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Sr Associate Quality Control I
Amgen Inc.
NC
…Quality Control Bioassay will report directly to the Senior Manager of Quality Control Bioassay. This role may manage bioassay…
Added just now
Quality Control Team Lead - 2nd shift
Amgen Inc.
NC
…Quality Control Bioassay will report directly to the Senior Manager of Quality Control Bioassay. This role may manage bioassay…
Added 2 mins ago
HI
Program Manager
Health Improvement Partnership of Santa Cruz County
Santa Cruz, CA
- $83,388.76 USD / year
…programs across the Central Coastal Region? If so, apply for the Program Manager role that has opened at the Health Improvement Partnership of Santa Cruz County…
Added 17 mins ago
Phlebotomy Tech Lead
WhidbeyHealth
Coupeville, WA
Established procedures are followed for evaluating and presenting any required information to patients as required by insurance prior to specimen collection.
Added 17 mins ago
RN House Supervisor
WhidbeyHealth
Coupeville, WA
…has adequate rest and meal breaks and, in the absence of a manager or supervisor, serve as the primary point of contact for WhidbeyHealth’s nursing staff and oversee overnight and weekend…
Added 17 mins ago
Radiology Tech
WhidbeyHealth
Coupeville, WA
Responsible for delegated areas of authority in the performance of routine or special procedures. In the absence of the manager or lead technologist, may be designated as acting supervisor.
Added 17 mins ago
Ultrasound Tech
WhidbeyHealth
Coupeville, WA
10. Available to assist with budget as required by Manager of Diagnostic Imaging Services, specifically
Added 18 mins ago
Branch Manager 4 - 82nd & Causey, OR
U.S. Bank National Association
Happy Valley, OR
Added 20 mins ago
CO
Hauler Operations Program Coordinator (Coordinator II - CPPW)
City of Portland
Portland, OR
- $40.97 to $58.47 USD / hour
Provides recommendations on program policies and administrative rules and assists with code enforcement
Added 20 mins ago
CO
Adaptive Planning & Source Protection Manager (Environmental Regulatory Manager)
City of Portland
Portland, OR
- $136,884.8 to $193,086.4 USD / year
…Available. This position supervises. As of April 2025, all manager and supervisor positions, are expected to report to their worksites full time. Remote workdays remain an option, to…
Added 23 mins ago
UG
Senior Case Management Specialist- Felony Drug Court
Unified Government of Athens-Clarke County
Athens, GA
- $47,139 USD / year
…supervising participants in their effort to complete their assigned program; ensuring the participant under the coordinator's supervision are closely monitored for eventual success in the…
Added 24 mins ago
Outreach Care Specialist
The Elevance Health Companies, Inc.
United States
Medical record audit support to support HEDIS/Star program goals
Added 25 mins ago
EE
Project Coordinator 1
EC Electric
Boise, ID
- $50,000 to $65,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Project Manager-Special Projects
EC Electric
Portland, OR
- $115,000 to $180,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Project Coordinator 2
EC Electric
Sparks, NV
- $60,000 to $75,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Assistant Project Manager
EC Electric
Renton, WA
- $80,000 to $140,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Project Manager-Special Projects
EC Electric
Renton, WA
- $115,000 to $180,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Business Development Manager
EC Electric
Renton, WA
- $165,000 to $185,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Assistant Project Manager
EC Electric
Renton, WA
- $80,000 to $140,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Assistant Project Manager
EC Electric
Portland, OR
- $80,000 to $140,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Assistant Project Manager
EC Electric
Hermiston, OR
- $80,000 to $140,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Assistant Project Manager
EC Electric
Umatilla, OR
- $80,000 to $140,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Assistant Project Manager
EC Electric
Boardman, OR
- $80,000 to $140,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Assistant Project Manager Industrial
EC Electric
Pasco, WA
- $80,000 to $140,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…
Added 25 mins ago
EE
Electrical Construction Assistant Project Manager Industrial
EC Electric
Kennewick, WA
- $80,000 to $140,000 USD / year
…rate, paid holidays and PTO; Medical, Dental, Vision, Life Insurance, Disability Insurance, Flexible Spending Accounts, 401k plan and Employee Assistance…

Closed listing

Detroit Medical Center Shared Services

Utilization Manager

Detroit, MI, United States

This opening has closed.

The original listing is kept below for reference.

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Job details

Posting language: English
Posted: Nov 6, 2026

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Original job description

Archived listing. The details below describe a past opening.

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At The Detroit Medical Center (DMC) , we’re seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success. Benefit Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

Medical, dental, vision, and life insurance
401(k) retirement savings plan with employer match
Generous paid time off (PTO)
Career development and continuing education opportunities
Health savings accounts, healthcare C dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder C childcare, auto C home insurance. Note: Eligibility for benefits may vary by location and is determined by employment status The individual in this position is responsible to facilitate and support an effective Utilization Review program within the Case Management department, which may be centralized within a specific market or group. The individual in this position has overall responsibility to ensure that care is provided at the appropriate level of care based on medical necessity and assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This position manages medical necessity process for accurate and timely payment for services which may require negotiation with a payer on a case by case basis. This position integrates national standards for case management scope of services to include: · Provides assistance to the Director of Case Management in the management of the Utilization Review/ Central Utilization Review department, but not limited to, hiring/training/managing staff, schedule coordination, analysis and reporting, interfacing, collaborating and working closely with the other departments. · Accountable for compliance with state and federal regulatory requirements, TIC accreditation standards and Tenet policy. · Provides education to physicians, physician advisors, Case Management staff, and other hospital leaders as needed. Identify and provide physician education and feedback on hospital utilization and disputes/denials data. · Review weekly Case Management Utilization Review (UR) and Continuing Care (CC) scorecards/metrics, Observed/Expected Length of Stay, Authorizations and Downgrades. Provides reports to DCM and hospital leadership as requested. · Maintains knowledge of current contractual arrangements with Health Plans and Vendors. Partners with Managed Care representatives in JOC and other payer meetings to collaborate and communicate better outcomes. · Organize the concurrent authorization process to meet utilization management needs and monitor turn-around times to meet health plan requirements. Implement and monitor processes to prevent payer disputes. · Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with Tenet policy as well as any state or federal program requirements. The individual's responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) securing and documenting authorization for services from payers, c) managing concurrent disputes, d) collaborating with payers, physicians, office staff and ancillary departments, e) timely, complete and concise documentation in the Tenet Case Management documentation system, f) maintenance of accurate patient demographic and insurance information, g) identification and documentation of potentially avoidable days, h) identification and reporting over and underutilization, i) and other duties as assigned.

QUALIFICATIONS:

Required qualifications include an active Registered Nurse license with at least two years acute hospital patient care, hospital case management, utilization review, healthcare, or leadership experience. B.S.N. preferred, ***unless higher degree required for Magnet Hospital Status. Accredited Case Manager (ACM) preferred. Acute hospital case management or supervisory experience preferred. Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and

coordinate activities of a diverse group of people in a fast-paced environment, critical thinking and problem solving skills and computer literacy.

Facility Description The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital. EEO Statement Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: http://www.uscis.gov/e-verify The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations

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