Top 17 Utilization management Jobs in Kingsford, Mi

Care Manager
Northpointe Behavioral Healthcare System —Kingsford, MI
- $49,073.59 - $68,205.31 a year
- Full-time
- Nursing
- RN License
- Mid-level
Advanced Medical Support Assistant (EHRM)
US Veterans Health Administration —Iron Mountain, MI
- $49,846 - $64,800 a year
- Online Application
- Background check
- Writing skills
- Pass drug screening
1h
Registered Nurse (RN) - Primary Care
US Veterans Health Administration —Iron Mountain, MI
- $69,918 - $131,481 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
13h
Registered Nurse (RN) Float Pool (PM Shift)
US Veterans Health Administration —Iron Mountain, MI
- $69,918 - $131,481 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Loan repayment program
9d
Registered Nurse (RN) Float Pool (Night Shift)
US Veterans Health Administration —Iron Mountain, MI
- $69,918 - $131,481 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Loan repayment program
9d
Registered Nurse (RN) Community Living Center (PM Shift)
US Veterans Health Administration —Iron Mountain, MI
- $69,918 - $131,481 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Loan repayment program
2d
Registered Nurse (RN) - Community Living Center (Night Shift)
US Veterans Health Administration —Iron Mountain, MI
- $69,918 - $131,481 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Loan repayment program
2d
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance

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Advanced Medical Support Assistant (EHRM)
US Veterans Health Administration —Iron Mountain, MI
Provides advisory and technical assistance to Veterans and staff in answering questions. HCP include all VA licensed and unlicensed, clinical and administrative…
$49,846 - $64,800 a year
1h

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Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
Quick Apply
2d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Conducts utilization reviews of behavioral health cases to determine medical necessity…
7d

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Care Manager

Northpointe Behavioral Healthcare System -
Kingsford, MI

Apply Now

Job Details

Full-time
$49,073.59 - $68,205.31 a year

Qualifications

Bachelor's degree

Full Job Description

Description:

Northpointe is a Community Mental Health (CMH) organization providing services to individuals with serious mental illness, emotional disturbance, substance abuse disorders, and intellectual/developmental disabilities across Iron, Dickinson, and Menominee counties in the UP of Michigan. Northpointe itself was established in 1995 but has roots as a CMH dating back to 1964. Our presence can be found through remote emergency services, in school and home-based programs, and in clinical and residential home settings.

Job Purpose

We are looking for a passionate, driven individual to join our team as a Behavioral Health Care Manager to work at our Dickinson County location. This role assists individuals with intellectual/developmental disabilities and/or serious mental illness through linking and coordinating to services and support systems. The goal of the Care Manager is to help individuals achieve maximum independence through person-centered planning by developing natural supports, obtaining medically necessary services, connecting to community resources, and to establish the foundation to recovery.

Job Duties and Responsibilities

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by the supervisor.

Essential Duties

Coordinates an ongoing assessment process to identify individual's strengths, abilities, disabilities, and needs based upon the utilization of diagnostic, evaluative, and progress reports.
Assists the individual in achieving maximum independence with medications and adherence to prescribed medications.
Utilizes person-centered planning practices in delivery of services to individuals.
Develops an individual plan of service with provision for linkages to other services based on the needs of the individual including residential, day program, rehabilitative services, DHHS, Social Security, etc.
Facilitates all treatment team meetings and assumes the final responsibility for organization and implementation of the individual plan of service.
Provides an ongoing process of treatment monitoring of services being delivered to an individual, assessing whether they are adequate for the needs of the individual and plan of service. This includes assessment of clinical outcome and individual satisfaction.
Links individual and individual's family to other community resources.
Conducts case transfers and case terminations in accordance with Northpointe policy and procedure.
Complies with the policies/procedures of the agency, licensing requirements, and the Medicaid Provider Manual.
Prepares for the Behavior Management Committee and participates in the committee as needed on a case-by-case basis.
Provides educational services to individuals, family members, guardians, and staff about intellectual/developmental disabilities, mental illness, specific treatment issues and recovery.
Provides advocacy for the individual to ensure needs are addressed and rights are protected.
Develops an individual safety plan of service with provision for linkages to other services based on the needs of the individual.
Completes and maintains accurate, timely required documentation per Northpointe’s documentation policies/procedures as verified through electronic monitoring; chart audits and applicable ELMER reports (unsigned documents, progress note timeliness, late IPOS, etc.). Completes documentation tasks electronically whenever possible (ex: capturing electronic signatures, etc.).

Requirements:

This position will actively support the mission, vision, and values of the agency.

Education, Certifications, and/or Experience

Bachelor's degree in social work (BSW), registered nurse, or bachelor’s degree in a human services area
Michigan license requirements
Limited Licensed Bachelor’s Social Worker or Licensed Bachelor’s Social Worker (Social Workers must obtain full licensure (i.e., LBSW) within 6 months of being eligible for such licensure)
Licensed Registered Nurse
Registered Social Services Technician (for Bachelor’s in Human Services degrees)
Experience working with individuals with a developmental/intellectual disability and/or mental illness preferred.
Fully Licensed eligible for a higher pay scale than shown below.

Apply Now

Refine Your Search

utilization management jobs in kingsford, mi

Care Manager

Advanced Medical Support Assistant (EHRM)

Registered Nurse (RN) - Primary Care

Registered Nurse (RN) Float Pool (PM Shift)

Registered Nurse (RN) Float Pool (Night Shift)

Registered Nurse (RN) Community Living Center (PM Shift)

Registered Nurse (RN) - Community Living Center (Night Shift)

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Family Medicine Medical Director Utilization Management

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