Utilization Review Technician jobs in Pontiac, MI

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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Discharge Planner - Utilization Review
  • Garden City Hospital
  • Garden, MI FULL_TIME
  • Overview:
    Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

    At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare. We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country. The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty. Learn more at www.gch.org.

    We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

    Responsibilities:
    Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist with development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility’s procedure. Assists with Discharge Planning as assigned by interviewing patients/families and gathering data to develop a safe patient-focused Discharge Plan.

    Qualifications:
    Education and Work Experience

    Required qualifications
    1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
    2. Experience in basic to intermediate computer skills/knowledge.
    3. High School Diploma required.
    4. Behavioral Violence Prevention Training within 3 months of hires and maintain current.

    Preferred qualifications:
    1. Current BCLS (AHA) certificate required upon hire and maintain current preferred.
    2. Associates degree or LVN license preferred.

    #LI-JB4
  • 19 Days Ago

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Utilization Review Manager - PRN
  • Harbor Oaks Hospital
  • New Baltimore, MI OTHER
  • Overview Harbor Oaks Hospital is looking for a PRN - Utilization Review Manager to join our team! Harbor Oaks Hospital, New Baltimore's leading Mental Health and Addiction Treatment Center is seeking ...
  • 20 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 ...
  • Just Posted

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Utilization review coordinator
  • Theramatrix Physical Therapy Network, Inc
  • Pontiac, MI FULL_TIME
  • Job Description Duties and Responsibilities : Initial authorizations of outpatient physical therapy services : Reviews and authorizes services that meet criteria, along with supporting documentation. ...
  • 2 Days Ago

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Utilization Review Specialist
  • StoneCrest Center
  • Detroit, MI FULL_TIME
  • Act as liaison between managed care organizations and the facility's professional clinical staff. Conduct interviews, in accordance with certification requirements, of insurance plans or other managed...
  • 7 Days Ago

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RN Utilization Review FT Days
  • Detroit Medical Center Shared Services
  • Detroit, MI FULL_TIME
  • 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...
  • 3 Days Ago

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0 Utilization Review Technician jobs found in Pontiac, MI area

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Technical Expert - Front and Rear Closure Systems
  • Ford
  • Dearborn, MI
  • Job Description This Technical Expert role within Closures & HLM, Vehicle Hardware Engineering, Body Exterior, is an ind...
  • 3/28/2024 12:00:00 AM

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Senior Mechanical & Physical Engineer - Powertrain Calibration Technical Expert
  • Capgemini
  • Detroit, MI
  • Life at Capgemini Capgemini supports all aspects of your well-being throughout the changing stages of your life and care...
  • 3/28/2024 12:00:00 AM

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Tech Expert - Friction Clutch
  • Ford
  • Dearborn, MI
  • Job Description We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves an...
  • 3/27/2024 12:00:00 AM

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Display Application Technical Expert
  • Ford
  • Dearborn, MI
  • Job Description We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves an...
  • 3/27/2024 12:00:00 AM

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Switch Team Technical Expert
  • Ford
  • Dearborn, MI
  • Job Description We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves an...
  • 3/27/2024 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...
  • 3/27/2024 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...
  • 3/25/2024 12:00:00 AM

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Technical Specialist - Interiors
  • Ford
  • Dearborn, MI
  • Job Description We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves an...
  • 3/24/2024 12:00:00 AM

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 Technician jobs
$63,469 to $88,562
Pontiac, Michigan area prices
were up 1.2% from a year ago

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
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
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