Utilization Review Specialist jobs in Livonia, MI

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Packaging Engineer - Supply Chain
Yazaki 95 reviews - Canton, MI
Specialist – Packaging. O Define standard pack quantities top assure container ship volume maximum utilization....
Sponsored by Yazaki - 30+ days ago
Supply Chain Engineer
Yazaki 95 reviews - Canton, MI
Responsible for analysis and utilization of continuous improvement tools to design Supply Chain Solutions for current and future operations....
Sponsored by Yazaki - 30+ days ago
Coding Specialist
Brookdale - Farmington Hills, MI
Reviews all electronically submitted documentation to ensure the records reflect compliance with medical necessity, support initial visit utilization, describe...
Sponsored by Miracle Workers - 2 hours ago

Inventory Specialist

ZF Friedrichshafen - Northville, MI
Train individuals in the optimal and accurate utilization of SAP in order to support their pertinent job functions (e.g....

Coding Specialist

Parastar 3 reviews - Farmington Hills, MI - +1 location
Upon review of the medical chart, assigns appropriate Medical Necessity Modifiers. Utilization of various electronic verification systems, Gateway, Web Denis,...

Utilization Management Inpatient Review Nurse - MI

Meridian Health Plan 39 reviews - Detroit, MI
Support orientation program for UM staff by acting as primary mentor for review nurses, UM specialists and physician reviewers....

Utilization Review Specialist Job

Henry Ford Health System 435 reviews - West Bloomfield Township, MI
Utilization Review Specialist. Reviews care and treatment received. Under limited direction and in accordance with established policies, procedures, guidelines...

Coding Specialist

Brookdale Senior Living 330 reviews - Farmington Hills, MI
Reviews all electronically submitted documentation to ensure the records reflect compliance with medical necessity, support initial visit utilization, describe...

Denials Nurse - MI

Meridian Health Plan 39 reviews - Detroit, MI
Knowledge of managed care, particularly utilization management processes. Knowledge of NCQA, URAC or general accreditation requirements and guidelines for...

Behavioral Health Utilization Management Specialist

Meridian Health Plan 39 reviews - Detroit, MI
Works with Corporate Compliance, Utilization Management and Quality Improvement departments to assure accurate and timely reporting as well as participation in...

Utilization Management Pre-Service Review Nurse

Meridian Health Plan 39 reviews - Detroit, MI
Functions collaboratively with the members of the Utilization Management team, and specifically with the inpatient review nurses, Case Managers, Utilization...

Appeals Coordinator

Meridian Health Plan 39 reviews - Detroit, MI
Function as a liaison between the Utilization Management department and the Member Services Case Specialists....

Population Health Specialist

Aetna 465 reviews - Detroit, MI 48207 (Elmwood Park area)
Click here to review the benefits associated with this position. The Population Health Specialist (PHS) will be part of a high-performing team in the local...
Registered Nurse (RN) Quality Improvement Specialist
A-Line Staffing Solutions. - Detroit, MI
Experience performing Utilization Review / Utilization Management in a clinical setting; RN, registered nurse, utilization review, concurrent review,...
Sponsored by Miracle Workers - 12 days ago
Insurance Claim Specialist, Oakland County, MI
Ajilon Professional Staffing 256 reviews - Troy, MI
Insurance Claim Specialist, Oakland County, MI. Assists in the review of excess tolerance reports. Reviews files for potential subrogation and completes...
Sponsored by Ajilon Professional Staffing - 4 days ago

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