Utilization Review Jobs in Grand Rapids
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Search Results - Utilization Review Jobs in Grand Rapids
Gainwell-Grand Rapids
and technical development academies
Responsibilities
• Provide clinical guidance on policies, drug utilization, and pharmacy operations
• Perform clinical evaluations of medication therapy including prior authorization reviews and DURs
• Conduct peer-to-peer...
Dane Street, LLC-Grand Rapids
is established, and no treatment is provided. These are advisory‑only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert...
appcast.io -
UnitedHealth Group-Grand Rapids
or Marriage and Family Counseling or Licensed Ph.D. level Psychologist (independently licensed)
• Board certification as a Behavior Analyst (BCBA) and state licensure as required
• 3+ years of Managed Care and/or Utilization Review experience
• 3+ years...
Dane Street, LLC-Grand Rapids
is established, and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert...
appcast.io -
Cummins-Grand Rapids
generation applications
• Lead project planning sessions with internal stakeholders to define scope, objectives, milestones, and performance goals
• Develop cross-functional schedules and resource plans to meet timelines and optimize utilization
• Review...
Altru Rehabilitation Hospital-Grand Rapids
documentation to post discharge providers/physicians.
• Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case...
UnitedHealth Group-Grand Rapids
and Pharmacy Utilization Review/trends
• Intermediate to advanced MS Office (Word, Excel, PowerPoint)
• Strong verbal and written communication skills
• Self-motivated with excellent time management and prioritization skills
• Remote work readiness per company...
Dane Street, LLC-Holland (MI), 26 mi from Grand Rapids
relationship is established, and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials...
workable.com -
UnitedHealth Group-Grand Rapids
requirements
• 5+ years of people leadership in a healthcare setting
• 3+ years in training program development, QA operations, or organizational education
• 3+ years in utilization management operations or utilization review
• 3+ years working knowledge...
Sanford Careers-Marne (MI), 10 mi from Grand Rapids
individualized treatment plans, treatment plan reviews and updates, progress notes, utilization reviews, transition and discharge plans, and continuing care plans.
• Provides education to clients and families about behavioral health treatment and recovery...
exponentats.com -
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