann Arbor, MI)
- Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals ... Specialist has a strong knowledge of medical appeal and...Registration, MiVisit Business services, clinics and ancillary departments. + Review patient medical records and utilize clinical and regulatory… more
- Henry Ford Health System (Detroit, MI)
- Join Henry Ford Health as a Full Time Pharmacy Specialist - Clinical Informatics. GENERAL SUMMARY: Schedule: Full Time 40 Hour Location: Detroit, Michigan Henry Ford ... Health is seeking a dedicated and knowledgeable Pharmacy Specialist in Clinical Informatics to serve as the primary...(ie Willow) or other IT teams as appropriate, for review , follow-up & resolution. + Performs intake of requests… more
- Henry Ford Health System (Jackson, MI)
- GENERAL SUMMARY: Under general direction, the Respiratory Therapist-Clinical Specialist (RT-CS) provides direction and supervision in the role of on-site Respiratory ... specializes in a care location or patient population. The specialist is the lead or senior practitioner who is...of all Respiratory Therapy patients. Monitors attendance, productivity and utilization of labor, supplies and services in a fiscally… more
- Michigan State University (East Lansing, MI)
- …paths? Join our team of student-centered advising professionals as an Academic Specialist - Advisor at Michigan State University, Office of Undergraduate Education, ... to promote confidence, motivation, and belonging. + Leverage student support systems (like ESAF, SIS, Campus Solutions) to document...to secure a major, and the third as a specialist in exploration. In your cover letter, note which… 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
- Datavant (Lansing, MI)
- …tools. The specialist serves as a key liaison between coding, billing, utilization review , case management, and payer relations to reduce denials and improve ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… 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
- Prime Therapeutics (Lansing, MI)
- …and drives every decision we make. **Job Posting Title** Customer Care Specialist **Job Description** This position is a front-line service position providing ... into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. + Demonstrates flexibility in areas such as job duties… more
- SpartanNash (Wyoming, MI)
- …what you'll do:** + Generate various reports (ie store sales, prescription drug utilization , inventory, etc.) and review with pharmacy procurement team to assist ... Ability to maintain confidential information and data. + Ability to audit and review records and processes and provide analytical reporting. + Ability to analyze… 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
- Corewell Health (Grand Rapids, MI)
- Job Summary Value Analysis is a standardized process aimed at the review and management of clinical products used across an organization. Value Analysis is led from ... at ensuring clinicians have appropriate supplies, implants, and instrumentation which support Corewell Health's commitment to clinical excellence while owning the… more
- Allegan County (Allegan, MI)
- …behavior by coaching and teaching approved theory and therapy techniques. Support youth with emotional and social development, encouraging understanding of others ... violation in the last 12 months. Click here to review entire job description (http://https//www.allegancounty.org/home/showpublisheddocument/16434/638817903195070000) Allegan County is an… more
- Evolent (Lansing, MI)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support . +… more
- Munson Healthcare (Traverse City, MI)
- …and provisions for meeting the total needs of the patient. + The proper utilization of appropriate treatment for patients. + The necessary materials and supplies to ... staff to enhance quality of care, coordinate services and support the Program. The Physician shall also: + Evaluate...the recommendations from the Health System's committees; and + Review written reports of surveys and inspections and make… 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
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …The overall goal of this work will be to provide treatment that will support Veterans in their individual goals for recovery and assist Veterans in becoming ... of Services Delivered: Evaluation of services delivered involves collection and review of systematic, comprehensive, and accurate data necessary to determine changes… 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
- University of Michigan (Ann Arbor, MI)
- …+ Oversee communications, IT services, and facilities management, including space utilization planning, policies, and negotiations + Oversee student services and ... + Approve expenditures, reimbursements, and cash advances + Monitor reconciliations, review financial reports, and ensure compliance with internal controls + Prepare… more