Healthcare Utilization Manager
5 days ago
Estimated annual salary: $95,000 - $115,000
About the RoleWe are seeking a skilled Healthcare Utilization Manager to join our team at the Detroit Medical Center. In this critical role, you will be responsible for ensuring that patients receive appropriate care while balancing clinical and financial requirements.
Job Summary- Facilitate effective resource coordination to optimize patient outcomes
- Maintain accurate documentation of patient information and medical necessity screening
- Collaborate with payors, physicians, and office staff to ensure seamless communication
- Balances clinical and financial requirements to advocate for patient needs
- Promotes prudent utilization of resources by evaluating available resources and balancing cost and quality
- Completes admission reviews for all payors and sends reviews for payors with an authorization process
- Registered Nurse (RN) license required
- Experience in utilization management or case management preferred
- Strong communication and organizational skills
The Detroit Medical Center is a leading academically-integrated hospital system in Metro Detroit, serving patients and families throughout Michigan and beyond. We offer a range of benefits and options to support our employees' health and well-being, including healthcare plans, dental and vision benefits, and an employee assistance program.
We value diversity and inclusion, and we are committed to maintaining an environment of equal opportunity and affirmative action. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status, or disability.
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