- 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
- Henry Ford Health System (Jackson, MI)
- GENERAL SUMMARY: Under general direction, the Respiratory Therapist-Clinical Specialist (RT-CS) provides direction and supervision in the role of on-site Respiratory ... specializes in a care location or patient population. The specialist is the lead or senior practitioner who is...of all Respiratory Therapy patients. Monitors attendance, productivity and utilization of labor, supplies and services in a fiscally… 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
- Hospice of Michigan (Ann Arbor, MI)
- …work with minimal supervision. + Requires knowledge of quality assessment and utilization review functions, principles and practices. + Theoretical and practical ... of the organization. Provides leadership and expertise to facilitate and support staff competency through best practice teaching, consultation, collaboration and the… more
- Molina Healthcare (Ann Arbor, 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
- University of Michigan (Ann Arbor, MI)
- …strategic plan. + Conceives and develops new programs and approaches that will support and sustain growth, innovation and appropriate utilization of resources. + ... responses. **Supervision Exercised:** + Direct supervision over the outreach specialist , project managers, administrative staff and other team members **Supervision… more