- Universal Health Services (Auburn Hills, MI)
- Responsibilities Utilization Management - Precertification Specialist HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital sa Joint Commission-accredited and ... information, please visit us at www.havenwyckhospital.com POSITION SUMMARY: The Utilization Management Precertification Specialist has responsibility for… more
- Trinity Health (Farmington Hills, MI)
- …rejection, denial and appeal activities with Ministry Organization (MO) based Utilization Review /Case Management departments; + Reviews and understands ... utilization review and coverage guidelines for multiple payers; + Identifies...and reviews findings with all levels of Payment Resolution Specialist for further review . Serve as a… more
- Henry Ford Health System (Bingham Farms, MI)
- …of pharmacy services, decrease waste, and rework in the region, and improve drug utilization . The Pharmacy Specialist will be instrumental in guiding the further ... GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership for appropriate drug...provided by the primary care team. He/she works with utilization management reports, corporate data stores, and information services… more
- Chenega Corporation (Warren, MI)
- **Req ID:** 31100 **Summary** **IT Specialist ** **Warren, MI** Are you ready to enhance your skills and build your career in a rapidly evolving business climate? Are ... core culture? If so, Chenega Military, Intelligence & Operations Support (MIOS) could be the place for you! Join...in the federal IT and Training environment. The **IT Specialist ** shall perform all duties about Desktop Systems Administrations… 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 FT Days - 2406000956 Description : DMC...at the most appropriate level of care. Performs continuous review of services to assure patient progress and maintains… more
- Corewell Health (Royal Oak, MI)
- …the data collection and review of information gathered for drug utilization review and/or research, quality improvement monitors, adverse drug event ... non-pharmacy personnel to manage and achieve departmental/corporate objectives. Provides support for staff development so that staff meets/exceeds minimum competency… more
- Trinity Health (Farmington Hills, MI)
- …manner possible: + Coordinates follow-up activities with Utilization Review /Case Management/Coding/Nurse Liaison to provide required clinical support , as ... review . Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. Other duties as needed… more
- Trinity Health (Howell, MI)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and ... Stop/Go Reports, Schedules, to facilitate daily patient activity and flow in support of the clinical departments. Analyze completeness and accuracy of records on… more
- Trinity Health (Howell, MI)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and ... Stop/Go Reports, Schedules, to facilitate daily patient activity and flow in support of the clinical departments. Analyze completeness and accuracy of records on… more
- Ghafari (Dearborn, MI)
- …Engineers to track multi-discipline coordination issues, and help facilitate 3D team review meetings . Assist Quality group in ensuring that quality control ... pertain to the use of technologies and workflows on a project . Training/ support /troubleshooting for project team as required . Coordinates with Document Control on… more
- Cummins Inc. (Troy, MI)
- …solving, design review checklist and other specialized tools required to support the processes and enable high quality decision making. + Provides problem ... support to various product engineering groups and provide specialist guidance in application, development, manufacturing, quality of Meritor geared products.… more
- University of Michigan (Ann Arbor, MI)
- …Quality Assurance (NCQA), Healthcare Facilities Accreditation Program (HFAP), and Utilization Review and Accreditation Commission/American Accreditation Health ... appropriate by applying expert knowledge, expertise, and experience. Acting as a specialist in the complex Michigan Medicine credentialing process, has the authority… more
- Cummins Inc. (Troy, MI)
- …solving, design review checklist and other specialized tools required to support the processes and enable high quality decision making. + Provides independent ... success in the role. + Operates as a recognized specialist in a discipline or product area within the...review checklist and other specialized tools required to support product performance, quality, reliability, and customer satisfaction. +… more
- Ross Stores, Inc. (Southgate, MI)
- …and performance management of this team\. Periodically, ALPMs may need to support the response to, recovery from, and future prevention of serious incidents ... Operations, MPT, etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to… more
- University of Michigan (Ann Arbor, MI)
- …tribute records in DART and the internal database Donor Intent (15%) + Review gift agreements, estate documents, and any other relevant establishment documents to ... M-Reports and assists Michigan Medicine units with appropriate fund utilization + Respond to questions or concerns related to...Duties as Assigned (5%) + Under general supervision, provide support for ongoing special projects as they relate to… more
- Cummins Inc. (Troy, MI)
- …design review checklist and other specialized tools required to support the processes and enable high quality decision making. Provides independent leadership ... such as Engineering Standard Work (ESW), iDFMEA, Failure Incident Review Group (FIRG) and tools such as 7-step problem...management of a small, local group of engineers. Provides support and guidance to influence technical direction within a… more
- Cummins Inc. (Troy, MI)
- …subsystems and feature classes of electronic subsystems. * Responsible for review of less-experienced developers/testers' work to ensure robust, reusable, and ... of a small, local group of engineers. * Provides support and guidance to influence technical direction within a...success in the role. * Operates as a recognized specialist in a discipline or product area within the… more
- Trinity Health (Ann Arbor, MI)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and ... Schedules, to facilitate daily patient activity and flow in support of the clinical departments. **REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE**… more