330 utilization jobs at 119 companies in Shelby, MI

1mo
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Utilization Review Manager
New Baltimore, Michigan, United States
$25-$35/hr OnsiteFull Time
Acadia Healthcare
Acadia HealthcareNasdaq: ACHC: Provider of inpatient and outpatient behavioral health services.
Monitor service utilization, secure insurance authorizations, review clinical documentation, ensure regulatory compliance, and provide staff management. Requires applicable clinical licensure and CPR/de-escalation training.
4w
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Utilization Review Supervisor (PCN 1547)
Troy, Michigan, United States
$70k-$88k/yr HybridFull Time
Oakland Community Health Network
Oakland Community Health Network: Manages public mental health and substance use services in Oakland County.
5+ YOEMaster's in a mental health field, Michigan clinical license (Psychologist, Social Worker, Counselor, or Marriage and Family Therapist), 5+ years serving people with serious behavioral health needs, supervisory experience preferred, knowledge of Medicaid and utilization review.
1w
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Access-Utilization Manager
Port Huron, Michigan, United States
$78k/yr OnsiteFull Time
Region 10 PIHP
Region 10 PIHP: Manages regional publicly funded mental health services.
3+ YOE2+ MgmtMaster's in social work or related field, 3+ years behavioral health experience, 2 years supervisory experience, proficiency with EHR, knowledge of ASAM and DSM-5, valid Michigan driver, organized.
Peter Chang Enterprise (PCE) Electronic Health Record
2w
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Utilization Management Specialist
Southfield, Michigan, United States
HybridPart Time
Corewell Health
Corewell Health: Healthcare system providing medical care and health insurance services.
High school diploma or equivalent; familiarity with insurance websites and electronic medical record work queues; clerical support, phone triage and problem solving skills; preferred 2 years healthcare experience and post-high-school training.
Electronic Medical Record
1mo
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Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote
Troy, Michigan, United States
RemoteFull Time
Henry Ford Health
Henry Ford Health: Integrated health care system providing medical services and insurance.
3+ YOERHIT, RHIA, or related coding certification required; minimum 3+ years clinical experience preferred; utilization management/case management experience preferred; Monday–Friday daytime availability.
InterQual
3d
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Director, Utilization Management
Southfield, Michigan, United States
OnsiteFull Time
PACE Southeast Michigan
PACE Southeast Michigan: Provides coordinated healthcare and support for elderly residents.
7+ YOE3+ MgmtActive unrestricted Michigan clinical license (RN/LMSW/LCSW),7+ years clinical/UM experience,3+ years supervisory UM leadership,InterQual/MCG experience,knowledge of CMS/PACE regulations,EHR proficiency; bachelor’s preferred,master’s or 10+ years equivalent preferred.
InterQual, MCG, EHR
4d
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Director of Utilization Management
Troy, Michigan, United States
$160k/yr OnsiteFull Time
Integra Partners
Integra Partners: Managing durable medical equipment networks for health plans and providers.
10+ YOE10+ years UM management in managed care, experience with NCQA/URAC certification, team leadership, policy development, quality improvement, clinical review, and client-facing skills.
2mo
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Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote in Troy, Michigan
Troy, Michigan, United States
RemoteFull Time
Henry Ford Health
Henry Ford Health: Provides comprehensive healthcare services and health insurance in Michigan.
3+ YOERHIT/RHIA or related coding certification; 3-5 years clinical experience; utilization management experience preferred.
2mo
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Group Director - Utilization Review
Detroit, Michigan, United States
OnsiteFull Time
Tenet Healthcare
Tenet HealthcareNYSE: THC: Operates hospitals and outpatient surgery centers across the United States.
5+ YOE5+ MgmtLead utilization review and case management strategy; oversee UM operations; ensure regulatory compliance; multi-site leadership; healthcare administration experience.
CarePort, MIDAS, Tableau, Excel, PowerPoint
2mo
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Senior Utilization Management Compliance and Accreditation Specialist
Okemos or Detroit
HybridFull Time
Delta Dental of Michigan
Delta Dental of Michigan: Provides dental insurance and benefits administration services.
7+ YOEBachelor's degree in business administration or public administration; 7 years in NCQA/URAC quality management or compliance auditing; strong data analysis and communication skills; MS Office proficiency.
Microsoft Office
1mo
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Utilization Management Case Manager
Auburn Hills, Michigan, United States
OnsiteFull Time
Universal Health Services
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
2+ YOEBachelor's in social work, psychology, counseling, or nursing required; master's preferred. Limited or full license (e.g., lbsw, rn, llmsw, lpc, lmft). Minimum 2 years post‑graduate psychiatric or substance abuse experience; utilization review experience preferred.
4d
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W & WW Operator
Petrolia or Bright's Grove
$28-$31/hr OnsiteFull Time
Ontario Clean Water Agency
Ontario Clean Water Agency: Provides water and wastewater management services to Ontario communities.
OIT to Class IV certification required (or under-fill OIT with requirement to obtain Class 1 within 12 months), valid Class G driver’s license, ability to perform manual labour, overtime/on-call availability, knowledge of wastewater processes and maintenance.
Computerized Maintenance Management Systems
1mo
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ArcGIS Utilities Industry Principal Director
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yr HybridFull Time
Accenture
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Esri
3w
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Utility Arborist [Windsor]
Windsor, Ontario, Canada
$30-$40/hr FieldFull Time
The Davey Tree Expert Company
The Davey Tree Expert Company: Provides tree care, landscaping, and environmental consulting services.
1+ YOECertified Arborist or Utility Tree Trimmer required; 1+ year utility tree trimming experience; valid provincial driver’s license; ability to lift 50 lbs; line clearance, first aid, and air brake endorsements preferred.
chainsaw, chipper, aerial lift
2mo
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General Manager Utilities
Warren, Michigan, United States
$100k-$125k/yr OnsiteFull Time
Tyson Foods
Tyson FoodsNYSE: TSN: Produces and distributes meat products and prepared foods globally.
5+ YOE5+ years mechanical/refrigeration experience; US residency; no sponsorship; supervisory role in plant utilities.
2mo
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Utility- HopCat
Auburn Hills, Michigan, United States
$5-$9/hr OnsitePart Time
Project BarFly
Project BarFly: Operates casual dining restaurants with focus on craft beer.
Part-time utility staff; flexible hours; eligible for 16+ and 17-year-olds; customer service and teamwork oriented.
3w
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Utility
Detroit, Michigan, United States
OnsiteFull Time
AJM Packaging
AJM Packaging: Manufactures disposable paper products like plates, cups, and bags.
HS/GED preferred; must be 18+; previous utility/maintenance or production support experience preferred; basic knowledge of hand and power tools required.
forklift, floor scrubber, drills, grinders
1mo
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AOC Technician (Gas) Locate Technician - Sterling Heights, MI
Sterling Heights, Michigan, United States
FieldFull Time
Stake Center Locating
Stake Center Locating: Identifies and marks underground utility lines for excavation safety.
Experienced utility locator with strong problem-solving and independence; capable of clearing tickets and working in the field for gas/utility locates.
2mo
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US E-Consulting Services-Power and Utilities OT Operational Technology-Manager-Cyber/Enterprise Security-352459
Houston or Dallas or Cleveland or Detroit or St. Louis or Pittsburgh or Boston or Charlotte or Atlanta or Miami or Memphis or Denver or Phoenix or Salt Lake City or Los Angeles or San Diego or San Francisco or Seattle
$135k-$265k/yr HybridFull Time
Deloitte
Deloitte: Provides professional audit, consulting, advisory, and tax services.
7+ YOE7+ years in Power and Utilities OT security, with governance and risk management expertise.
AWS, Azure
2mo
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MI- Utility Locate Technician
Howell, Michigan, United States
OnsiteFull Time
Gridhawk
Gridhawk: Provider of utility damage prevention and underground locating services.
1+ YOELocates underground utilities, interprets prints/blueprints, communicates with customers; able to lift 50 lbs and work in various weather conditions.
transmitter, blueprints, maps, GPS, location technology