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Document review Jobs in Detroit, MI

Last updated: 1 day ago
  • Promoted
Registered Nurse-Review Analys

Registered Nurse-Review Analys

LanceSoftDetroit, MI, US
Full-time
Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service an...Show moreLast updated: 8 days ago
Registered Nurse-Review Analyst

Registered Nurse-Review Analyst

w3r ConsultingDetroit, Michigan
Perform prospective, concurrent and retrospective review of post-acute care services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appea...Show moreLast updated: 14 days ago
Credit Review Officer Sr

Credit Review Officer Sr

Huntington National BankDetroit, MI
Full-time
The Credit Review Officer Sr- Consumer is responsible for evaluating the credit risk embedded in Bank assets.The candidate will possess a detailed working knowledge of the methodologies and techniq...Show moreLast updated: 30+ days ago
  • Promoted
Document Management Technician - Security Clearance Required

Document Management Technician - Security Clearance Required

CACIDetroit, Michigan
$18.78 hourly
Full-time
Document Management Technician.Job Category : Service Contract Act.Minimum Clearance Required to Start : DOJ MBI.Percentage of Travel Required : Up to 10%. The Document Management Technician will work ...Show moreLast updated: 4 days ago
Claims Clinical Specialist – Medical Review Team

Claims Clinical Specialist – Medical Review Team

Genworth FinancialMichigan
$124,600.00 yearly
Remote
Full-time
At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 30+ days ago
  • Promoted
Senior Associate, Private Equity Investment Risk Review Team, Singapore

Senior Associate, Private Equity Investment Risk Review Team, Singapore

This is an IT support groupSingapore, Michigan, Singapore
Senior Associate, Private Equity Investment Risk Review Team, Singapore.Our client, a world-class global investor across private and public markets, is looking for an investment banking associate w...Show moreLast updated: 11 days ago
  • Promoted
AVP, Know Your Customer (KYC) Review, Group COO Retail

AVP, Know Your Customer (KYC) Review, Group COO Retail

United Overseas Bank Ltd.Singapore, Michigan, Singapore
Full-time
Select how often (in days) to receive an alert : .AVP, Know Your Customer (KYC) Review, Group COO Retail.Location : Raffles (City Area), SG, 048624. Company : United Overseas Bank Ltd.United Overseas Ba...Show moreLast updated: 11 days ago
Document Specialist / Administrative Assistant

Document Specialist / Administrative Assistant

RehmannDetroit, Michigan
If you’re here, you’re looking for something more.More opportunity, more impact, more purpose.At Rehmann, each and every one of our associates plays a pivotal role in the Firm’s success.When you jo...Show moreLast updated: 30+ days ago
  • Promoted
Quality Review Supervisor - Work from home

Quality Review Supervisor - Work from home

Millennium Information ServicesMichigan, Lincoln Park
We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, prote...Show moreLast updated: 1 day ago
  • Promoted
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Michigan!

Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Michigan!

Doctor's Choice Placement Services, IncDetroit, MI, United States
Full-time
Medical Director Opportunity – Medicare Risk Adjustment HCC Review – Michigan!!.Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Michigan!!. Full-Time Opportunity, M-F 8am - 5pm ...Show moreLast updated: 4 days ago
  • Promoted
Care Review Clinician, Inpatient Review (RN)

Care Review Clinician, Inpatient Review (RN)

Molina HealthcareDetroit, MI, US
$26.41–$61.79 hourly
Full-time
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...Show moreLast updated: 2 days ago
Registered Nurse-Review Analyst

Registered Nurse-Review Analyst

ICONMADetroit, MI
Use established medical policy and guidelines to perform prospective, concurrent, and retrospective medical necessity review of post-acute care services to ensure medical necessity for appropriate ...Show moreLast updated: 30+ days ago
Analyst II - Consumer Loan Review

Analyst II - Consumer Loan Review

Ally500 Woodward Avenue, MI, United States
Full-time
The analyst II is responsible for the execution of assigned reviews relating to Ally's Loan Review function as well as for demonstrating skills in assessing consumer lending risks and credit decisi...Show moreLast updated: 30+ days ago
  • Promoted
Associate Director / Director, Compliance Periodic Review

Associate Director / Director, Compliance Periodic Review

TENTEN PARTNERS PTE. LTDSingapore, Michigan, Singapore
Full-time
We are in search of a seasoned Associate Director / Director of Compliance Periodic Review to become part of the Compliance team at a distinguished private bank. This crucial position entails oversee...Show moreLast updated: 4 days ago
  • Promoted
Client Due Diligence Manager - Periodic Review (Vice President)

Client Due Diligence Manager - Periodic Review (Vice President)

Bank of Singapore LimitedSingapore, Michigan, Singapore
Full-time +1
Bank of Singapore opens doors to new opportunities.Start your career with Bank of Singapore as a.At Bank of Singapore, we are constantly on the lookout for exceptional individuals to join our team....Show moreLast updated: 4 days ago
Utilization Review Coordinator

Utilization Review Coordinator

Behavioral Center of MichiganDetroit, Michigan, United States, 48201
Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex clinical data and supports the operat...Show moreLast updated: 19 days ago
Coordinator - Clinical Peer Review - Full Time - Wyandotte

Coordinator - Clinical Peer Review - Full Time - Wyandotte

Henry Ford HealthWyandotte, Michigan
With guidance and direction from the Senior Level Leadership, in collaboration with the Medical Staff Leadership Team, the Clinical Peer Review Coordinator is a registered nurse who performs projec...Show moreLast updated: 30+ days ago
eDiscovery Document Review Attorney - Remote

eDiscovery Document Review Attorney - Remote

Dauntless DiscoveryDetroit, MI, US
$23.00 hourly
Remote
Quick Apply
Experienced Document Review Attorney – Remote Great opportunity for licensed attorneys interested in getting started with document review. Please apply to get on our roster for upcoming matter...Show moreLast updated: 30+ days ago
Registered Nurse-Review Analys

Registered Nurse-Review Analys

LanceSoftDetroit, MI, US
8 days ago
Job type
  • Full-time
Job description

Job Description :

  • Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members.
  • May establish care plans and coordinate care through the health care continuum including member outreach assessments.

Requested criteria :

  • Above average computer skills (Microsoft office).
  • Clinical experience in ICU, ER, or medical surgical unit preferred.
  • Prefer utilization management experience.
  • Resource will be able to perform this role offsite. May be required to come into the office for meetings and training.