- University of Michigan (Ann Arbor, MI)
- Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals ... Specialist has a strong knowledge of medical appeal and...Registration, MiVisit Business services, clinics and ancillary departments. + Review patient medical records and utilize clinical and regulatory… more
- Integra Partners (Troy, MI)
- …do whatever it takes to get things done. PREFERRED SKILLS: + Certification in Utilization Review or Case Management + Experience with health insurance operations ... our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal candidate… more
- Henry Ford Health System (Bingham Farms, MI)
- …of pharmacy services, decrease waste, and rework in the region, and improve drug utilization . The Pharmacy Specialist will be instrumental in guiding the further ... GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership for appropriate drug...provided by the primary care team. He/she works with utilization management reports, corporate data stores, and information services… more
- Tenet Healthcare (Detroit, MI)
- …resolve conflict. Promotes a positive customer relations environment. Coordinates the utilization review function for assigned patients. Performs periodic ... Rehab Care Coordination Specialist Full Time Days - 2406003526 Description :...at the most appropriate level of care. Performs continuous review of services to assure patient progress and maintains… more
- Cummins Inc. (Troy, MI)
- **DESCRIPTION** We are looking for a talented Product Engineering Specialist to join our team specializing in Engineering for our MI, Troy location. **Job Summary:** ... potential failure modes. **Product Function Modeling, Simulation, and Analysis:** + Utilization of Tools: Use computational tools to model and simulate product… more
- Corewell Health (Royal Oak, MI)
- …the data collection and review of information gathered for drug utilization review and/or research, quality improvement monitors, adverse drug event ... non-pharmacy personnel to manage and achieve departmental/corporate objectives. Provides support for staff development so that staff meets/exceeds minimum competency… more
- Corewell Health (Dearborn, MI)
- …the data collection and review of information gathered for drug utilization review and/or research, quality improvement monitors, adverse drug event ... non-pharmacy personnel to manage and achieve departmental/corporate objectives. Provides support for staff development so that staff meets/exceeds minimum competency… more
- Trinity Health (Howell, MI)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and ... Stop/Go Reports, Schedules, to facilitate daily patient activity and flow in support of the clinical departments. Analyze completeness and accuracy of records on… more
- Pfizer (Rochester, MI)
- …and approve deviation reports and change controls. + Provide input to management on utilization , rates, and expenses. + Provide technical support and training on ... stocks, master Cultures Isolates and prepare Cryo vials. + Review testing equipment and ensure electronic systems work properly,...On Premise Last Day to Apply: November 18,2024 Relocation support available The annual base salary for this position… 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