- University of Michigan (Ann Arbor, MI)
- …Manager partners with the assigned transplant program(s) medical and surgical physician directors to achieve program goals and objectives **Key responsibilities:** ... solid organ transplant programs + In partnership with program physician /clinical leadership, manage and coordinate program operations including clinical, quality,… more
- Prime Healthcare (Port Huron, MI)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses ... Medical Group which offers patient-centered care through primary and specialty care physician practices located throughout the Blue Water Area. Raising the bar for… more
- YesCare Corp (Port Huron, MI)
- …measures including sentinel event review . + Actively participant of the Utilization Review process and follow proper procedures. + Provides appropriate ... in-service education of staff as requested. Participates in monthly review of quality of care and chart reviews as...quality of care and chart reviews as requested. Sponsors physician assistants or nurse practitioners as required. + Notifies… more
- YesCare Corp (Port Huron, MI)
- …measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. **YesCare Benefits** (only ... and paraprofessional staff. + Ensure and provide on-call services. + Annually review and approve clinical protocols, policies and procedures, and medical disaster… more
- Corewell Health (Grand Rapids, MI)
- …will lead cross-functional efforts, ensuring interdependencies across Network Contracting, Utilization Management, and Billing Policy are effectively managed to ... the vendors that are hired to perform Universal program review and audit functions for Priority Health. Oversee all...care claims Preferred: + Direct experience in hospital or physician billing, or equivalent experience with a managed care… more
- Fresenius Medical Center (Romulus, MI)
- …staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible ... for strong Director and physician relationships and facilitating staff relationships with physicians. +...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,… more
- University of Michigan (Ann Arbor, MI)
- …and prior experience working in Precertification, Coding, Health Information Management or Utilization Review is strongly desired. + Knowledge of Interqual ... scheduled short stay and inpatient admissions to the hospital. The precertification review process includes the application of diagnosis and procedure codes and the… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …staff assignments and promoting staff development. + Responsible for the utilization and continued review of patient care protocols, standards ... adults and significant experience with successful treatment. We provide the full continuum of individualized care, offered in a comfortable, supportive environment.… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …and record relevant] patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... coaching. Responsible for completing focused data collection by the utilization of all clinical reminders as outlined in the...child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below… more
- Corewell Health (Grand Rapids, MI)
- …general direction, is a liaison for health plan initiatives with physician hospital organizations, physician organizations state-wide and community entities. ... programs to ensure objectives are achieved. + Responsible for the analysis, review and dissemination of network performance information, including but not limited to… more