Utilization Review Analyst HYBRID (PCN 1542)
Compensation
$56k – $70k /yr
Employment type
Full-time
Work setting
On-site
Location
Troy, MI
Schedule
Day shift
Posted
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Job overview
The Utilization Review Analyst HYBRID (PCN 1542) role is a hybrid position located in Troy, MI. Compensation is specified as $56,165 - $70,206 per year, and this role supports the Oakland Community Health Network utilization management team. This role exists to conduct clinical reviews of service authorizations to ensure medical necessity and efficient use of psychiatric services. The analyst collaborates with providers and interdisciplinary teams to support continuity of care and regulatory compliance.
What you'll do
- Conducting concurrent utilization reviews, analyzing clinical documentation, facilitating continuity of care, and documenting authorization decisions.
What we're looking for
- Skills & competencies
- full-timeday shifttroy miutilization reviewhealthcarebehavioral healthclinical analysthybridmedicaidcompliance
- Work arrangement
- Weekend coverage required
Benefits & perks
- Hybrid work schedule, professional development, inclusive culture.
Why this role
Hybrid work schedule, focus on Michigan Medicaid Provider Manual requirements.
About the employer
Oakland Community Health Network is hiring for this role. Industry: All Other Outpatient Care Centers. Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- All Other Outpatient Care Centers
- Occupation code
- 29-1141.00
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Listing ID: ba415450-e8d1-4b9f-bb4f-6da9fca3ffb6