• Medical Director

    Corewell Health (Grand Rapids, MI)
    …of the guiding principles will be demonstrated through applications of evidence-based utilization review process and application of sound clinical judgement. The ... education skills; evaluation of evidence-based standards of care and application of utilization management skills and strategies. Preferred + LIC- Physician (MD)… more
    Corewell Health (10/25/25)
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  • Medical Director

    Molina Healthcare (Detroit, MI)
    …and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource ... management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care,… more
    Molina Healthcare (10/22/25)
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  • Medical Director (AZ)

    Molina Healthcare (Sterling Heights, MI)
    …and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource ... management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care,… more
    Molina Healthcare (10/17/25)
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  • Field Medical Director, Pain Management

    Evolent (Lansing, MI)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be...Management, you will be a key member of the utilization management team. We can offer you a meaningful… more
    Evolent (09/25/25)
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  • Field Medical Director , Radiology (Urology)

    Evolent (Lansing, MI)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Radiology you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
    Evolent (10/30/25)
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  • Field Medical Director, Oncology

    Evolent (Lansing, MI)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Oncology, you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
    Evolent (08/19/25)
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  • Field Medical Director - Vascular Surgery

    Evolent (Lansing, MI)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Director you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
    Evolent (10/10/25)
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  • Field Medical Director, Cardiology

    Evolent (Lansing, MI)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Director you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
    Evolent (10/01/25)
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  • Psychiatrist- Assistant Chief (Education Debt…

    Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
    …to improve processes to meet the performance measure goals and improve utilization management; serving as a liaison to outside facilities when to coordinate ... Serves as a Mental Health leader for quality improvement initiatives and utilization management related to Psychiatry Service. Plans, coordinates and ensures high… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • RN Clinical Manager

    CenterWell (Portage, MI)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
    CenterWell (09/06/25)
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