- Integra Partners (Troy, MI)
- …as operational needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director (s), ensures consistent application ... Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director 's responsibilities include but are… more
- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to ... and are committed to consistency, compliance, and evidence-based decision making. The Utilization Review Medical Director 's responsibilities include but… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team (UM Nurses/ Medical Director ) with administrative and non-clinical tasks related to processing ... Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES +...RESPONSIBILITIES + Monitor incoming faxes + Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS… more
- Tenet Healthcare (Detroit, MI)
- …using data to drive hospital utilization performance improvement, c) ensures medical necessity review processes are completed accurately and in compliance ... Director - Case Management - 2506004210 Description :...Utilization Management Implements and monitors processes to ensure medical necessity review processes are in place… more
- Molina Healthcare (Detroit, MI)
- …in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership ... utilization . * Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy … more
- Elevance Health (Dearborn, MI)
- …unless an accommodation is granted as required by law. The ** Medical Director -Dermatology Appeals** is responsible for the review of appeals for physical ... ** Medical Director -Dermatology Appeals** **Location:** This role...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Sevita (Detroit, MI)
- …adolescents, Military Service Members and Veterans. **Operations Management Executive Director - State of MI** **Compensation: $140,000-$160,000/year with an ... skills to a team-based workplace that puts people first. As Executive Director of Operations Management, you will be responsible for operational management at… more
- University of Michigan (Ann Arbor, MI)
- …+ Work in partnership with Head Orthopedic Team Physician for UM Athletics and Medical Director for UM Athletics to assure excellent access and best practices ... Associate Director , Sports Medicine Apply Now **Job Summary** Leadership...experience, increasing the efficiency of system capacity and resource utilization , and growing the clinical enterprise. Connect back to… more
- University of Michigan (Ann Arbor, MI)
- Administrative Director - Michigan Congenital Heart Center Apply Now **How to Apply** A cover letter is required for consideration for this position and should be ... that directly relate to this position. **Job Summary** The Administrative Director will have oversight and responsibility for strategic planning, operations and… more
- Arrow Electronics (Plymouth, MI)
- **Position:** Sales Engineering Director - Cloud, Data/AI **Job Description:** **The start date for this position is estimated to be in January 2026.** Arrow is ... seeking a Sales Engineering Director (SED) to provide strategy, technical direction and business...product and proof of concept demonstrations, solution consultation, architecture review , and enablement of Arrow partners. The SED possesses… more
- Tenet Healthcare (Detroit, MI)
- …the development of clinical services, the provision of quality patient care and the medical staff peer review process. Works collaboratively with the DMC Chief ... Clinical Quality Improvement Director - 2506003005 Description : DMC Sinai-Grace Hospital...and in conjunction with the DMC Chief Quality and Medical Safety Officer, provides leadership for the development and… more
- Erickson Living (Novi, MI)
- …and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... Erickson Senior Living Join our team as the Assistant Director of Nursing is responsible for clinical leadership and...which builds on our mission, vision and values + Medical , dental and vision packages, including an annual reimbursement… more
- Trinity Health (Ann Arbor, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Regional Director , Laboratory Sales and Outreach** **Drive the growth and success of our ... business metrics** , including sales performance, lost accounts, and resource utilization (eg, phlebotomy site productivity). + **Plan short- and long-term… 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
- Integra Partners (Troy, MI)
- …accreditation standards and achieve high-quality outcomes. The position will report to the Director of Medical Management and work closely with other departments ... responsible for coordinating and maintaining accreditation activities for the Utilization Management (UM) and Credentialing departments. This includes supporting… more
- Common Ground (Bingham Farms, MI)
- …a unique combination of customer service, crisis intervention, resource guidance, utilization review , mobile crisis oversite and dispatch, Behavioral Health ... to explore mental health concerns and/or connection to a medical practitioner for a short-term bridge prescription until an...Common Ground. To learn more about this position, please review the job description: Common Ground Crisis Hub -… more
- Behavioral Center of Michigan (Detroit, MI)
- …records for discharge/transfer. Makes appropriate copies for various departments (Nursing, Utilization Review , Billing, and Partial Hospitalization Program). + ... setting. Meets the communication needs of the patient/family, departmental staff and medical staff. Prepares and compiles records for the unit. Upholds system and… more
- Trinity Health (Ann Arbor, MI)
- …admin support for Case Managers, Social Workers, Case Management Assistants, Utilization Review nurses, Transition Support Call Center nurses, Complex ... system to prioritize meeting dates and times as well as working with Director , Operations Managers and other team leads to ensure their participation etc. Organizes… more