Utilization Review Coordinator jobs in Troy, 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.
- 22 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...
- 7 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...
- 7 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...
- 28 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...
- 14 Days Ago
Medical Director Utilization Management
- BCBSM Career Section
-
Detroit, MI
FULL_TIME
- Provide clinical expertise across the enterprise for various functions. Responsible for corporate and medical policy interpretation, recommendation, and review within recognized areas of responsibilit...
- 1 Month Ago
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0 Utilization Review Coordinator jobs found in Troy, 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...
- 4/26/2024 12:00:00 AM
Utilization Review Coordinator
- TheraMatrix
-
Pontiac, MI
- Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
- 4/26/2024 12:00:00 AM
Senior Highway Project Manager
- Colliers Engineering & Design
-
Southfield, MI
- Overview: Colliers Engineering & Design is seeking a Senior Project Manager to join our Highways & Traffic Engineering t...
- 4/26/2024 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...
- 4/25/2024 12:00:00 AM
Administrative Analyst
- Dcs Corp
-
Sterling Heights, MI
- DCS Corp is seeking a dynamic, pro-active, team oriented, energetic, customer focused, and people friendly Administrativ...
- 4/23/2024 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...
- 4/23/2024 12:00:00 AM
Administrative Assistant
- Michigan Orthopaedic Surgeons PLLC
-
Southfield, MI
- Job Description Job Description Who We Are As the largest and most comprehensive orthopaedic team in the state, we’ve co...
- 4/23/2024 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
About Troy, Michigan
Troy is a city located in Metropolitan Detroit's northern suburbs in Oakland County in the U.S. state of Michigan. The population was 80,980 at the 2010 census, making it the 11th-largest city in Michigan by population, and the largest city in Oakland County. Troy has become a business and shopping destination in the Metro Detroit area, with numerous office centers and the upscale Somerset Collection mall.
In 2011, Troy was ranked the safest city in Michigan, as well as the 19th safest city in the nation. In 2008, Troy was ranked 22nd on a list of "Best Places to Live" in the United States by...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$80,949 to $100,275
Troy, 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