Top 462 Local program coordinator Jobs in Detroit, Mi

Clinical Quality Assurance Coordinator
ExamWorks —Southfield, MI
- $26.50 - $31.00 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Dental insurance
- 401(k)
Quick Apply
Employment Services Coordinator
Downriver Community Conference —Detroit, MI
- From $21.15 an hour
- Full-time
- Background check
- Management
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Patient Coordinator
Akumin —Detroit, MI
- Full-time
- Background check
- Spanish
- CPR Certification
Quick Apply
Service Coordinator
Kone —Detroit, MI
- $72,400 - $95,025 a year
- Full-time
- Customer service
- Mid-level
- Commuter assistance
- Health savings account
Specialty Court Coordinator
Third Judicial Circuit of Michigan —Detroit, MI
- $66,524 a year
- Full-time
- Background check
- Microsoft Outlook
- Addiction Medicine
- Paid holidays
- Health insurance
Community Outreach & Program Coordinator
The Salvation Army Central Territory —Detroit, MI
- Computer literacy
- Mid-level
- Databases
- 403(b) matching
- Paid holidays
Quick Apply
14d
Career Development Facilitator/Career Coach - PATH/FAE&T
Downriver Community Conference —Wyandotte, MI
- From $41,000 a year
- Full-time
- Background check
- Classroom
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Environmental and Safety Coordinator
YAPP USA AUTOMOTIVE SYSTEMS INC —Romulus, MI
- $45,000 - $60,000 a year
- Weekends as needed
- Ability to walk for extended periods
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Special Education Coordinator
Detroit Community Schools —Detroit, MI
- $50,000 - $60,000 a year
- Full-time
- Background check
- Classroom
- Working with individuals with disabilities
- Health savings account
- AD&D insurance
Quick Apply
13d
RN Clinical Coordinator, Inpatient Nursing, Oncology Full Time Nights
Henry Ford Health —Novi, MI
- Full-time
- Nursing
- Blood sampling
- RN License
- Health insurance
- Dental insurance
Certified Occupational Therapy Assistant (COTA)- Supervisor
Work Skills Corporation —Southfield, MI
- From $34 an hour
- No weekends
- Microsoft Excel
- Microsoft Outlook
- Working with individuals with disabilities
- 403(b) matching
- AD&D insurance
Quick Apply
Human Resources Coordinator
YAPP USA AUTOMOTIVE SYSTEMS INC —Romulus, MI
- From $20 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Social Worker, LMSW
Downriver Medical Associates —Wyandotte, MI
- $70,000 - $80,000 a year
- Full-time
- Master of Social Work
- Computer literacy
- English
- Health insurance
- Dental insurance
Quick Apply
Automotive Coordinator
Suburban Automotive Services —Warren, MI
- From $18 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Driver's License
- Disability insurance
- Health insurance
Quick Apply
6h
Lead Respiratory Therapist
Trinity Health Michigan —Pontiac, MI
- 12 hour shift
- Patient monitoring
- Ability to walk for extended periods
- Adults
Quick Apply
Clinical Care Coordinator RN
BrightStar Care —Farmington Hills, MI
- $83,000 - $86,000 a year
- Full-time
- Background check
- RN License
- HIPAA
- Mileage reimbursement
- Disability insurance
Quick Apply
Cash Operations & Finance Coordinator
SSP —Romulus, MI
- $24 an hour
- Full-time
- Mid-level
- Office
- Administrative experience
- AD&D insurance
- Paid holidays
5d
Human Resources Generalist
Select Specialty Hospital - Oakland —Pontiac, MI
- $60,000 - $70,000 a year
- Full-time
- Hospital
- Mid-level
- Bachelor's degree
- Dental insurance
- Paid time off
Quick Apply
Physical Therapist
Concentra —Livonia, MI
- Full-time
- Working with individuals with disabilities
- Computer literacy
- Writing skills
- Continuing education credits
- Commuter assistance
Pharmacist Operations Manager - Pharmacy Technician Leader
Trinity Health Michigan —Pontiac, MI
- Full-time
- Hospital
- 3 years
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
6d

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Clinical Quality Assurance Coordinator

ExamWorks -
Southfield, MI

Quick Apply

Job Details

Full-time
$26.50 - $31.00 an hour

Benefits

Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Anatomy knowledge
Microsoft Excel
Microsoft Outlook
Maintaining patient confidentiality
Basic math
English
Fax machines
Typing
Faxing
Grammar Experience
Medical terminology
Customer complaint resolution

Full Job Description

This role is designed for licensed nursing professionals. To be considered, you must hold an active RN, LPN, or LVN license.

Craving a New Adventure? Flex Your Clinical Skills Right from Your Couch!

Are you a Nurse (LPN, LVN or RN) seeking a role that challenges you, helps you grow, and lets you work from the comfort of your own home? ExamWorks has the perfect opportunity for you!

We’re looking for a Clinical Quality Assurance Coordinator to join our team! In this role, you’ll ensure Peer Review case reports meet the highest standards of quality, integrity, and compliance with client agreements, regulatory guidelines, and federal/state mandates.

We are targeting nurses with:

experience with peer review, clinical documentation review, or medical necessity assessments.
familiarity with CMS guidelines, InterQual, Milliman/MCG, or payer policies.
prior employment with insurance carriers, TPAs, or managed care organizations.

Why This Role Rocks:

100% Remote - Enjoy the flexibility of working from home!
Impactful Work - You’ll play a key role in ensuring the quality and compliance of critical reports.
Schedule - Monday to Friday; 8:30am-5:00pm EST

Responsibilities may include:

Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
Ensure that all client instructions and specifications have been followed and that all questions have been addressed.
Ensure each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
Ensure the appropriate board specialty has reviewed the case in compliance with client specifications or state mandates and is documented accurately on the case report.
Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists.
Ensure the provider credentials and signature are adhered to the final report.
Identify any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.
Assist in resolution of client complaints and quality assurance issues as needed.
Ensure all federal ERISA and state mandates are adhered to at all times.
Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
Promote effective and efficient utilization of company resources.
Participate in various educational and or training activities as required.
Perform other duties as assigned.

High school diploma or equivalent required with a minimum of two years clinical or related field experience; or equivalent combination of education and experience.
Experience in peer review, clinical documentation review, or medical necessity assessments.
Familiarity with CMS guidelines, InterQual, Milliman/MCG, or payer policies.
Prior employment with insurance carriers, TPAs, or managed care organizations.
Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.
Must be a qualified typist with a minimum of 40 W.P.M
Must be able to operate a general computer, fax, copier, scanner, and telephone.
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Must possess excellent skills in English usage, grammar, punctuation and style.
Ability to follow instructions and respond to upper managements’ directions accurately.
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k

#LI-MB1

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Refine Your Search

local program coordinator jobs in detroit, mi

Clinical Quality Assurance Coordinator

Employment Services Coordinator

Patient Coordinator

Service Coordinator

Specialty Court Coordinator

Community Outreach & Program Coordinator

Career Development Facilitator/Career Coach - PATH/FAE&T

Environmental and Safety Coordinator

Special Education Coordinator

RN Clinical Coordinator, Inpatient Nursing, Oncology Full Time Nights

Certified Occupational Therapy Assistant (COTA)- Supervisor

Human Resources Coordinator

Social Worker, LMSW

Automotive Coordinator

Lead Respiratory Therapist

Clinical Care Coordinator RN

Cash Operations & Finance Coordinator

Human Resources Generalist

Physical Therapist

Pharmacist Operations Manager - Pharmacy Technician Leader

I want to receive the latest job alert for local program coordinator in detroit, mi

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