Clinical Reviewer
1 week ago
As a Utilization Nurse, you will perform utilization review services in compliance with federal and state regulations, and the URAC standards for client members seeking healthcare treatment and services. Your responsibilities will include obtaining, analyzing, and documenting all supporting clinical information within the documentation record, completing timely reviews of healthcare services, and communicating with the Medical Director and Peer Reviewer(s) for cases requiring review of medical necessity, appropriate treatment, intensity/number of inpatient and outpatient treatment or quality of care issues.
You will also be responsible for initiating referrals of targeted patients into organized disease management programs, managing and documenting after-hours phone calls from members and providers, maintaining confidentiality of member information, case records, and file entries, participating in quality management activities, and assisting with coordination and design development of clinical and client-specific reports.
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Clinical Review Coordinator
2 weeks ago
Pontiac, Michigan, United States TheraMatrix Full timeJob DescriptionAs a Clinical Review Coordinator - PT Services at TheraMatrix, you will play a critical role in ensuring the quality and effectiveness of our physical therapy services. Your primary responsibilities will include reviewing and authorizing outpatient physical therapy services, conducting concurrent reviews, and participating in Care Management...
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Utilization Review Coordinator
7 hours ago
Pontiac, United States TheraMatrix Full timeJob DescriptionJob DescriptionDuties and Responsibilities:Initial authorizations of outpatient physical therapy services: Reviews and authorizes services that meet criteria, along with supporting documentation. It is the responsibility of the URC to ensure outpatient physical therapy services are provided at the appropriate level and are received per the...
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Clinical Research Nurse
1 day ago
Pontiac, United States Incredible Health Full timeHospitals on Incredible Health are actively hiring and accepting applications in the Pontiac, MI area for the following position: Clinical Research Nurse (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical trial or study, Oncology, or Peer review. Shift(s) available: day shift Job types available: full...
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Physical Therapy Service Coordinator
2 weeks ago
Pontiac, Michigan, United States TheraMatrix Full timeJob OverviewAt TheraMatrix, we're seeking a highly skilled Utilization Review Coordinator to join our team. This role is responsible for reviewing and authorizing outpatient physical therapy services to ensure they meet defined plan guidelines.ResponsibilitiesInitial Authorizations: Review and authorize services that meet criteria, along with supporting...
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Physician
7 months ago
Pontiac, United States Wexford Health Sources Full timeTo Apply for this Job Click Here POSITION: Staff Physician SCHEDULE: Full-Time FACILITY: Pontiac LOCATION: Pontiac, ILA Job Should be MORE than just a paycheck.Wexford Health Sources, Inc. is one of the nation's largest correctional health care providers. Over the past 30 years, our team of dedicated clinical professionals has helped literally millions...
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Physician
1 week ago
Pontiac, United States Wexford Health Sources Full timeTo Apply for this Job Click Here POSITION: Staff Physician SCHEDULE: Full-Time FACILITY: Pontiac LOCATION: Pontiac, ILA Job Should be MORE than just a paycheck.Wexford Health Sources, Inc. is one of the nation's largest correctional health care providers. Over the past 30 years, our team of dedicated clinical professionals has helped literally millions...
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SJMO Case Manager
1 hour ago
Pontiac, United States Trinity Health Full timeEmployment Type: Full time Shift: Day Shift Description: Posting Facilitates the coordination of patient care, through comprehensive clinical assessment, planning, implementation and overall evaluation of individual patient needs utilizing assessment skills, clinical expertise, and specific knowledge of criteria and third party payor information....
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Pharmacy Services Coordinator
1 week ago
Pontiac, Michigan, United States PACE Southeast Michigan Full timeJob Title: Pharmacy Services CoordinatorEstimated Salary: $50,000 - $70,000 per yearWe are seeking a highly organized and detail-focused Pharmacy Services Coordinator to join our team at PACE Southeast Michigan. As a key member of our clinical pharmacy services team, you will be responsible for assisting the Clinical Pharmacist in providing comprehensive,...
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Pontiac, United States Wexford Health Sources Full timeTo Apply for this Job Click Here POSITION: Associate Qualified Mental Health Professional Trainee SCHEDULE: Full-Time / 8a-4p Monday-Friday / Days off Saturday & Sunday FACILITY: Pontiac Correctional Center LOCATION: Pontiac, Illinois Ask about other available shifts! *To be considered, candidats must have a Master's degree or be in the final months of...
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Utilization Management Coordinator
5 months ago
Pontiac, United States Trinity Health Full timeEmployment Type: Part time Shift: Day Shift Description: I Accountability Objectives: Applies specific criteria and payer guidelines to ensure that all health care services provided are cost effective and delivered in the most appropriate setting and optimized for quality and timeliness of the care. In collaboration with members of the health care...
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Pontiac, United States Trinity Health Full timeTrinity Health Oakland Hospital, located in Pontiac, Michigan, has an excellent full-time employment opportunity for a Board-Certified Physician to serve as Medical Director of Quality, Safety, and Medical Affairs. This position will be split 0.6 FTE administrative and 0.4 FTE clinical.The responsibilities for this opportunity will...
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Pontiac, United States Trinity Health Full timeTrinity Health Oakland Hospital, located in Pontiac, Michigan, has an excellent full-time employment opportunity for a Board-Certified Physician to serve as Medical Director of Quality, Safety, and Medical Affairs. This position will be split 0.6 FTE administrative and 0.4 FTE clinical.The responsibilities for this opportunity will...
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Community Nursing Manager
1 week ago
Pontiac, Michigan, United States The Orchards of Michigan Full timeKey ResponsibilitiesAs a Hospital Liaison, your primary responsibilities will include:Collecting patient information during the referral processAccepting patients on behalf of the facility after clinical and financial reviewCommunicating with and educating referral sources regarding service via written and telephone contactYou will also work closely with...
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Mental Health Screener Professional
1 week ago
Pontiac, Michigan, United States Oakland Community Health Network Full timeJob SummaryWe are seeking a highly skilled Mental Health Screener to join our team at the Oakland Community Health Network. This is a full-time position that requires excellent communication and interpersonal skills, as well as the ability to work in a fast-paced environment.The ideal candidate will possess a master's degree in a mental health field and a...
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Respiratory Therapist Registered
8 months ago
Pontiac, United States McLaren USA Full timePosition Summary: Provides respiratory care services to patients who require emergency care, intensive care, therapeutic treatment, invasive and non-invasive monitoring, diagnostic testing and patient education for pulmonary and cardiopulmonary disorders. Monitors and maintains equipment and participates in quality assurance and improvement activities....
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Mental Health Specialist Position
4 weeks ago
Pontiac, Michigan, United States Wexford Health Full timeCompany OverviewWexford Health Sources, Inc. is one of the nation's largest correctional healthcare providers, dedicated to delivering quality, compassionate health services to justice-involved patients for over 30 years.Estimated Salary:$114000 per yearJob DescriptionAs a Qualified Mental Health Professional, you will provide social work services to...
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Triage RN Primary Care
2 days ago
Pontiac, United States Trinity Health Full timePOSITION DESCRIPTION: Provides professional nursing care for patients following established standards and practices, which can include triage (telephone and walk-in visits), and care needs that transpire between office visits. Demonstrates professional clinical leadership and oversight within the scope of the RN role. ESSENTIAL JOB FUNCTIONS: The following...
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Pontiac, United States Wexford Health Sources Full timeWexford Health Sources, one of the nation's leading innovative correctional health care companies, provides clients with experienced management and technologically advanced services, combined with programs that control costs while ensuring quality. For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of...
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Qualified Mental Health Professional
4 weeks ago
Pontiac, United States Wexford Health Full timeJob DescriptionJob Description To Apply for this Job Click Here POSITION: Qualified Mental Health Professional SCHEDULE: 12p-8p, Monday-Friday (Off Sat/Sun)FACILITY: Pontiac Correctional CenterLOCATION: Pontiac, IL A Job Should be MORE than just a paycheck. Wexford Health Sources, Inc. is one of the nation's largest correctional health care...
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Qualified Mental Health Professional
6 days ago
Pontiac, United States Wexford Health Sources Full timePOSITION: Licensed Mental Health Professional (Clinical/Non-Clinical) SCHEDULE: Full-Time / 8a-4p Sunday-Thursday / Days off Friday & Saturday FACILITY: Pontiac Correctional Center LOCATION: Pontiac, IL Ask about other shifts available! Pay: From $35 an hour for LSWs/LPCs/ALMFTsPay: From $38 an hour for LCSWs/LCPCs/LMFTs A Job Should be MORE than just a...