Utilization Review Technician jobs in Michigan

Utilization Review Technician 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 Technician 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 Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 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
  • 17 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...
  • 18 Days Ago

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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 ...
  • 19 Days Ago

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Discharge Planner - Utilization Review
  • Garden City Hospital
  • Garden, MI FULL_TIME
  • Discharge Planner - Utilization Review Facility Garden City Hospital Location US-MI-Garden City ID 2024-153114 Category Admin Position Type Full Time Shift Days Job Type Non-Exempt Overview Join an aw...
  • 24 Days Ago

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Utilization review specialist
  • Oaklawn Hospital
  • Marshall, MI FULL_TIME
  • Job Summary : Performs utilization review with external agencies to ensure payment for medically necessary inpatient services. Essential Functions : Consistently uses an outward mindset and puts forth...
  • 29 Days Ago

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Utilization Review Nurse
  • Neuropsychiatric Hospitals
  • Kalamazoo, MI FULL_TIME
  • About Us HEALING THE BODY AND MIND Founded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical ...
  • 1 Month Ago

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Technical Expert, Electrical
  • ASARCO LLC
  • Marana, AZ
  • Technical Expert, Electrical Employee Type: Salary City: Marana State/Territory: US-AZ Positions Open: 1 Site Name: Silv...
  • 4/23/2024 12:00:00 AM

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RF Technical Expert
  • Vtg
  • Houston, TX
  • Provides patient care under the supervision of the Emergency Department (ED) Physician. Technical skills/assessments and...
  • 4/22/2024 12:00:00 AM

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Technical Expert - Computer Vision
  • Magna Services
  • Troy, MI
  • Technical Expert - Computer VisionJob Number: 65543Group: Magna CorporateDivision: Mobility USAJob Type: Permanent/Regul...
  • 4/22/2024 12:00:00 AM

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Informatics Technical Specialist
  • Abbott Laboratories
  • Salt Lake City, UT
  • Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-chan...
  • 4/22/2024 12:00:00 AM

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ADAS Hardware Components Technical Expert
  • Ford
  • Dearborn, MI
  • Job Description In this position... We are the movers of the world and the makers of the future. We get up every day, ro...
  • 4/21/2024 12:00:00 AM

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Technical Specialist - Chiller Technician
  • Wake County Public School System
  • Raleigh, NC
  • Overview: POSITION TITLE (Oracle title) TECHNICAL SPECIALIST WORKING TITLE Technical Specialist-Chiller Technician SCHOO...
  • 4/20/2024 12:00:00 AM

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System Integration Technical Expert
  • Traxen
  • Plymouth, MI
  • We are a Plymouth, Michigan based startup, developing cutting-edge technologies for Driver Assistance and Automated Driv...
  • 4/19/2024 12:00:00 AM

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Technical Specialist
  • NR Consulting
  • Raleigh, NC
  • Title: Technical Specialist Location: Raleigh, NC (Hybrid) Position Type: Contract with Possible Extension Duration: 3+ ...
  • 4/19/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$62,117 to $86,673

Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020