Top 196 Utilization management Jobs in Detroit, Mi

Utilization Management Specialist
Corewell Health —Southfield, MI
- 8 hour shift
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
3d
Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote
Henry Ford Health —Troy, MI
- Full-time
- Remote
- Surgery
- Mid-level
- Home Health
- Health insurance
- Dental insurance
Auditor, Healthcare Services (Remote in MI)
Molina Healthcare —Detroit, MI
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Microsoft Excel
- RN License
- LPC
- Health insurance
2d
Nurse Auditor, Revenue Integrity - (Remote)
Trinity Health —Livonia, MI
- $325,171 - $487,757 a year
- Full-time
- Remote
- Nursing
- Medication administration
- RN License
7d
Utilization Management Coordinator
Corewell Health —Southfield, MI
- Part-time
- Hybrid work
- Nursing
- RN License
- Mid-level
15h
Oncology Prior Authorization Specialist
Triarq Practice Services —Royal Oak, MI
- Full-time
- Remote
- Mid-level
Quick Apply
3d
Utilization Management Clinical Analyst - SUD HYBRID (PCN 1543)
Oakland Community Health Network —Troy, MI
- $56,165 - $70,206 a year
- Full-time
- Hybrid work
- LMFT
- Addiction Medicine
- RN License
Quick Apply
Medical Review Specialist- REMOTE (EST zone)
MEDLOGIX, LLC —Southfield, MI
- $48,000 - $55,000 a year
- Full-time
- Remote
- Word processing
- Computer literacy
- English
Quick Apply
Utilization Management Clinical Analyst HYBRID (PCN 1534)
Oakland Community Health Network —Troy, MI
- $56,165 - $70,206 a year
- Full-time
- Hybrid work
- LMFT
- RN License
- LPC
Quick Apply
10h
Patient Management Coordinator
DMC Rehabilitation Institute of Michigan —Detroit, MI
- Full-time
- Hospital
- Mid-level
- Rehabilitation center
- Health savings account
- Health insurance
Healthcare Clinical Administrator (APP)
EPIC Health System LLC —Southfield, MI
- Full-time
- Mid-level
- Outpatient experience
- 3 years
- Paid holidays
- Health insurance
Quick Apply
Supervisor, Clinical Documentation Integrity (Remote)
Trinity Health —Livonia, MI
- $47.23 - $70.85 an hour
- Extended hours
- Nursing
- Microsoft Outlook
- RN License
Health & Social Services RN - Remote in Michigan
UnitedHealthcare —Southfield, MI
- $28.94 - $51.83 an hour
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Outlook
Insurance Specialist (HHC) - 40 hours/Week - Days
Henry Ford Health —Detroit, MI
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
9d
Quality Improvement Specialist
Corewell Health —Southfield, MI
- Full-time
- Hybrid work
- Mid-level
- Office
- Experience equivalent to degree accepted
7d
Healthcare Operations Manager
HR Alliance —Dearborn, MI
- $70,000 - $80,000 a year
- Full-time
- Applied behavior analysis
- HIPAA
- Mid-level
Quick Apply
Director of Social Work
Brightwell Behavioral Health —Garden City, MI
- Full-time
- Acute care
- Customer service
- Inpatient
Quick Apply
Therapist - Substance Use Disorder
Hegira Health, Inc. —Lincoln Park, MI
- $57,000 - $70,000 a year
- Full-time
- Background check
- Master of Social Work
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
MDS Coordinator
Sheffield Manor Nursing and Rehab —Detroit, MI
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Tuition reimbursement
Quick Apply
Athletic Trainer, Onsite
Concentra Inc —Plymouth, MI
- $45 a year
- Part-time
- CPR Certification
- Writing skills
- BLS Certification
Quick Apply

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utilization management jobs near detroit, mi

Utilization Management Specialist

Corewell Health -
Southfield, MI

Apply Now

Job Details

Part-time
3 days ago

Qualifications

High school diploma or GED

Full Job Description

Location Southfield, Michigan, United States of America Category Allied Health Job Id R219433 Job Type Part time Day (United States of America) CASUAL Hybrid

Job Summary

Under general direction, assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement.

Essential Functions

Understands and accesses insurance websites. Completes required duties as defined for specific payers to obtain authorization numbers for payment.
Provides clerical support for Utilization Management; sorting faxes and mail, obtaining authorization numbers, completing follow-up on outstanding cases, and delivery of letters associated with outpatient or inpatient status.
Utilizes electronic medical record work queues that support Utilization Management functions.
Answers incoming calls or places outbound calls with appropriate communication skills. Triages all calls to the appropriate person for resolution and action or completes appropriate follow-up.
Problem solves issues that are received via phone, fax or email.
Other duties as assigned.

Qualifications

Required

High School Diploma or equivalent

Preferred

2 years of relevant experience healthcare experience
Preferred Post high school training and/or academic coursework leading toward associate’s or bachelor’s degree.

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd

Department Name

Utilization Management - Diversified East WB Mkt

Employment Type

Part time

Shift

Day (United States of America)

Weekly Scheduled Hours

Hours of Work

8:00 a.m. - 4:30 p.m.

Days Worked

Monday - Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

Apply Now

Refine Your Search

utilization management jobs in detroit, mi

Utilization Management Specialist

Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote

Auditor, Healthcare Services (Remote in MI)

Nurse Auditor, Revenue Integrity - (Remote)

Utilization Management Coordinator

Oncology Prior Authorization Specialist

Utilization Management Clinical Analyst - SUD HYBRID (PCN 1543)

Medical Review Specialist- REMOTE (EST zone)

Utilization Management Clinical Analyst HYBRID (PCN 1534)

Patient Management Coordinator

Healthcare Clinical Administrator (APP)

Supervisor, Clinical Documentation Integrity (Remote)

Health & Social Services RN - Remote in Michigan

Insurance Specialist (HHC) - 40 hours/Week - Days

Quality Improvement Specialist

Healthcare Operations Manager

Director of Social Work

Therapist - Substance Use Disorder

MDS Coordinator

Athletic Trainer, Onsite

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