Utilization Review Specialist jobs in Livonia, MI

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Medical Device Sales - Ambassador (MI)
Conduct customer business review (KPI reviews). Will interact with Acquisition and Sales Specialist teams; Makes decision on reagent utilization on integrations...
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Senior Project Manager
CBRE - 804 reviews - Southfield, MI
Plans and monitors appropriate staffing levels and utilization of labor, including overtime. Effectively recommends same for direct reports to next level...
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Family Practice-Without OB - Physician
DOCTORS CHOICE PLACEMENT SERVICES, INC. - Michigan
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Michigan!!Full-Time Opportunity, M-F 8am - 5pm type hoursSeeking Board Certified Internal...
Sponsored by DocCafe.com

Quality Specialist

Towers Watson Building - Detroit, MI
Supports EHR utilization and design while assisting MSO physicians with implementation. Responsible for retrospective review and analysis of MSO gaps in care...

Reporting Specialist I

RAYMOND JAMES FINANCIAL - 247 reviews - Southfield, MI
Enter data, review daily reports and research any discrepancies. Under general supervision, uses advanced skills gained through training and experience to...

VDC 4D Specialist - Southfield

Barton Malow Company - 9 reviews - Southfield, MI 48034
Coordinate the creation and/or utilization of 3D models and related information between Barton Malow’s operational units (business development, preconstruction,...

Pharmacy Specialist

Henry Ford Allegiance Health - 126 reviews - Detroit, MI
The Pharmacy Specialist reviews patient drug therapy, interview the patient and/or family, monitors drug therapy responses, and suggest modifications to drug...

Insurance Specialist I

Henry Ford Allegiance Health - 126 reviews - Detroit, MI
Extensive utilization of personal computers. Investigates and reviews the accuracy and completeness of insurance information upon pre-admission and/or admission...

Community Health Outreach Worker - Days - HAP Midwest

Henry Ford Allegiance Health - 126 reviews - Dearborn, MI
Complete medication reviews for high risk members. Follows State and Federal HMO regulations as related to Utilization Management....

Care Coordinator I

Henry Ford Allegiance Health - 126 reviews - Southfield, MI
Follows State and Federal HMO regulations as related to Utilization Management. Presents medically complex questionable cases to the Case manager/Care...

Clinical Documentation Specialist

Atos - 354 reviews - Detroit, MI
Certified Clinical Documentation Specialist (CCDS) preferred. Experience in Utilization Management/Case Management, Critical Care, and patient outcomes/quality...

Clinical Specialist - Performance Monitoring

Detroit Wayne Mental Health Authority - 3 reviews - Detroit, MI
$69,410 - $81,200 a year
This involves onsite reviews, desk reviews,and validation of self-monitoring and MCPN monitoring. T heClinical Specialist Performance Monitoring supports work...

Homecare Scheduling Specialist

Metro Healthcare - Southfield, MI
Collaborates with inpatient utilization review departments and managed care Case Managers to facilitate safe, early inpatient discharge....
Easily apply
Paramedic ($500 Sign-On Bonus + Referral Bonuses!!)
Amplitude HR - Troy, MI 48083
(Up to $20.53 with annual reviews)*. Exception to this responsibility exist only when the Specialists attends during patient transport....
Easily apply
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Modis Brand Trainer
Modis - 134 reviews - Southfield, MI 48075
$45,000 - $60,000 a year
Review customer experience center information reports to identify key trends and areas of opportunity. The Brand Training Specialist is leveraged for our...
Sponsored by Modis USA

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