Utilization Review Manager - Home Care jobs in Ann Arbor, MI

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.

• Organization: Henry Ford Allegiance Hospital
• Department: Mental Health Admin Office