- McLaren Health Care (Petoskey, MI)
- …morning report to Patient Care Services Manager of Nursing Support or UR /Patient Placement Coordinator . 8. Initiates continuous communication with Scheduling ... Office staff. 9. Communicates with ER and PACU frequently to prevent a back up of admissions and to put into place process that might stop a backlog. 10. Participates in the evaluation of the metrics and communicates the information to the appropriate people.… more
- Behavioral Center of Michigan (Detroit, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex ... the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical information...since those duties include all tasks requested by the UR Manager, CEO or Medical Director to meet the… 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
- 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