Clinical Utilization Review Specialist

Job Title: Healthcare Utilization Review SpecialistWe are seeking a highly skilled and experienced Healthcare Utilization Review Specialist to join our team at LanceSoft.About the Role:Perform thorough reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service, and level...

About Detroit Medical CenterThe Detroit Medical Center (DMC) is a leading healthcare provider in Southeast Michigan, renowned for its academic excellence and commitment to patient care. With a rich 150-year history, the DMC operates eight hospitals and over 140 clinics, offering a wide range of services from cardiovascular health to pediatrics.Job SummaryWe...

The Detroit Medical Center is seeking a skilled Clinical Utilization Specialist to join their team. In this role, you will play a critical part in ensuring the delivery of high-quality patient care while promoting efficient use of resources.Job DescriptionA career as a Clinical Utilization Specialist at the Detroit Medical Center offers you the opportunity...

w3r Consulting is a dynamic and innovative company that values the contributions of its employees.Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Healthcare Utilization Specialist. As a key member of our organization, this individual will be responsible for ensuring the appropriateness of inpatient settings utilizing...

About the RoleWe are seeking an experienced Clinical Utilization Manager to join our team at the Detroit Medical Center. This is a full-time, day shift position that requires 36 hours of work per week.ResponsibilitiesBalancing clinical and financial requirements and resources in advocating for patient needs with judicious resource managementPromotes prudent...

OverviewWe are seeking a skilled and compassionate Mobile Research Nurse to join our dynamic team at WEP Clinical in Detroit, Michigan. As a Mobile Research Nurse, you will play a crucial role in ensuring the successful execution of research studies.Compensation$55 per hour onsite and $50 per hour for travel time, with mileage reimbursement for travel...

Job Summary:  The Detroit Medical Center is seeking a skilled Healthcare Utilization Specialist to join our team. This role is responsible for ensuring that care provided is at the appropriate level of care based on medical necessity.  In this position, you will be responsible for managing the medical necessity process for accurate and timely payment for...

The Detroit Medical Center is seeking a highly skilled Healthcare Utilization Specialist to join our team in Metro Detroit.About the RoleWe are looking for a dedicated professional to facilitate effective resource coordination and ensure that patients receive optimal health care, access to care, and appropriate utilization of resources.This role involves...

Job OverviewThe Detroit Medical Center is seeking a highly skilled Medical Case Manager to join our team in Detroit, Michigan. As a key member of our Utilization Review department, you will play a critical role in ensuring that patients receive the most appropriate level of care while maintaining fiscal responsibility.About UsThe Detroit Medical Center is a...

Job OverviewLanceSoft is a Minority Business Enterprise (MBE) and an equal opportunity employer. We are seeking a highly skilled Registered Nurse to join our team as a Senior Clinical Review Coordinator.

The Detroit Medical Center (DMC) is seeking a highly skilled Registered Nurse to fill the role of RN Utilization Review in its esteemed medical office. As a key member of our team, you will play a crucial part in ensuring that patients receive optimal health care and access to necessary resources.With a strong focus on patient-centered care, you will be...

Job OverviewLanceSoft, a certified Minority Business Enterprise (MBE), is seeking a highly skilled Registered Nurse-Review Analyst to join our team. As a key member of our healthcare review team, you will play a vital role in ensuring the medical necessity of post-acute care services.About the RoleThis challenging and rewarding position requires strong...

Located in the heart of Detroit, Michigan, the Detroit Medical Center (DMC) is a leading academic medical center with a long history of providing exceptional patient care and education. As a Clinical Care Specialist, you will play a critical role in ensuring that our patients receive the highest level of care possible.We are seeking an experienced Registered...

Job Summary: We are seeking a skilled Clinical Laboratory Specialist to join our team at the Detroit Medical Center. This is a full-time position working 40 hours per week, with an estimated salary of $65,000 - $80,000 annually.About Us: The Detroit Medical Center (DMC) is a leading academically-integrated hospital system in Metro Detroit, providing...

Job TitleClinical Research Nurse SpecialistAbout the RoleWe are seeking a skilled Clinical Research Nurse Specialist to join our team at Profound Research. As a key member of our research coordination team, you will play a critical role in ensuring the success of our clinical trials.Key ResponsibilitiesAdminister IVs to study participants at multiple site...

Transform Patient Lives through ScienceCareers at CTI Clinical Trial and Consulting Services are uniquely interesting, life-changing opportunities to make a difference in the lives of patients. As a Senior Clinical Trials Specialist - Hematology Expert, you will be part of a dynamic team that brings together passion, innovation, and urgency to deliver...

Transform the Patient Experience and Financial PerformanceR1 RCM, a global leader in revenue cycle solutions, is seeking a highly skilled Clinical Coding Specialist to join our team. As a key member of our revenue cycle operations team, you will play a critical role in reviewing and interpreting medical records to draft appeals of denied and underpaid...

Job OverviewDetroit Medical Center is seeking a skilled Laboratory Specialist to join our team in Detroit, Michigan. This full-time position offers an excellent opportunity for a motivated individual to utilize their analytical expertise and provide high-quality diagnostic services.About the RoleWe are looking for a detail-oriented professional with strong...

About This OpportunityThe Detroit Medical Center is seeking a skilled Laboratory Specialist to join our team in Detroit, Michigan. As a key member of our clinical services team, you will play a critical role in ensuring the highest quality patient care.Job Summary:We are looking for a detail-oriented and organized individual with experience in laboratory...

At Henry Ford Hospital, our mission is to deliver exceptional patient care and make a positive impact on the community. As an Advanced Nurse Practitioner in our System Command Center, you will play a vital role in ensuring the quality of healthcare delivery while minimizing financial risk.About the RoleWe are seeking a skilled Registered Nurse with a valid,...