Utilization Review Coordinator jobs in Novi, 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)
Recently Added Utilization Review Coordinator jobs
- Henry Ford Health System
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Jackson, MI
OTHER
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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
- 20 Days Ago
- Sport Clips - Coordinator - MI703
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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. ...
- 2 Days Ago
- 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...
- 10 Days Ago
- Product Review Jobs
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SOMERSET CENTER, MI
FULL_TIME
- Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
- 3 Days Ago
- Hegira Health, Inc.
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Canton, MI
FULL_TIME
- Hegira Health, Inc. (HHI), a private non-profit corporation, is one of the largest freestanding behavioral healthcare agencies in the area. HHI, accredited by the Joint Commission and licensed by the ...
- 7 Days Ago
- Hegira Health, Inc.
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Canton, MI
FULL_TIME
- Hegira Health, Inc. (HHI), a private non-profit corporation, is one of the largest freestanding behavioral healthcare agencies in the area. HHI, accredited by the Joint Commission and licensed by the ...
- 7 Days Ago
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0 Utilization Review Coordinator jobs found in Novi, MI area
About Novi, Michigan
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