- Henry Ford Health System (Troy, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution ... Additional Information + Organization: Corporate Services + Department: Central Utilization Mgt + Shift: Day Job + Union Code:...team members is our priority. That's why we offer support in the various components of our team's well-being:… more
- Integra Partners (Troy, MI)
- …processes for UM and Credentialing, including planning, execution, data validation, documentation review , and reporting of findings. + Support external audits as ... The Quality & Accreditation Specialist is responsible for coordinating and maintaining accreditation activities for the Utilization Management (UM) and… more
- General Motors (Warren, MI)
- …VSE on BOM row picking, content and complexity per GVDP Deliverables. + Support DRE application of Tech Specialist -developed Core knowledge documents into ... Description** **What You'll Do (Responsibilities):** + BOM Row Safety and Compliance + Support all field action analysis and product safety activity for rear seat… more
- Molina Healthcare (Sterling Heights, MI)
- …candidate with a RN licensure, Diagnosis-Related Group (DRG) experience, 2 years of Utilization Review and/or Medical Claims Review experience. Knowledge in ... DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that...the specific programs supported by the plan such as utilization review , medical claims review ,… more
- Trinity Health (Livonia, MI)
- …within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional ... directly responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. Ensures that defined goals are… more