Utilization Review Jobs in Grand Rapids, MI

Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 16 weekend hours. Monthly Required Hours: 32 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.&#xa0 More...

OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...

The Virtual Clinic Nurse Practitioner OR Physician Assistant will be responsible for providing direct patient care in Privias Virtual Clinic. Day-to-day this role will be treating patients virtually through a HIPAA-compliant telehealthplatform and will support efforts in developing cl More...

As a registered nurse with an Illinois nursing license you will work remotely to enhance the quality of member management maximize both satisfaction and cost effectiveness and assist in navigating the health care system as a collaborative health partner in their health care team. As a More...

This is a hybrid position. The onsite requirements are 1 day per week but can vary depending on meetings and/or projects. Join us at Corewell Health as we embark on an exciting journey to cultivate the next generation of health care leaders! As aResidency Program Coordinator youll be More...

Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 10 weekend hours. Monthly Required Hours: 20 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.&#xa0 More...

OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...

Job SummaryProvides health information interacts and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and concurrent requ More...

Utilization Review PharmacistShape the drug benefit landscapeanalyze and optimize medication use.Key Responsibilities:Review prescribing trends and propose cost-saving alternatives.Maintain evidence-based formularies across multiple payers.Conduct retrospective DUR and prepare stakeho More...

Sub-Acute Rehab Utilization Review ManagerSummary The Sub-Acute Rehab Utilization Review Manager ensures high-quality financially sound care delivery by overseeing regulatory compliance in billing coding and collaboration with the Administrator Therapy Manager and MDS Coordinator th More...

Job Title: Program Coordinator of the Nagel InstituteDepartment: Nagel Institute for the Study of World ChristianityReports to: Director of the Nagel InstituteStatus: Part-time Non-exempt.SUMMARYThe Program Coordinator operationalizes the vision plans and research directives from the More...

About the Medication Care Coordination Department:The Corewell Health Medication Care Coordination (MCC) department is a central pharmacy department consisting of clinical pharmacy specialists and pharmacy technicians working to support inpatient and outpatient infusion clinics along More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# More...