Coordinator - Utilization Management (1.0 Full Time Day Shift) Clinton Township Campus

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Nursing
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185067 Requisition #
Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business and regulatory knowledge and skill to reduce significant financial risk and exposure caused by concurrent and retrospective denial of payments for services provided. Through continuous assessments, problem identification and education facilitates the quality of health care delivery in the most cost effective manner. Performs other related duties as required.

EDUCATION/EXPERIENCE REQUIRED: Registered Nurse with a valid unrestricted State of Michigan License. Minimum 3-5 years of clinical experience. Previous utilization management or case management experience, preferred. The ability to communicate with individuals from various socio-economic backgrounds regarding a variety of hospital-wide practices. Knowledge of outside regulatory agencies that interface with the institution.

 

PREFERRED QUALIFICATIONS:

Strong Utilization Review skills. Knowledge of Medical Insurances.  Computer knowledge.

Overview

Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

care systems, is a national leader in clinical care, research and education.  The system includes

the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

network and many other health-related entities throughout southeast Michigan, providing a

full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care.

The health system also is a major economic driver in Michigan and employs more than 24,600

employees.  Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient.  The

health system is led by President and CEO Wright Lassiter III.  To learn more, visit HenryFord.com.

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or

making the employee enrollment selection experience easier, it's all about choice.  Henry

Ford Health System has a new approach for its employee benefits program - My Choice

Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

dozens of options for all of our employees including compensation, benefits, work/life balance

and learning - options that enhance your career and add value to your personal life.  As an

employee you are provided access to Retirement Programs, an Employee Assistance Program

(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

benefits and services.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

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Clinton Township, Michigan

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