Utilization Review Coordinator jobs in Pontiac, 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
Utilization Review Nurse
- LanceSoft Inc
-
Detroit, MI
FULL_TIME,CONTRACTOR
-
Job Description:
- This position will be remote role for Nurses in Michigan
- Should have a valid MI RN License
- Should Have utilization management experience.
- Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously.
- The candidate should be well versed in coordination of care activities along with discharge planning which is a plus for this role in ensuring members are transitioned safely following care.
- In addition, the candidate should have knowledge of post-acute InterQual criteria that is utilized in this role.
- Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes.
- One year health insurance plan experience or managed care environment preferred. Registered Nurse with current unrestricted Michigan Registered Nurse license required.
- Certification in Case Management may be preferred based upon designated department assignment.
- Above average computer skills
- Clinical experience in ICU, ER, or medical surgical unit preferred.
- 19 Days Ago
RN Utilization Review FT Days
- Detroit Medical Center Shared Services
-
Detroit, MI
OTHER
- The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help p...
- 5 Days Ago
RN Utilization Review FT Days
- Detroit Medical Center Shared Services
-
Detroit, MI
OTHER
- The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help p...
- 5 Days Ago
Lead Case Manager, Utilization Review
- UHS
-
AUBURN HILLS, MI
FULL_TIME
- Responsibilities Quality Analyst, Full-Time, Monday - Friday.HAVENWYCK HOSPITAL (a UHS facility)Havenwyck Hospital is a 243 bed Joint Commission accredited and licensed psychiatric hospital in Auburn ...
- 10 Days Ago
Coordinator - Clinical Peer Review - Full Time - Wyandotte
- Clinical Peer Review - Full Time - Wyandotte - Henry Ford Health - Careers Careers
-
Wyandotte, MI
FULL_TIME
- General Summary: With guidance and direction from the Senior Level Leadership, in collaboration with the Medical Staff Leadership Team, the Clinical Peer Review Coordinator is a registered nurse who p...
- 26 Days Ago
Utilization Management Case Manager
- UHS
-
DEARBORN, MI
FULL_TIME
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility – Beaumont Behavioral Hospital provides a full continuum o...
- 12 Days Ago
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0 Utilization Review Coordinator jobs found in Pontiac, MI area
Battery Build Coordinator
- Detroit Engineered Products
-
Auburn Hills, MI
- Description: Function: To organize, schedule and manage the build of prototype battery pack assemblies for B Sample desi...
- 4/23/2024 12:00:00 AM
ITS Traffic Engineer
- AtkinsRéalis
-
Novi, MI
- Why join us? We are hiring! AtkinsRéalis seeks an Intelligent Transportation Systems (ITS)/Traffic Engineer to join our ...
- 4/23/2024 12:00:00 AM
Behavioral Healthcare Coordinator
- Oakland Community Health Network
-
Pontiac, MI
- Job Description Job Description Job Summary The Behavioral Healthcare Coordinator assists the public in a warm and welco...
- 4/22/2024 12:00:00 AM
MDS Coordinator
- Regency at Troy
-
Troy, MI
- Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process ...
- 4/22/2024 12:00:00 AM
Battery Build Coordinator
- Detroit Engineered Products
-
Auburn Hills, MI
- Description: Function: To organize, schedule and manage the build of prototype battery pack assemblies for B Sample desi...
- 4/21/2024 12:00:00 AM
Utilization Review Coordinator
- TheraMatrix
-
Pontiac, MI
- Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
- 4/21/2024 12:00:00 AM
Administrative Assistant I - Rochester Hills, MI
- VetJobs
-
Rochester, MI
- Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
- 4/21/2024 12:00:00 AM
Project Administrator
- Henry Yandt Construction
-
Bloomfield Hills, MI
- Job Description Job Description Henry Yandt Construction is a full-service Construction Firm specializing in preconstruc...
- 4/20/2024 12:00:00 AM
About Pontiac, Michigan
Pontiac (/ˈpɒn(t)iæk/) is a city in the U.S. state of Michigan, located in Metro Detroit. As of the 2010 census, the city had a total population of 59,515. It is the county seat of Oakland County and about 12 miles (19 km) north and slightly west of the Detroit city limits.
Founded in 1818, Pontiac is notably the second European-American organized settlement in Michigan within close proximity to Detroit, second only to Dearborn. It was named after Pontiac, a war chief of the Ottawa people who had occupied the area before the European settlers. The city achieved its widest reputation for its Ge...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$81,191 to $100,574
Pontiac, Michigan area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does an Utilization Review Coordinator do?
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