- Behavioral Center of Michigan (Detroit, MI)
- …skills required of the URC since those duties include all tasks requested by the UR Manager, CEO or Medical Director to meet the needs of the Center. Perform ... and processes requests for appeal of denials. Responds to complaints per UR guidelines. Maintains utilization review and appeal logs, as needed. Analyzes patient… more
- Teradyne (Novi, MI)
- …with a ground-breaking technology company in dynamic environment with career advancement UR is the place for you. Our Purpose: TERADYNE, where experience meets ... and learn something new every day. Teradyne Robotics, comprised of Universal Robots ( UR ) and Mobile Industrial Robots (MiR), is a leading provider of collaborative… more
- McLaren Health Care (Flint, MI)
- …nin g , ste r ili za tion, stor agea nd distribution of re us a ble s ur gical instrument a tion a nd e quipm e nt. _Required:_ + High School Diploma or equivalent. ... + Completion of approved Sterile Processing course and certification as a sterile processing technician by the Certification Board for Sterile Processing and Distribution (CBSPD). _Preferred:_ + Prior experience in sterile processing preferred. #LI-JD2 more
- McLaren Health Care (Macomb, MI)
- …g , ste r ili za tion, stor agea nd distribution of re us a ble s ur gical instrument a tion a nd e quipm e nt. **Essential Functions and Responsibilities** **:** 1. ... Decontaminatesand sterilizes instruments, medical suppliesandequipment, andassembles,wrapsand sterilizes trays of instruments.Follows proper standard precautions while in decontamination and sterilizationareas. 2. Monitors biological and chemical wash solution… more
- Select Medical (Mount Clemens, MI)
- …compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure and ... accrediting requirements are fulfilled. + Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms… more
- Corewell Health (Farmington Hills, MI)
- …review cases for medical necessity, uses InterQual and/or other UR /UM Committee-approved medical necessity screening criteria, when appropriate. Works ... collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization for care and appropriate reimbursement. Determines and assures appropriate status and level of care. Uses defined resources to guide… more
- Corewell Health (Royal Oak, MI)
- …review cases for medical necessity, uses InterQual and/or other UR /UM Committee-approved medical necessity screening criteria, when appropriate. Works ... collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization for care and appropriate reimbursement. Determines and assures appropriate status and level of care. Uses defined resources to guide… more
- Munson Healthcare (Traverse City, MI)
- …Healthcare? + Teamwork and suppor t (https://www.youtube.com/watch?v=bf4PW4\_rxuM) - o ur multidisciplinary teams include experienced and new graduate RNs, ... providers, clinicians and support staff who will help you transition to your new role + Nationally-recognized care - Top 100 hospitals, Level II and IV EDs located throughout norther Michiga n with more than 140,000 visits a year , Certified Stroke Center and… more
- Henry Ford Health System (Wyandotte, MI)
- …BSN preferred. * One (1) year of Behavioral Health clinical, intake or UR experience required. Additional Information + Organization: Henry Ford Wyandotte Hospital + ... Department: Adult Psych-WH + Shift: Evening Job + Union Code: Not Applicable Additional Details This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It… more
- Henry Ford Health System (Detroit, MI)
- …department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel in their chosen profession. . Our team ... is committed to the success of our staff, which is why the hospital has contracted with national experts to provide tools and education at no cost to the employee. Be a part of something special: Henry Ford Detroit Hospital is a state-of-the-art academic… more