Utilization Manager Jobs in Detroit
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Search Results - Utilization Manager Jobs in Detroit
CommunityCare-Detroit
to support timely utilization decisions
• Provide clinical consultation on complex medication requests and coverage determinations
• Support development and maintenance of medical drug utilization management programs
• Develop and maintain evidence-based...
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Henry Ford Health-Detroit
Advisor is a physician serving the hospital through teaching, consulting, and advising the care management and utilization review departments and hospital leadership. The Physician Advisor shall develop expertise on matters regarding physician practice...
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UnitedHealth Group-Detroit
Overview
In this leadership role, you steer a diverse training and quality team across multiple sites to elevate utilization management operations. You will design and deliver onboarding and ongoing education, align quality initiatives...
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Greenlife Healthcare Staffing-Detroit
in community mental health, utilization management, quality improvement, policy development, and behavioral health leadership. Under the direction of the Chief Medical Officer, the Psychiatrist will support evidence-based clinical practices, determine medical...
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appcast.io -
Banner Health-Detroit
to drive system changes, mentor team members, and lead or participate in cross-functional initiatives. Your work enables data-driven insights that improve care quality, utilization management, and operational efficiency. This role offers remote flexibility...
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Molina Healthcare-Detroit
provided to plan members.
• Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting...
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appcast.io -
Alignment Healthcare-Detroit
Overview
In this Regional Medical Director role, you lead non-acute utilization management across markets to optimize clinical outcomes, quality, and total cost of care. You collaborate with regional leaders and provider networks to advance prior...
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MID-STATE HEALTH NETWORK-Detroit
experience in behavioral health treatment service delivery or utilization management;
• 3 years’ working experience in healthcare service delivery;
• Knowledge of the principles and practices of continuous quality improvement;
• Capacity to use data to inform...
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UnitedHealth Group-Detroit
Overview
As Medical Director, you guide clinical coverage determinations within Enterprise Clinical Services, collaborating with leadership to ensure high-quality, cost-effective patient care. You lead utilization management activities and engage...
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UnitedHealth Group-Detroit
Overview
In this role you support authorization decisions for psychiatric and chemical dependency care, working within Utilization Management to ensure medical necessity and efficient care transitions. You will handle data entry, coordination...
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