- University of Michigan (Ann Arbor, MI)
- Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals ... Registration, MiVisit Business services, clinics and ancillary departments. + Review patient medical records and utilize clinical and regulatory knowledge… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …and peer review . Participates and facilitates implementation of modern care, utilization of new technologies and new procedures. This includes but is not limited ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA offers a comprehensive total rewards… more
- Corewell Health (Dearborn, MI)
- …of the difference you can make when you join our team at Corewell Health. Full -time, Day Shift Job Summary Physician Assistants (PA) are graduates of an ... auto insurance + Free onsite parking Essential Functions + Utilization of a high degree of discriminative judgement while...recognized PA program that is accredited by the Accreditation Review Commission on Education for Physician Assistants… more
- Corewell Health (Royal Oak, MI)
- …patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2. ... years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + Registered… more
- Corewell Health (Dearborn, MI)
- …patients. + Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). + ... years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + Registered… more
- Tenet Healthcare (Detroit, MI)
- …level of care based on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data ... the following activities: a) accurate medical necessity screening and submission for Physician Advisor review , b) care coordination, c) transition planning… 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 Full Time Days - 2506003435 Description : DMC...at the most appropriate level of care. Performs continuous review of services to assure patient progress and maintains… more
- Munson Healthcare (Traverse City, MI)
- …facilitate the progress of completing complex post-acute services + Interface with utilization review specialists to stay current on patient's eligibility for ... service/interpersonal skills at all times. + Maintains working knowledge/experience in utilization management, managed care, and payer issues that may impact the… more
- Munson Healthcare (Traverse City, MI)
- JOIN MUNSON HEALTHCARE'S WOUND CARE TEAM! Full -Time | Monday-Friday | No Call Munson Healthcare is seeking a Medical Director for Wound Care to oversee clinical ... care provided. The Benefits of Working at Munson + Competitive market-based compensation + Full benefits, paid holidays, and generous paid time off + CME Allowance +… more
- 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
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