- Henry Ford Health System (Warren, MI)
- This is a Behavioral Health UR position. Working with insurance companies and CMH for reimbursement. UR experience in behavioral health preferred. Department: ... Social Services @ Henry Ford Warren Campus Full Time- 40 hours per week- day shift 8:00am-4:30pm. No weekends. GENERAL SUMMARY: Coordinates the overall interdisciplinary plan of care for patient, from admission to discharge. Responsibilities: + Creates plan… more
- 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
- Munson Healthcare (Gaylord, MI)
- …advanced gynecologic care to our community and beyond . Additionally , o ur practice is supported by Maternal Fetal Medicine (MFM) physicians from the University ... of Michigan and can be consulted 24/7 or seen in our Traverse City office for ongoing care needs. Call is shared amongst members of the practice and employed laborists . Opportunities are also available to engage in teaching through an FMOB GME program. Join… 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
- 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