Saint Joseph Mercy Health System - Livonia, MI3.6

At least 3 years experience in nursing, 1 year experience in either data abstraction, quality improvement or utilization review....

Estimated: $50,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

ICONMA, LLC - Detroit, MI

RN. Prefer candidates with Utilization Review experience, especially using InterQual criteria. Responsible for the approval or denial of admissions requests...

Estimated: $60,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Viki Technologies - Detroit, MI

Assessing resource utilization and cost management; The case manager will document patient profile updates, discuss cases with POD leaders, and schedule case...

$38 an hourSponsored

ICONMA, LLC - Detroit, MI

Utilization review, case management or rehabilitation experience is preferred. Approve or reject claims, admissions approvals, telephone triage, and/or benefits...

Estimated: $57,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Blue Cross Blue Shield of Michigan - Southfield, MI3.8

Organization Utilization Management-2152. Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case...

Estimated: $55,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Cross Blue Shield of Michigan - Southfield, MI3.8

Responsible for prospective, concurrent and retrospective utilization management review of inpatient, residential, partial and outpatient (including IOP)...

Estimated: $52,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Conifer Health Solutions - Detroit, MI3.2

RN (Registered Nurse) license required. Excellent verbal communication skills with the ability to communicate with participants and communicate professionally...

Blue Cross Blue Shield of Michigan - Southfield, MI3.8

Organization Utilization Management-2152. Associate's Degree in Nursing or RN Diploma required. Review operational data on assessment triggers and goals...

Estimated: $54,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Henry Ford Health System - Southfield, MI3.9

Submits the request for review to UM management in cases when the decision is unclear. Reviews and processes requests for out-of-plan services for students away...

Estimated: $58,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

DMC Receiving Hospital - Detroit, MI

Department orientation includes review and instruction regarding Tenet Case Management and Compliance policies, InterQual®, Transition Management, Utilization...

Henry Ford Health System - Southfield, MI3.9

Responsible for investigating Provider Appeal requests and Code Review inquiries for all Utilization Management divisions, including delegated entities....

Estimated: $58,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Beaumont Health - Dearborn, MI3.8

Michigan RN licensure. EC CC may have Emergency Center experience in lieu of Utilization review, Home care or Discharge Planning....

Estimated: $43,000 - $59,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Integra Partners - Bloomfield Hills, MI3.2

RN. Integra’s benefit management division, DMEnsion, is looking for an RN experienced in the managed care payor environment to perform pre-service and post...

Estimated: $53,000 - $73,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Cross Blue Shield of Michigan - Detroit, MI3.8

Ability to review clinical data and develop benefit plan recommendations. Two to four years of health plan experience in Care Management, Utilization Management...

Estimated: $59,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Beaumont Health - Royal Oak, MI3.8

Utilization Appeals Coordinator. RN, LPN or Accredited Record Technologist. Forwards recommendations for physician advisor review to the Utilization/Appeals...

Estimated: $40,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Residential Home Health and Residential Hospice - Troy, MI3.9

Attends and participates in office staff meetings, patient care conferences, record audits, utilization review, performance improvement, in services, workshops,...

Estimated: $56,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Saint Joseph Mercy Health System - Livonia, MI3.6

Michigan RN license Required. An Opportunity to Join our Remarkable Care Team as a Case Manager in the Case Management Department awaits YOU!!!!...

Estimated: $57,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

AmeriHealth Caritas - Southfield, MI3.4

Assist in preparation, coordination, and follow up of Utilization Management audits, such as readiness review and State site visits, pertaining to the...

Estimated: $66,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Beaumont Health - Dearborn, MI3.8

3-5 years clinical nursing experience or 5-7 years clinical LPN experience in Case Management, Quality Management, Utilization Review, Home Care or Discharge...

Estimated: $57,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Molina Healthcare - Troy, MI3.4

Utilization Management Certification (CPHM). May also perform prior authorization reviews and/or related duties as needed....

Estimated: $55,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Henry Ford Health System - Detroit, MI3.9

Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered....

Estimated: $59,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Beaumont Health - Farmington Hills, MI3.8

Michigan RN licensure. EC CC may have Emergency Center experience in lieu of Utilization review, Home care or Discharge Planning....

Estimated: $44,000 - $63,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Henry Ford Health System - Southfield, MI3.9

Three (3) years in the position above, as a RN Lead Project Coordinator, as an Advanced Medicine RN – Catastrophic Care, as a Nurse Associate II RN, as an OR...

Estimated: $63,000 - $86,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Maxim Healthcare Services - Detroit, MI3.6

Participate in Quality Assurance and Utilization review activities, as directed. Maintain accurate and timely patient information, which readily accessible for...

Estimated: $54,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Integra Partners - Bloomfield Hills, MI3.2

RN. Integra’s benefit management division, DMEnsion, is looking for an RN experienced in the managed care payor environment to perform pre-service and post...

Estimated: $53,000 - $73,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Reverence Home Health & Hospice - Grand Blanc, MI3.8

RN. Current RN license in state of practice. In addition, the Quality Improvement Coordinator will coordinate a comprehensive record review program....

Estimated: $46,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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