- Henry Ford Health System (Troy, MI)
- …between 7:30am and 6:00pm GENERAL SUMMARY: The support specialist is a support role crucial to the centralized Utilization Review team for time ... information to payers as needed. * Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives. * Identify… more
- Trinity Health (Farmington Hills, MI)
- …rejection, denial and appeal activities with Ministry Organization (MO) based Utilization Review /Case Management departments; + Reviews and understands ... utilization review and coverage guidelines for multiple payers; + Identifies...and reviews findings with all levels of Payment Resolution Specialist for further review . Serve as a… more
- University of Michigan (Ann Arbor, MI)
- Admin Specialist Assoc Health Apply Now **Summary** The Administrative Specialist provides comprehensive administrative support and project management for ... development. The UMHS market title for this position is Administrative Specialist Associate. **Mission Statement** Michigan Medicine improves the health of patients,… 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
- University of Michigan (Ann Arbor, MI)
- …and prior experience working in Precertification, Coding, Health Information Management or Utilization Review is strongly desired. + Knowledge of Interqual ... Pre-Certification Specialist Apply Now **How to Apply** A cover...stay and inpatient admissions to the hospital. The precertification review process includes the application of diagnosis and procedure… more
- Chenega Corporation (Warren, MI)
- **Req ID:** 31100 **Summary** **IT Specialist ** **Warren, MI** Are you ready to enhance your skills and build your career in a rapidly evolving business climate? Are ... core culture? If so, Chenega Military, Intelligence & Operations Support (MIOS) could be the place for you! Join...in the federal IT and Training environment. The **IT Specialist ** shall perform all duties about Desktop Systems Administrations… 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 FT Days - 2406000956 Description : DMC...at the most appropriate level of care. Performs continuous review of services to assure patient progress and maintains… 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
- Trinity Health (Farmington Hills, MI)
- …manner possible: + Coordinates follow-up activities with Utilization Review /Case Management/Coding/Nurse Liaison to provide required clinical support , as ... review . Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. Other duties as needed… more
- Trinity Health (Farmington Hills, MI)
- …manner possible: + Coordinates follow-up activities with Utilization Review /Case Management/Coding/Nurse Liaison to provide required clinical support , as ... relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues upon hire and as new systems and processes are created.… more
- Ford Motor Company (Wayne, MI)
- …of maintenance operations and the direct supervision of skilled trades assigned to support production and facilities. **What you'll do ** + Ensure adherence to ... cause analysis of downtime issues to prevent recurrence (4D process) + Support / direct skilled trades/maintenance personnel to evaluate requirements for maintaining… more
- TEKsystems (Warren, MI)
- …and breaks: 8:30-5pm. 45 min Lunch. 2 x 10's. Paid breaks The case review specialist is responsible for performing all tasks relevant to in-house communications ... is supporting out of state contract health plans, support the Blue's in Michigan! 8 health plans in...that researches product and member special needs. The Case Review Specialist conducts the initial screening for… more
- Trinity Health (Ann Arbor, MI)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and ... Schedules, to facilitate daily patient activity and flow in support of the clinical departments. **REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE**… more