Utilization Review Technician jobs in Royal Oak, 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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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.
    Requirements:
    • 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

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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

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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

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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

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Help Desktop Support Technicians Level-2 | Full Time Work
  • Americas Technician Services
  • Mount Clemens, MI FULL_TIME
  • We are currently seeking out eligible technicians to perform Assistant Help Desk Support Level-2 Technician work. Pay starts at $20-$22/HR depending on previous experience for full-time work in Front ...
  • 18 Days Ago

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Automotive technician
  • Kia Veterans Technician Apprenticeship Program (VTAP)
  • Clinton, MI FULL_TIME
  • Kia Retailers are offering skilled and experienced military Veterans with the opportunity to begin an inspiring career as a Kia Certified Service Technician. To support this Kia Retailer initiative, K...
  • 26 Days Ago

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0 Utilization Review Technician jobs found in Royal Oak, MI area

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Technical Specialist, Power Conversion
  • Scout Motors
  • Novi, MI
  • Scout Motors Here at Scout Motors, we're carrying forward the heritage of one of the most iconic American vehicles in hi...
  • 4/23/2024 12:00:00 AM

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Engine Calibration- Technical Specialist
  • Confidential
  • Auburn Hills, MI
  • Job Description Job Description What you will be doing: As an Engine Calibration Engineer, you will primarily be respons...
  • 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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Casting Technical Specialist
  • 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...
  • 4/22/2024 12:00:00 AM

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Manufacturing software technical specialist
  • General Motors
  • Warren, MI
  • Full job description Job Description Hybrid: Position does not require an employee to be on-site full-time but the gener...
  • 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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Patent Attorney/Agent or Technical Specialist
  • Brooks Kushman
  • Royal Oak, MI
  • Job Description Job Description Brooks Kushman, a nationally ranked full-service intellectual property firm, is seeking ...
  • 4/21/2024 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

Royal Oak is a city in Oakland County in the U.S. state of Michigan. It is a suburb of Detroit. As of the 2010 census, the city had a population of 57,236. It is the 8th-largest municipality in Oakland County and the 27th-largest municipality in Michigan by population. According to the United States Census Bureau, the city has a total area of 11.79 square miles (30.54 km2), all land. Royal Oak developed around a river, the Red Run. Vinsetta Boulevard was built skirting a source branch of the Red Run for its median. In the 1930s, Vinsetta's entire median, along with the river and all but the to...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$63,375 to $88,430
Royal Oak, 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