• Utilization Review Specialist - PRN

    Munson Healthcare (Traverse City, MI)
    …not support hospital level of care to offer alternatives. + Refers cases to the Physician Advisor when documentation is inadequate to support acute level of care ... status and progression of care. + Consults with case manager and/or physician advisor as necessary to resolve progression-of-care barriers through appropriate… more
    Munson Healthcare (02/07/25)
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  • Physician Recruitment Sourcing Specialist…

    McLaren Health Care (Flint, MI)
    …information for profiling of the open positions and represent McLaren Medical Group Physician Recruitment, serving as an advisor and resource to Administration, ... advertisements, email blasts and exhibit materials. + Collaborate with the Physician Recruiters on recruitment strategies for assigned specialties to include… more
    McLaren Health Care (01/13/25)
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  • Disability Representative Sr.

    Sedgwick (Southfield, MI)
    …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
    Sedgwick (03/13/25)
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  • Coding Liaison

    R1 RCM (Detroit, MI)
    …of documentation inconsistencies and DRG variances + Educates the CDI team and Physician Advisor on coding changes, DRGs, Official coding guidelines and ... site customers including CDI, Quality/Risk, Case Management, Patient Advocate's, Physician Advisors, Clinical Departments and Administration. **Responsibilities:** + Completes… more
    R1 RCM (03/11/25)
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  • RN Case Manager Full Time Days

    Tenet Healthcare (Detroit, MI)
    …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning ... of care based on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers… more
    Tenet Healthcare (03/07/25)
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  • RN Case Manager: University Hospital (Care…

    University of Michigan (Ann Arbor, MI)
    …appropriate utilization management venues + Conducts referrals and consultation with Physician Advisor **Professional Development** + Actively participates in ... a comprehensive plan of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary team in the… more
    University of Michigan (03/04/25)
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  • Rehab Care Coordination Specialist Full Time Days

    Tenet Healthcare (Detroit, MI)
    …inappropriate utilization of resources or quality issues to management and to a physician advisor . Identifies non-acute days or delays in discharge and assesses ... causative factors. Establishes and maintains effective relationships with physicians and all other staff members, internally and externally. Identifies problems or any dissatisfaction experienced by any customer or referring source and works to resolve them to… more
    Tenet Healthcare (01/02/25)
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  • Part-Time Practice Performance Advisor

    Evolent (Lansing, MI)
    …more connected care journey. We are hiring for a Part-Time Practice Performance Advisor to join our Evolent Care Partners Performance Team. The Part-Time Practice ... Performance Advisor will serve as the local expert and resource...will travel throughout designated territory to build relationships with physician practices to support physician engagement, clinical… more
    Evolent (01/18/25)
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  • Practice Performance Advisor (Must Reside…

    Evolent (Lansing, MI)
    …your mark on health care. **Collaboration Opportunities:** The Practice Performance Improvement Advisor will serve as the local expert and resource for Evolent Care ... region for value-based care initiatives. The Practice Performance Improvement Advisor will travel throughout designated territory to build relationships with… more
    Evolent (03/04/25)
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  • Practice Performance Advisor (Must Reside…

    Evolent (Lansing, MI)
    Advisor will be primarily responsible for primary care physician IPA (Individual Practice Association and/or MSO (Management Services Organization) engagement ... more connected care journey. We are hiring for a Practice Performance Advisor to join our Provider Relations Team. **Collaboration Opportunities:** The Practice… more
    Evolent (03/09/25)
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  • Physician - Internal Medicine Residency

    Corewell Health (Grand Rapids, MI)
    …healthcare leader, Corewell Health in West Michigan is committed to preparing the physician of tomorrow to best care for our patients and their families. Corewell ... Internal Medicine Residency Program is seeking to add an Internal Medicine Physician provider dedicated to delivering high-quality patient care to their team. Our… more
    Corewell Health (03/11/25)
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  • Registered Nurse

    Hospice of Michigan (Cadillac, MI)
    …and provide patient and family oriented hospice services. Communicates with the Physician , Social Worker and Spiritual Care Advisor to provide assessment ... and technology available, communicates complete and accurate information to attending physician (s), other team disciplines and other departments in a timely manner.… more
    Hospice of Michigan (03/13/25)
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  • Registrar

    Corewell Health (Southgate, MI)
    …and documents on EPIC. Communicate with patients and physician /office regarding authorization/referral requirements. Obtain financial responsibility forms or ... EPIC tools. Provide information for follow up and referral to the Financial Advisor as appropriate. Initiate payment plans and obtain payment, Informs and explains… more
    Corewell Health (03/07/25)
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  • Senior Assistant Corporation Counsel-Transactional…

    City of Detroit (Detroit, MI)
    …department which functions present specialized legal problems; and/or serves as legal advisor and counsel for the City of Detroit agencies, officials and personnel ... plan. You will have to choose a primary care physician that serves within the PCP Focus network. This...serves within the PCP Focus network. This primary care physician coordinates your care. The network includes over 22,000… more
    City of Detroit (02/04/25)
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  • Social Worker Case Manager

    Trinity Health (Grand Haven, MI)
    …to appropriate members of the patient care team. Keeps patient/family, payer/ physician apprised and updated. Communicates specific issues to Case Management Leaders, ... Medical Advisor and hospital leadership as appropriate, including discharge barriers...collaborate with multiple stakeholders to obtain management, colleague, and physician involvement and accountability in achieving specific outcomes. Ability… more
    Trinity Health (01/30/25)
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  • Consulting Senior Director - Healthcare, Supply…

    Huron Consulting Group (Lansing, MI)
    …clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team ... and close contracts for new work. They also cultivate lasting, trusted advisor business relationships which bring forth positive references-and that translates to… more
    Huron Consulting Group (03/04/25)
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  • Principal Performance Measurement Analyst

    Henry Ford Health System (Detroit, MI)
    …tools to perform assigned tasks; interact independently with C-Suite and physician leaders and demonstrates ability to discuss data that leads cross-functional ... Business Intelligence Reporting Specialist, as a Data Analyst, as a Performance Advisor , or in a related occupation; Other Requirements: Experience must have… more
    Henry Ford Health System (02/21/25)
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