Utilization Review Coordinator jobs in Ann Arbor, MI

Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Utilization Review Specialist
  • Henry Ford Health System
  • Jackson, MI OTHER
  • Under limited direction and in accordance with established policies, procedures, guidelines and criteria, regularly exercises clinical judgment in the review and assessment of patients' records. Reviews care and treatment received. Communicates with third party payers in order to obtain authorization for care. Acts as a resource to related parties by providing training and educational sessions.

    EDUCATION AND EXPERIENCE:

    Associate's Degree in Nursing (ADN), OR Licensed Practical Nurse (LPN), OR Bachelor's Degree in Social Work. Registration Health Information Administrator (RHIA), preferred. Minimum of five years of progressively more responsibility. ADDENDUM Henry Ford Macomb-Behavioral Health departments: Experience: 2-5 years behavioral health specific. Education: In addition to above, also acceptable Associate or Bachelor's in a related field (i.e., Psychology) preferred with required behavioral health experience.

    WORKING CONDITIONS: Works in a normal patient care environment with little exposure to noise, dust, temperature and the like. Occasional exposure to communicable diseases and infection when working with patients.

    Additional Information
    • Organization: Henry Ford Allegiance Hospital
    • Department: Mental Health Admin Office
  • 14 Days Ago

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Utilization Review Specialist
  • Henry Ford Health - Careers Careers
  • Jackson, MI FULL_TIME
  • Under limited direction and in accordance with established policies, procedures, guidelines and criteria, regularly exercises clinical judgment in the review and assessment of patients' records. Revie...
  • 15 Days Ago

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Salon Coordinator
  • Sport Clips - Coordinator - MI703
  • Fenton, MI FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 1 Month Ago

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Healthcare Review Specialist
  • Managed Medical Review Organization, Inc.
  • Novi, MI FULL_TIME
  • MMRO's Healthcare Review Specialist is responsible for the lifecycle of healthcare claims; including but not limited to, receiving the initial request, reviewing the case for service type and conflict...
  • 20 Days Ago

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Acquisition & Utilization Specialist
  • Veterans Health Administration
  • Ann Arbor, MI FULL_TIME
  • As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical clinical and healthcare services, product acquisiti...
  • 4 Days Ago

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Bill Review Manager
  • CorVel Brand
  • Novi, MI FULL_TIME
  • The Bill Review Manager is responsible for the overall operation of a designated bill review office. The Manager participates in formulating and administering company best practices as well as develop...
  • 27 Days Ago

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0 Utilization Review Coordinator jobs found in Ann Arbor, MI area

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Treatment Plan Coordinator
  • Clearchoice Dental Implant Centers
  • Ann Arbor, MI
  • Treatment Plan Coordinator (TPC) $1500 Sign On Bonus Treatment Planning involves maintaining the Centers clinical calend...
  • 4/20/2024 12:00:00 AM

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Administrative Assistant Senior / Inter / Assoc - Ann Arbor
  • University Of Michigan
  • Ann Arbor, MI
  • Summary The Administrative Assistant Senior position provides administrative support to the Department of Spiritual Care...
  • 4/19/2024 12:00:00 AM

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Treatment Plan Coordinator
  • ClearChoice Dental Implant Centers
  • Ann Arbor, MI
  • Treatment Plan Coordinator (TPC) $1500 Sign On Bonus Treatment Planning involves maintaining the Center’s clinical calen...
  • 4/18/2024 12:00:00 AM

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Medical Receptionist
  • Healing Hands Therapy LTD
  • Ann Arbor, MI
  • Job Description Job Description Who we are: We are an established Physical Therapist-owned physical therapy clinic in An...
  • 4/18/2024 12:00:00 AM

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Continuous Improvement Supervisor
  • Truck Hero
  • Ann Arbor, MI
  • Summary The Supervisor of Continuous Improvement will be responsible for promoting the use of lean tools across the bran...
  • 4/17/2024 12:00:00 AM

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Remote Data Entry Specialist
  • Workoo Technologies
  • Ann Arbor, MI
  • About the job Remote Data Entry Specialist How to Apply A cover letter is required for consideration for this position a...
  • 4/17/2024 12:00:00 AM

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Utilization Review Coordinator
  • TheraMatrix
  • Pontiac, MI
  • Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
  • 4/16/2024 12:00:00 AM

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Associate, Membership Services
  • College for Healthcare Information Management Executives
  • Ann Arbor, MI
  • Job Description Job Description The College of Healthcare Information Management Executives (CHIME) is the professional ...
  • 4/16/2024 12:00:00 AM

Ann Arbor is a city in the U.S. state of Michigan and the county seat of Washtenaw County. The 2010 census recorded its population to be 113,934, making it the sixth largest city in Michigan. Ann Arbor is home to the University of Michigan. The university significantly shapes Ann Arbor's economy as it employs about 30,000 workers, including about 12,000 in the medical center. The city's economy is also centered on high technology, with several companies drawn to the area by the university's research and development infrastructure. Ann Arbor was founded in 1824, named for wives of the village'...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$82,723 to $102,472
Ann Arbor, Michigan area prices
were up 1.3% from a year ago

Utilization Review Coordinator in Fort Lauderdale, FL
Some review coordinator positions require that professionals have training and experience within a more specific field.
January 10, 2020
Utilization Review Coordinator in Asheville, NC
Schick Shadel Hospital is seeking a part-time (20 hours per week) Utilization Review Coordinator (UR Coordinator) to help oversee and perform the process of utilization review to ensure appropriate reimbursement by third party payers.
January 04, 2020
Utilization Review Coordinator in Jacksonville, FL
Excellent benefits, pay, small on-site employee gym, wonderful co-workers and managersFull Review.
January 04, 2020