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Utilization Review Jobs In Mi - 26 Job Positions Available

1 – 19 of 26 jobs
Corewell Health jobs

This role requires FULL TIME Monday through Friday orientation for at least 6 weeks. 3-5 days ON-SITE Scope of work Provides health information, interacts and acts as a resource for nursing units for complex clinical situations

Corewell Health  12 hours ago
Delta Dental of Michigan jobs

Job Title:Professional Review Data Researcher Number of Positions:1 Location:Okemos, MI Location Specifics:Hybrid Position Job Summary: At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and

Delta Dental Of Michigan  4 days ago
Medlogix jobs

Medical Review Specialist Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients

Medlogix  1 day ago
Trinity Health jobs

Employment Type:Full time Shift: Description:The Medical Social Worker provides psychosocial assessment, case management, and resource coordination services to address barriers to patient’s optimal health related to Social Influencers of Health (SIOH). Connects patients with designated community

Trinity Health  28 days ago
Molina Healthcare jobs

JOB DESCRIPTION Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to

Molina Healthcare  27 days ago
OhioHealth jobs

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care

OhioHealth  17 days ago
Corewell Health jobs

The Chief Medical Officer (CMO) is the senior physician executive for Corewell Health Beaumont Grosse Pointe Hospital and is responsible for promoting excellence in clinical care, research, and education at the hospital. In collaboration with the

Corewell Health  7 days ago
Amgen jobs

Career CategoryValue and Access Job Description Job Description Territory Covers: Flint, MI, Lansing MI, Grand Rapids MI, Saginaw,MI, Traverse City, MI, Fort Wayne, IN and South Bend, IN This role will be supporting the Respiratory business

Amgen  7 days ago
General Motors jobs

Job Description The Role The Sales Planner / Vehicle Order Management (VOM) Specification Writer / Order Manager ensures accurate vehicle specification tables and smooth order flow for new model years and Manufacturing Validation Builds (MVB). You

General Motors  6 days ago
Michigan State University jobs

Working/Functional Title Education Abroad Coordinator for Academic Records and Curriculum Integration Position Summary The coordination of academic records for direct-enroll, exchange, and provider programs is facilitated through the Office for Education Abroad (EA). The Education Abroad

Michigan State University  5 days ago

Account Executive Splunk, a Cisco company, is building a safer and more resilient digital world with an end-to-end full stack platform made for a hybrid, multi-cloud world. Leading enterprises use our unified security and observability platform

Webex Events (formerly Socio)  18 days ago
Cisco jobs

Account Executive We are seeking a hardworking, driven, sales professional to drive revenue growth calling on large enterprise accounts. Account Executives are individual contributors who play a vital role in driving a significant share of revenue

Cisco  3 days ago

Associate Director, Revenue Operations Directive Consulting is the leading B2B performance marketing agency that delivers real revenuenot just leads. We use Customer Generation (a marketing methodology developed by us) to cut through the noise. Forget MQLswere

Directive Consulting  3 days ago
UnitedHealthcare jobs

Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people

UnitedHealthcare  1 day ago

Hybrid Position - Opportunity for Onsite and Remote Work A patient care navigator renders assistance to patients and professional staff, within an assigned department or centralized geography, in support of improving care access, care transitions and

My Michigan Health  23 hours ago
Molina Healthcare jobs

Job Posting This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for an RN who has a US license in good standing to join our Medicaid Team as a

Molina Healthcare  1 day ago

Director of Operations & Maintenance Programs Wasyabek Federal Group (WFG) is a Division of Wasyabek Development Company, LLC (WDC), a wholly owned economic investment company by the Nottawaseppi Huron Band of the Potawatomi (NHBP), a federally

Wasyabek Development Company LLC  2 days ago
UMR jobs

Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people

UMR  2 days ago
MAXIMUS jobs

Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within

MAXIMUS  5 days ago

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