Top 23 Utilization management remote Jobs in Michigan

Support Specialist- Utilization Review (Non-Nursing)/Full Time/Remote
Henry Ford Health —Troy, MI
- Full-time
- Remote
- High school diploma or GED
- Continuous improvement
- Home Health
- Health insurance
- Dental insurance
2d
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
Nurse Auditor, Revenue Integrity - (Remote)
Trinity Health —Livonia, MI
- $325,171 - $487,757 a year
- Full-time
- Remote
- Nursing
- Medication administration
- RN License
5d
Utilization Management Nurse Consultant
CVS Health —Michigan
- $26.01 - $68.55 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
2h
Health & Social Services RN - Remote in Michigan
UnitedHealthcare —Southfield, MI
- $28.94 - $51.83 an hour
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Outlook
Utilization Review Specialist (Remote)
Coronis Health —Jackson, MI
- $60,000 - $62,000 a year
- Full-time
- Remote
- LMFT
- Management
- Addiction Medicine
Quick Apply
13d
Auditor, Healthcare Services (Remote in MI)
Molina Healthcare —Detroit, MI
- $26.41 - $51.49 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Analysis skills
- Health insurance
1d
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
Care Management Associate, Engagement Hub
CVS Health —Michigan
- $18.50 - $38.82 an hour
- Weekends as needed
- Remote
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
1d
Case Manager, Registered Nurse - Remote
CVS Health —Michigan
- $60,522 - $142,576 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
1d
Oncology Prior Authorization Specialist
Triarq Practice Services —Royal Oak, MI
- Full-time
- Remote
- Mid-level
Quick Apply
1d
Outpatient Coding Denial and Appeals Specialist
University of Michigan —Ann Arbor, MI
- Full-time
- Remote
- Background check
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Manager, Regional Clinical Nutrition and Wellness - West Region -- Remote
Trinity Health —Livonia, MI
- $98,240 - $147,360 a year
- Full-time
- Remote
- 7 years
- Microsoft Outlook
- Master's degree
- Wellness program
- Opportunities for advancement
VP, Operations
Flourish Health —Ann Arbor, MI
- $175,000 - $200,000 a year
- Full-time
- Remote
- 18 years or older
- Psychiatry
- Adults
- Health insurance
- Dental insurance
Quick Apply
4d
Virtual Speech Language Pathologist (SLP)
Parallel —Michigan Center, MI
- $52 - $68 an hour
- Monday to Friday
- Remote
- School experience
- Writing skills
- Mid-level
Quick Apply
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply
Remote Psychologist - US Location
APN Staffing & Employment Solutions —United States
- $100,000 a year
- Full-time
- Remote
- Word processing
- Writing skills
- Mid-level
Quick Apply
3d
Inpatient Medical Coding Quality Auditor
Pena4 Inc. —United States
- $80,000 - $90,000 a year
- 8 hour shift
- Remote
- 5 years
- US work authorization
- Senior level
- Health insurance
- Dental insurance
Quick Apply
3d

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Licensed Clinical Social Worker (EST)
Tuesday Health —Ohio
Active, unrestricted Licensed Clinical Social Worker (LCSW) license in the applicable state(s). Utilize Tuesday Health’s electronic systems, tools, and…
Up to $90,000 a year
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Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
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utilization management remote jobs near michigan

Support Specialist- Utilization Review (Non-Nursing)/Full Time/Remote

Henry Ford Health -
Troy, MI

Apply Now

Job Details

Full-time
2 days ago

Benefits

Health insurance
Dental insurance
Tuition reimbursement

Qualifications

Computer operation
High school diploma or GED
Computer skills

Full Job Description

GENERAL SUMMARY:

The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials, and additional information requests received from third party payers within the EMR.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

Acts as a subject matter expert in insurance authorization requirements, timeframes, and various revenue cycle related requirements.
Submits all clinical information required by payers.
Responds to payer requests, inquiries, and/or escalates issues to leadership.
Processes, familiarizes, and completes communication forms required by payers.
Works directly with coordinators regarding clinical issues for resolution.
Processes all incoming communication from payers via fax, voicemail, email and mail, appropriately routes information to assigned team members.
Update and load case information to payers as needed.
Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives.
Identify process improvement strategies.
Promotes individual professional growth and development by meeting requirements for mandatory continuing education and supports department goals which contribute to success of the organization.
Perform other duties as requested.

EDUCATION/EXPERIENCE REQUIRED:

High School Diploma/G.E.D.
Working knowledge of computers and software systems
Communication skills, verbal and written, and interpersonal skills necessary to effectively achieve department outcomes.
Minimum one (1) year of experience in healthcare
Experience working in Epic preferred

Additional Information

Organization: Corporate Services
Department: Central Utilization Mgt
Shift: Day Job
Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

Apply Now

Refine Your Search

utilization management remote jobs in michigan

Support Specialist- Utilization Review (Non-Nursing)/Full Time/Remote

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

Nurse Auditor, Revenue Integrity - (Remote)

Utilization Management Nurse Consultant

Health & Social Services RN - Remote in Michigan

Utilization Review Specialist (Remote)

Auditor, Healthcare Services (Remote in MI)

Medical Review Specialist- REMOTE (EST zone)

Care Management Associate, Engagement Hub

Case Manager, Registered Nurse - Remote

Oncology Prior Authorization Specialist

Outpatient Coding Denial and Appeals Specialist

Manager, Regional Clinical Nutrition and Wellness - West Region -- Remote

VP, Operations

Virtual Speech Language Pathologist (SLP)

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

Remote Psychologist - US Location

Inpatient Medical Coding Quality Auditor

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Equal Employment Opportunity/Affirmative Action Employer

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