Utilization Review Manager - Home Care jobs in Detroit, MI

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

Recently Added Utilization Review Manager - Home Care jobs

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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.
  • 22 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...
  • 7 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...
  • 7 Days Ago
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HR Manager- Home Care and Hospice
  • The Care Team Home Health & Hospice
  • Farmington, MI OTHER
  • Job Details Job Location: Farmington Hills Home Health - Farmington Hills, MI Position Type: Full Time Salary Range: Undisclosed Job Category: Human Resources DescriptionThe Care Team The care you des...
  • 25 Days Ago
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PART TIME Home Care Office Manager
  • Proactive Home Care
  • Shelby, MI PART_TIME
  • Candidates are required to possess knowledge and experience of Private Care, Medicaid CHAMPS & Area in Aging BillingJob typePart-timeFull job descriptionUnder the direction of the Administrator, Home ...
  • 1 Day Ago
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Child Care Worker 8-E9 - Pediatric Mental Health Tech - WRPH Child and Adolescent Services
  • Registered Nurse Manager 12
  • Westland, MI FULL_TIME
  • Salary $21.83 - $27.93 Hourly Location Westland, MI Job Type Permanent Full Time Job Number 3906-24-WRPH-Child Care Worker Department Health and Human Services - Hawthorn Center Opening Date 09/30/202...
  • Just Posted
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0 Utilization Review Manager - Home Care jobs found in Detroit, MI area

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Case Manager
  • Select Source International
  • Detroit, MI
  • Job Description Job Description Job Title: Case Manager Location: Detroit, MI 48202 Duration: 3+months with the possibil...
  • 4/25/2024 12:00:00 AM
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Integrated Case Manage - Registered Nurse
  • Trusted Health
  • Detroit, MI
  • Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel ...
  • 4/24/2024 12:00:00 AM
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Pharmacy Analyst (Utilization Management) - 40 hrs/wk - Day Shift
  • Henry Ford Health System
  • Troy, MI
  • GENERAL SUMMARY: Responsible for handling of daily pharmacy duties such as drug claim adjudication issues, prior authori...
  • 4/24/2024 12:00:00 AM
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Group Director Case Management Days FT
  • Detroit Medical Center Shared Services
  • Detroit, MI
  • The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families through...
  • 4/24/2024 12:00:00 AM
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RN Case Manager FT Days Sign on Bonus available
  • Dmc Harper University/hutzel Women's Hospital
  • Detroit, MI
  • **$15,000 Sign on Bonus, with required relevant experience** DMC Harper University Hospital has distinguished itself in ...
  • 4/24/2024 12:00:00 AM
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Director Case Management FT Days
  • Dmc Receiving Hospital
  • Detroit, MI
  • POSITION SPECIFIC RESPONSIBILITIES: Department Operations Maintains an adequate number and skill mix over seven days a w...
  • 4/23/2024 12:00:00 AM
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RN Case Manager FT Days
  • Dmc Sinai-grace Hospital
  • Detroit, MI
  • DMC Sinai-Grace Hospital is DMCs largest hospital, offering a comprehensive heart center, cancer care, gerontology, emer...
  • 4/23/2024 12:00:00 AM
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Associate Chief Nursing Officer DMC Detroit Receiving and Harper Hutzel Hospitals
  • Other Executive
  • Detroit, MI
  • MARKET SUMMARY: MICHIGAN GROUP - Detroit Market The Detroit Medical Center is one the largest academic medical centers i...
  • 4/23/2024 12:00:00 AM
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About Detroit, Michigan

Detroit (/dɪˈtrɔɪt/, locally also /ˈdiːtrɔɪt/; French: Détroit, lit. 'strait') is the largest and most populous city in the U.S. state of Michigan, the largest United States city on the United States–Canada border, and the seat of Wayne County. The municipality of Detroit had a 2017 estimated population of 673,104, making it the 23rd-most populous city in the United States. The metropolitan area, known as Metro Detroit, is home to 4.3 million people, making it the second-largest in the Midwest after the Chicago metropolitan area. Regarded as a major cultural center, Detroit is known for its co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$76,871 to $98,004
Detroit, Michigan area prices
were up 1.2% from a year ago
View detail