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University of Michigan
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Ann Arbor, Michigan
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Administrative Director - Children's Emergency Services
Job Title
Administrative Dir Healthcare ... progressively responsible experience in a health services delivery system and/or practice management
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Amergis
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Detroit, Michigan
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The Utilization Review Specialist is responsible for theassessment and review of the healthcare ... , abuseor incorrect utilization
Consults with Social Services Department regarding the levelof
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McLaren Health Care
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Petoskey, Michigan
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; communicates with utilization management nurse and obtains orders from providers.
Reviews current DRG/LOS ... referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement
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Henry Ford Health System
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Detroit, Michigan
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Director of Behavioral Health Services (Admin Dir-BHS) also provides administrative oversight and ... provider of choice for addiction care and ambulatory
behavioral health services.
The Admin Dir
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McLaren Health Care
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Lansing, Michigan
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; communicates with utilization management nurse and obtains orders from providers.
Reviews current DRG/LOS ... referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement
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McLaren Health Care
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Detroit, Michigan
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/billing or healthcare related field
Two years of case management or utilization review, billing, or ... , materials, and equipment necessary inproviding utilization management services.
Demonstrated expertise
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McLaren Health Care
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Lansing, Michigan
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; communicates with utilization management nurse and obtains orders from providers.
Reviews current DRG/LOS ... referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement
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Tenet Healthcare
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Detroit, Michigan
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for case management scope of services including: Utilization Management supporting medical necessity ... ;">Utilization Management: Balances clinical and financial requirements and resources in advocating
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McLaren Health Care
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Lansing, Michigan
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plan or Physician Organization environment with Care Coordination, Utilization Management, disease ... partnership between the McLaren healthcare System and our Physician members. Our focus is to support physician
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Trinity Health
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Pontiac, Michigan
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• Master's degree in business/management or healthcare related field, preferred.
Licensure ... :
Accountability Objectives:
The 340B Program Coordinator is responsible for coordination and management of
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Humana
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Lansing, Michigan
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comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ... independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist
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Tuscola Behavioral Health Systems
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Caro, Michigan
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requirements.
- Works closely with clinical leaders on the development of a Utilization Management Program ... *Tuscola Behavioral Health Systems (TBHS) has been providing services within Tuscola County since
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McLaren Health Care
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Lansing, Michigan
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of Healthcare Central Services Materials Management) certification.
Six months of prior work ... medical equipment.
Tracks and reports on equipment utilization including rental equipment.
3
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Humana
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Lansing, Michigan
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Molina Healthcare
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Troy, Michigan
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& CSST resolution support, and National Contract Management support services.
• Serves as a ... and resolve issues related to utilization management, pharmacy, quality of care, and correct coding
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Universal Health Services
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DEARBORN, Michigan
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Responsibilities
Utilization Management Case Manager ... /
PositionSummary
The Utilization Management Case Manager is primarily responsible for organizing and
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Tenet Healthcare
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Detroit, Michigan
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standards for case management scope of services including: Utilization Management services ... : Utilization Management Balances clinical and
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Trinity Health
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Farmington Hills, Michigan
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Ministry Organization (MO) based Utilization Review/Case Management departments;
Reviews and ... (4) years of nursing experience, to include two (2) years of utilization review/case management
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Trinity Health
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Livonia, Michigan
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quality and safety focusing on appropriate utilization of supplies and services. Works with key ... **
Indirect / Healthcare Support Services: (OSHA: Healthcare support services mean services that facilitate
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Trinity Health
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Livonia, Michigan
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quality and safety focusing on appropriate utilization of supplies and services. Works with key ... **
Indirect / Healthcare Support Services: (OSHA: Healthcare support services mean services that facilitate
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McLaren Health Care
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Detroit, Michigan
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utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated ... in coding/medical records/billing or UM
Two years of case management or utilization review
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Humana
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Lansing, Michigan
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healthcare providers, clinical group practice management.
Utilization management experience in a medical ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Metro Health
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Grand Rapids, Michigan
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optimizing the delivery of care management services within the healthcare organization. It involves leading a ... education required. A master's degree in healthcare management, Nursing, or a related field preferred
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OSF Healthcare System
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Escanaba, Michigan
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for care coordination, appropriate visit pattern utilization, outcome monitoring/management, resource ... and home infusion services as needed. The RN Case Manager is responsible for decision-making regarding
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Humana
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Lansing, Michigan
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medical interpretation and determinations whether services provided by other healthcare professionals are ... participating in teams focusing on quality management, utilization management, case management, discharge
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CVS Health
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Lansing, Michigan
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-wide business functions including claims, member services, compliance, quality, utilization management ... practice experience in physical or behavioral healthcare.
5+ years of management or clinical
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Humana
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Lansing, Michigan
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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ChenMed
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Warren, Michigan
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threatening or altering diseases and disorders. The incumbent in this profile advocates for services and ... patients to obtain community resources/services as appropriate, e.g. meals, medications, housing, daycare
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ChenMed
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Southfield, Michigan
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threatening or altering diseases and disorders. The incumbent in this profile advocates for services and ... patients to obtain community resources/services as appropriate, e.g. meals, medications, housing, daycare
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ChenMed
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Eastpointe, Michigan
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threatening or altering diseases and disorders. The incumbent in this profile advocates for services and ... patients to obtain community resources/services as appropriate, e.g. meals, medications, housing, daycare
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