- Henry Ford Health System (Detroit, MI)
- The Medical Director of Utilization Review is responsible for the medical oversight of activities related to appropriateness of Henry Ford Hospital ... of hospital resources, and continued stays of inpatients. The Medical Director of utilization review will ensure the most efficient use of the… more
- Behavioral Center of Michigan (Detroit, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex ... and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart...all tasks requested by the UR Manager, CEO or Medical Director to meet the needs of… more
- Molina Healthcare (Detroit, MI)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Corewell Health (Royal Oak, MI)
- …leader to further advance the clinical, educational and research missions as the Medical Director of the Mickey Shapiro 2 East Cardiovascular Intensive Care ... plan for CV Surgery and Advanced Heart Failure. The Medical Director partners with faculty from Cardiac...of federal and state laws and regulations relating to utilization management operations + Ability to cultivate a service-oriented… more
- Black & Veatch (Ann Arbor, MI)
- **Global Benefits Director ** Date: Oct 22, 2024 Location: Overland Park, KS, US US Company: Black & Veatch Family of Companies **Together, we own our company, our ... and perspectives to use. **The Opportunity** The **Global Benefits Director ** will have the opportunity to: + Lead the...as well as wellness and voluntary benefits plans + Review and rationalize global benefits programs to meet local… more
- Sunrise Senior Living (Troy, MI)
- …a big breath of fresh air."_** **_- Sunrise Leader_** The Executive Director is responsible for overall leadership, management, and success of their community. ... & services to seniors better than anyone. The Executive Director is expected to create, in alignment with our...achieving customer engagement. + Leads the development and regular review of the engagement improvement plan. + Effectively resolves… more
- Henry Ford Health System (Bloomfield Hills, MI)
- Under the direction of the Director System Ambulatory Operations in coordination with the Vice President, Primary Care and Medical Centers, you will be ... planning and performance measurement/dashboard development. In conjunction with the Director System Ambulatory Operations, sets strategic priorities for the region… more
- Tenet Healthcare (Detroit, MI)
- …and that transition planning assessments are completed timely. (30% daily, essential) Utilization Management Monitors the review process to ensure staff follow ... using the data to address opportunities for improvement Coordinates clinical care ( medical necessity, appropriateness of care and resource utilization for… more
- Corewell Health (Royal Oak, MI)
- …patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2. ... status and level of care. Uses defined resources to guide decisions, including Medical Director Care Management, Physician Advisors, and management staff. 5.… more
- Henry Ford Health System (Troy, MI)
- …contracting and operational issues with payers, including billing, claim underpayments, utilization review , credentialing, notification of site closures or new ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...for managing the payor contracting functions for the hospitals, medical centers, urgent care centers, and employed physicians of… more
- AECOM (Detroit, MI)
- …in order to be able to identify support personnel and facilitate the quality review process for any regional project. In the event quality issues are identified, ... and implementation of solutions with the support of the Director of Project Delivery. + Ability to mentor junior...major pursuits by actively participating in the development and review of Project Plans and incorporation of other project… more
- Henry Ford Health System (Troy, MI)
- …prior authorization. 2. Mid-cycle: coding, clinical documentation improvement, HCC, HIM, utilization review , payer audit. 3. CBO: insurance follow-up, denials ... GENERAL SUMMARY: Reporting to the Director of Revenue Cycle Transition, and under minimal...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- Trinity Health (Ann Arbor, MI)
- …managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the ... occupational therapies. + Participates in patient care conferences and peer quality review with collaborating physician, consulting medical teams, and other… more
- Pfizer (Ann Arbor, MI)
- …impact patients. ROLE RESPONSIBILITIES This role will report into the Regional Business Director and will work with customer-facing and HQ teams across Oncology. The ... and the assignment of key "priority" accounts within the medical community, managing 5-8 Senior Oncology Account Specialists. *...of the Area and the RBU * Ensures effective utilization of promotional material, making valuable contribution to the… more
- University of Michigan (Ann Arbor, MI)
- …for achieving designated performance metrics and objectives in partnership with Medical Director , Audiology Manager, and Audiology Division Chief **Communication ... across the practice. + Direct the use of facilities including booth utilization and space allocation. + Develop and maintain scheduling decision trees for… more