- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Utilization Management (UM) Consultant is a registered professional nurse , qualified by education and experience to work directly with ... level degree in Nursing may have opportunity to become registered as a nurse with a state...not creditable as related degrees. Preferred Experience: 1 year Utilization Management experience preferred. Reference: For more… more
- US Tech Solutions (Chicago, IL)
- …Do you have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global ... + 3+ years of experience as an RN + Registered Nurse in state of residence +...and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... care while ensuring appropriate patient flow and responsible resource management . Requirements of the ANM role is the necessary...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Trinity Health (Melrose Park, IL)
- …Part time **Shift:** Day Shift **Description:** The Surgery OR RN, a perioperative registered nurse , provides patient care for all patients, from infants through ... Robot experience also preferred **Licensure/Certifications** : + AHA BLS card + Current Registered Nurse License State of Illinois **Benefits and perks you need… more
- AdventHealth (Hinsdale, IL)
- …documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes ... . BSN . Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION OR REGISTRATION… more
- CVS Health (Chicago, IL)
- …**Position Summary** The RN Case Manager is responsible for coordinating all case management activities with members to evaluate the medical needs of the member and ... Services strategies policies and programs are comprised of network management and clinical coverage policies. **Position Responsibilities:** + Responsible for… more
- Fresenius Medical Center (Chicago, IL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Chicago, IL)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Rush University Medical Center (Chicago, IL)
- …of each case. **Summary:** The Oncology Nurse Navigator 2 is a registered nurse (RN) who works with physician practices and multi-disciplinary teams to ... promote the effective utilization of services and coordination of care for patients...procedures. **Other information:** **Requirements:** * Current State of Illinois Registered Nurse licensure required * At least… more
- Rush University Medical Center (Chicago, IL)
- …procedures. **Other information:** **Required Job Qualifications:** *Current license in Illinois as Registered Nurse (RN). *Ability to perform all job components ... Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Care Management **Work Type:** Full Time (Total FTE between 0.9 and 1.0) **Shift:**… more
- Rush University Medical Center (Chicago, IL)
- …**Other information:** **Required Job Qualifications:** * Current State of Illinois Professional Registered Nurse licensure * Graduate degree in nursing * o ... may vary depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care… more
- Rush University Medical Center (Chicago, IL)
- …procedures. **Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure. * Master's degree in Nursing from an ... of each case. **Summary:** The Clinical Specialist RN is an advanced practice nurse with knowledge in a specialized area of nursing who promotes quality patient… more
- Rush University Medical Center (Chicago, IL)
- …procedures. **Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure. * Earned Nursing Degree at the ... algorithms. 2. Coordinates communication among nursing, SSO, admitting, environmental services, Utilization Management , the Rush Transfer Center (RTC), the JRB… more
- Trinity Health (Berwyn, IL)
- …Degree and current licensure in the State of Illinois as a Registered Nurse . + Certification in Case Management preferred or willing to acquire within two ... opportunities to advocate for the role of the professional nurse as a key member of the interdisciplinary team....of Science in a Healthcare related field. + Case management / utilization management experience preferred. +… more
- CenterWell (Chicago, IL)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Rush University Medical Center (Chicago, IL)
- …Advanced Practice Provider (APP) is a licensed physician assistant (PA) or advanced practice registered nurse (APRN) who functions as a member of the health care ... Donor Care Unit with the goal of maximizing organ utilization . They demonstrate a high degree of clinical expertise...Current licensure from the State of Illinois as a Registered Professional Nurse and Advanced Practice … more
- Rush University Medical Center (Chicago, IL)
- …**Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure * National certification * Master's degree ... circumstances of each case. **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of nursing practice responsible for… more
- Trinity Health (Maywood, IL)
- **Employment Type:** Part time **Shift:** **Description:** **Are you an experienced Registered Nurse , Case Manager looking for premium compensation and maximum ... flexibility? Explore FirstChoice - Trinity Health's nurse staffing solution! FirstChoice RNs are utilized to fill...management of patient care including discharge planning and utilization needs. Supports ministry and system goals for capacity… more
- Rush University Medical Center (Chicago, IL)
- …RN licensure required. * A minimum of three years of experience as a Registered Nurse . * BLS/CPR certification required. * Analytical ability. * Communication ... agents. **Preferred Job Qualifications:** * At least two years of experience as Registered Nurse working in a medical/surgical area. * National certification.… more
- Trinity Health (Maywood, IL)
- …1-2 years **Licensure/Certifications:** **Required:** CPR (Cardiopulmonary Resuscitation) Current Registered Nurse License State of Illinois **Preferred:** ... Lead Case Manager Position reports to the Manager of Nurse Care Management . The specific duties include:...compilation of physician profile data and regarding LOS, resource utilization , denied days, costs, case mix index, patient satisfaction… more