Healthcare Utilization Specialist
6 days ago
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 InterQual criteria.
About the RoleThe ideal candidate will have 2-4 years of clinical experience, including acute patient care, discharge planning, case management, and utilization review. A strong understanding of patient care and healthcare delivery processes is essential, along with expertise in medical terminology and InterQual knowledge.
Requirements- A current unrestricted Michigan Registered Nurse license is required.
- An Associate Degree or nursing diploma is necessary.
- At least 2 years of patient care experience is required.
- Triage, case management, or utilization review experience is preferred.
- Advanced computer skills, including typing at 40+ WPM, are essential.
We offer a competitive salary range of $60,000 - $80,000 per year, depending on experience, along with opportunities for professional growth and development.
-
Healthcare Utilization Review Specialist
7 days ago
Detroit, Michigan, United States LanceSoft Full timeJob 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...
-
Healthcare Utilization Specialist
1 day ago
Detroit, Michigan, United States Detroit Medical Center Full timeThe 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...
-
Healthcare Utilization Specialist
7 days ago
Detroit, Michigan, United States Detroit Medical Center Full timeJob 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...
-
Healthcare Utilization Review Specialist
3 days ago
Detroit, Michigan, United States Detroit Medical Center Full timeAbout 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...
-
Clinical Utilization Specialist
6 days ago
Detroit, Michigan, United States Detroit Medical Center Full timeThe 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...
-
Utilization Management Coordinator
7 days ago
Detroit, Michigan, United States McLaren USA Full timeJob OverviewWe are seeking a skilled Utilization Management Coordinator to join our team at McLaren USA. This role will play a crucial part in determining hospital settings based on medical necessity, performing concurrent and retrospective utilization management activities, communicating with payors, and obtaining authorization for care.Key...
-
Detroit, Michigan, United States ADEX Healthcare Staffing LLC Full timeJob Title: Travel Healthcare Specialist for Emergency DepartmentADEX Healthcare Staffing LLC is seeking a skilled travel healthcare specialist to join their team in the Emergency Department.About ADEX Healthcare Staffing LLCADEX has been placing healthcare professionals across the US since 2004. Originally founded in Atlanta, GA, the company's headquarters...
-
Travel Imaging Specialist
5 days ago
Detroit, Michigan, United States Genie Healthcare Full time**Job Title:** Travel Imaging SpecialistWe are seeking an experienced Travel Imaging Specialist to join our team at Genie Healthcare. This is a fantastic opportunity for you to work in a dynamic environment and utilize your skills to make a difference.**About Us:Genie Healthcare is one of the fastest-growing healthcare staffing agencies in the USA, serving...
-
Medical Office Utilization Specialist
2 days ago
Detroit, Michigan, United States Detroit Medical Center Full timeThe 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...
-
Healthcare Support Specialist
6 days ago
Detroit, Michigan, United States Ascension Full timeHiring for full-time, part-time, and PRN positions in 8-hour shifts across all schedulesAt Ascension, the second-largest nonprofit health system in the U.S., we're seeking compassionate Healthcare Support Specialists to join our team at Detroit Academy of Arts and ScienceWe offer opportunities to work in a variety of care settings, including independent...
-
Healthcare Specialist
7 days ago
Detroit, Michigan, United States Wayne Health Services Inc Full timeAbout the RoleWe are seeking a highly skilled Healthcare Specialist to join our team at Wayne Health Services Inc. In this role, you will play a critical part in delivering exceptional patient care and contributing to the advancement of medical knowledge and practices.Job SummaryThe successful candidate will work under the supervision of an attending...
-
Healthcare Admissions Specialist
1 week ago
Detroit, Michigan, United States Behavioral Center of Michigan Full timeJob Summary: The Behavioral Center of Michigan is seeking a skilled Admissions Coordinator to join our team. This role is responsible for ensuring a smooth patient admission process, verifying patient information, and coordinating with billing and utilization review. If you have a passion for healthcare and excellent communication skills, we encourage you to...
-
Diagnostic Imaging Specialist
7 days ago
Detroit, Michigan, United States SpringBoard Healthcare Full timeAbout the JobWe are seeking a skilled Travel CT Technologist to join our team at SpringBoard Healthcare in Detroit, Michigan. As a travel imaging specialist, you will play a critical role in delivering exceptional patient care and contributing to the success of our healthcare facility.Job OverviewThis is a 13-week travel assignment with an estimated start...
-
X-Ray Imaging Specialist
6 days ago
Detroit, Michigan, United States Healthcare Support Full timeJob Title: X-Ray Imaging SpecialistAbout the JobWe are seeking a skilled X-Ray Imaging Specialist to join our team in Detroit, Michigan. This travel opportunity will provide you with the chance to work with top healthcare organizations and utilize your expertise in radiology.Job SummaryThe ideal candidate will have experience working as an X-Ray Imaging...
-
Healthcare Partnership Development Manager
2 days ago
Detroit, Michigan, United States Honest Health Full timeUnlock New Opportunities in Primary CareWe are seeking a skilled Physician Practice Partner to join our team at Honest Health. As a key member of our primary care transformation initiative, you will play a crucial role in building and maintaining strong relationships with healthcare providers and stakeholders across integrated networks.In this dynamic...
-
Healthcare Support Specialist
6 days ago
Detroit, Michigan, United States Ascension Full timeCompany OverviewAscension, a leading healthcare provider, has been dedicated to delivering high-quality care since 1902. With a strong focus on accessibility and affordability, the company strives to make a positive impact in the lives of its patients and associates.About the RoleAs a Healthcare Support Specialist, you will play a vital role in providing...
-
Healthcare Case Manager Specialist
2 weeks ago
Detroit, Michigan, United States Walker Healthforce Full timeAbout UsWalker Healthforce is a leading healthcare consulting company that provides end-to-end IT and clinical solutions to hospitals and health systems.Estimated Salary: $65,000 - $85,000 per yearJob OverviewA Healthcare Case Manager Specialist is needed for Case Management. This role involves administering patient care, developing care plans, and...
-
Intensive Care Unit RN Healthcare Specialist
6 days ago
Detroit, Michigan, United States Cynet Health Full timeWe are seeking a skilled and experienced Registered Nurse (RN) to join our team at Cynet Health as an Intensive Care Unit RN Healthcare Specialist. This is a 13-week assignment that offers a guaranteed salary of $143,500 per year, depending on experience and location.This role requires a strong foundation in neonatal care, with a minimum of one year of...
-
Healthcare Consulting Specialist
4 weeks ago
Detroit, Michigan, United States RubinBrown Full timeAbout the RoleWe are seeking a highly skilled Healthcare Consulting Specialist to join our team at RubinBrown LLP. This is an exciting opportunity for an independent thinker with exceptional attention to detail and experience in professional services or deadline-driven organizations.About the JobThis role will provide administrative support for our...
-
Medical Imaging Specialist
6 days ago
Detroit, Michigan, United States Host Healthcare Full timeHost Healthcare is seeking a travel Radiology Technologist for a dynamic opportunity in Detroit, Michigan.About the RoleThis 13-week contract position requires a highly skilled and experienced Radiology Technologist to work 36 hours per week, with a 9-hour shift schedule. As a Medical Imaging Specialist, you will be responsible for utilizing state-of-the-art...