- Henry Ford Health System (Novi, MI)
- Exciting opportunity to join our Motor City Orthopedics department in Novi as a Full Time Day Shift Medical Assistant. Location: Novi Schedule: Full Time Day ... Shift GENERAL SUMMARY: Coordinate the daily operations of a physician practice or health center. + Serve as a...meet the demands of the provider's work schedules. Coordinate utilization of float pool associates and maintains associate payroll… more
- Corewell Health (Royal Oak, MI)
- …- 3601 W 13 Mile Road - Royal Oak Department Name Corp Med Administration Non Physician - CHMG East Employment Type Full time Shift Day (United States of ... and implementation performance evaluations, OPPE/FPPE, etc. Represents APPs to outside review services such as Joint Commission, American College of Surgeons etc.… more
- Trinity Health (Howell, MI)
- …guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the NP/PA ... occupational therapies + Participates in patient care conferences and peer quality review with collaborating physician , consulting medical teams, and other… more
- Trinity Health (Ann Arbor, MI)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and ... (pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and… more
- Trinity Health (Ann Arbor, MI)
- …guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the NP/PA ... **Employment Type:** Full time **Shift:** Night Shift **Description:** **Position Purpose**...+ Participates in patient care conferences and peer quality review with collaborating physician , consulting medical teams,… more
- Sedgwick (Lansing, MI)
- …narcotic use contract with client. + Maintains accurate record system of pharmacy utilization review and complex pharmacy reviews to include cost savings, ... trends, and data collection. + Interacts and coordinates work of physician advisors as needed; performs complex review of cases to identify referral for case… more
- Humana (Lansing, MI)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Humana (Lansing, MI)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- CVS Health (Lansing, MI)
- …to establish a sustainable competitive business advantage by supporting the plan goals. 2. Review , interpret and analyze data and trends at State level in: UM, CM, ... Have oversight of the design, development, and deployment of Care Models and review medical care provided to Enrollees and medical aspects of the Provider Contract.… more
- Humana (Lansing, MI)
- …health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization, ... provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational… more