Job Title:Senior Utilization Management Compliance and Accreditation Specialist Number of Positions:1 Location:Detroit, 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
You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving
Senior Utilization Management Compliance and Accreditation Specialist 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
Utilization Management Specialist We are seeking a full-time Utilization Management Specialist to provide oversight of person-centered plans to improve quality of care and ensure plans are individualized to meet the needs of each client. Supports Utilization Management (UM) Department by aiding in
Clinical Manager of Utilization Management The Clinical Manager of the Utilization Management (UM) Department oversees the daily operations of the UM team. This position manages the Utilization Review Staff and ensures compliance with regulatory requirements related to the appropriateness and medical
Utilization Management Specialist The Utilization Management Specialist demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to
Behavioral Health Utilization Management Specialist We are seeking a detail-oriented and clinically skilled Behavioral Health Utilization Management (UM) Specialist to join our team. This role is responsible for reviewing behavioral health services to ensure medical necessity, regulatory compliance, and appropriate
Director Of Utilization Management The Director of Utilization Management (UM) is responsible for the strategic direction, continuous improvement, and oversight of the UM Department. This position will ensure individuals receive appropriate services in accordance with the assessment of need, and
Job Summary Under general direction, assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement. Essential Functions Understands
Utilization Management Clinical Analyst The Utilization Management Clinical Analyst conducts prospective reviews of authorization requests to determine medical necessity and clinical appropriateness of behavioral health services in accordance with Level of Care Need, Medicaid guidelines, MDHHS requirements and the Michigan
Internship- Utilization Management and Special Investigation Unit 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
Registered Nurse Looking for Utilization Management AND Education experience. Scope of work: In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff, physicians, department leadership, and third-party vendors. Uses
Job Description Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At DMC Sinai-Grace Hospital, we’re seeking an innovative and experienced healthcare leader to drive excellence and inspire
Utilization Manager Under the general supervision of the Director of Utilization Management for the Detroit Wayne Integrated Health Network (DWIHN), the Utilization Managers primary responsibility will be to provide clinical review and case record evaluations of all members receiving Habilitation
Director Of Product Management U.S. Market Access We are looking for a Director of Product Management U.S. Market Access. In this role, you will lead the delivery of our Market Access solutions for pharmaceutical and biotechnology clients. You
Management Consultant With over 35 years of cross-industry management consulting experience, DeWolff, Boberg & Associates has successfully provided services to a variety of clients worldwide and has conducted over 700 projects in 20 countries. Management Consultants gain exposure to
Position Overview This role requires 100% domestic travel year-round, with consultants typically flying to client sites on Sunday evenings and returning home on Fridays. At DB&A, we partner with organizations to drive operational excellence through implementation,
Utilization Management Specialist VACANT POSITION AVAILABLE: Utilization Management Specialist MINIMUM REQUIREMENTS: EDUCATION: Bachelors or Masters degree in social work or a related field from an accredited university or college. CERTIFICATION/LICENSURE: BSW, LMSW, LLP, or LPC or limited license in any
Utilization Review Manager Forest View Hospital, located just seven miles southeast of downtown Grand Rapids, Michigan, is a private 108 bed psychiatric facility that serves children, adolescents and adults. We are licensed by the State of Michigan,
Care Management Specialist Pay Range: $69,328.99 - $86,426.61 annually $6,000 Recruitment Bonus for Clinical Master level new hires! ($2,000 paid at start, $2,000 paid after 3 months, and $2,000 paid after successful probation period.) General Statement Of