Computer Software Utilization jobs in Pontiac

*UTILIZATION REVIEW ANALYST** Analyzes and evaluates current admission information and assigned patient population for supporting admissions and discharge planning. *Responsibilities:** Assesses clinical documentation based on current recognized criteria. Contacts third party payers to communicate c

About Gateway Foundation Gateway Foundation, Inc. is a national non‑profit dedicated to helping individuals with substance use and mental health disorders. Established in 1968, Gateway provides essential tools and knowledge for recovery, positively impacting hundreds of thousands of lives. Operating

*General Statement of Duties****:** The Utilization Review Coordinator is responsible for coordinating, managing, and documenting medical necessity and authorization processes for behavioral health services reimbursed by commercial payers. This role supports residential treatment, partial hospitaliz

Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healt

Henry Ford Health

Position Overview: This Utilization Review role is primarily responsible for accurate data entry and administrative support, including patient scheduling and registration via phone and computer systems. The position also plays an important front‑line role in client engagement. Schedule: 9am-5:30pm K

WPS Health Solutions

Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to review medical services with evidence-based criteria, authorize

Job Summary Under general direction, assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement. Essential Functions Understands and accesses insurance websit

Responsibilities HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital s a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providing comprehensive, compassionate behavioral health services to children, adolescents

Corewell Health

Job Summary Under general direction, assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement. Essential Functions Understands and accesses insurance websit