• Utilization Review Nurse

    R1 RCM (Chicago, IL)
    …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Utilization Review Nurse ** , you will help our hospital clients by ... position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform initial admission and continued stay reviews utilizing InterQual… more
    R1 RCM (05/23/25)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global staff ... policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. +...3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior… more
    US Tech Solutions (04/18/25)
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  • Clinical Nurse Leader

    Rush University Medical Center (Chicago, IL)
    …may vary depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care ... The CNL provides insight regarding the microsystem for collaboration with the Clinical Nurse Specialist (CNS) on macrosystem processes and outcomes. The CNL and CNS… more
    Rush University Medical Center (04/07/25)
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  • Nurse Care Manager 1

    Rush University Medical Center (Chicago, IL)
    …Offers may vary depending on the circumstances of each case. **Summary:** The Nurse Care Manager 1 works with physician practices and inpatient teams to promote ... of care for adult, geriatric, neonate, pediatric and adolescent patients. The Nurse Care Manager 1 contributes to the team's effectiveness by reviewing plans… more
    Rush University Medical Center (04/03/25)
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  • Clinical Coding Appeals Nurse

    R1 RCM (Chicago, IL)
    …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records ... **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal denied and underpaid claims. +… more
    R1 RCM (05/21/25)
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  • Licensed Practical Nurse Clinical…

    Elara Caring (Huntley, IL)
    …at the Right Time, in the Right Place. **Job Description:** **Licensed Practical Nurse Clinical Coordinator** At Elara Caring, we care where you are and believe ... ways to make a difference as a Licensed Practical Nurse Clinical Coordinator. Being a part of something this...faxed orders, and enters into appropriate system for CTM review and approval. + Reviews, updates, and maintains the… more
    Elara Caring (05/15/25)
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  • Nurse Care Manager PD

    Rush University Medical Center (Chicago, IL)
    …position. Offers may vary depending on the circumstances of each case. **Summary:** The Nurse Care Manager is an Illinois licensed Registered Nurse who provides ... a diverse role as a clinician, educator, care coordinator and advocate. The Nurse is an expert in chronic disease management, prevention, health maintenance, and… more
    Rush University Medical Center (04/11/25)
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  • Clinical Appeals Nurse

    R1 RCM (Chicago, IL)
    …production-driven position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct a detailed review of patient medical records and ... analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Appeals Nurse ** , you will help our hospital clients by serving as an… more
    R1 RCM (05/20/25)
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  • Field Registered Nurse

    KPH Healthcare Services, Inc. (Hoffman Estates, IL)
    …**Job Summary:** Provides services to clients in accordance with the State Nurse Practice Act, Agency policy, and accepted professional standards of practice. The ... Registered Nurse provides nursing services utilizing a comprehensive base of...accidents and promote + Notifies supervisor of need for review and/or training related to equipment, procedures, or safety/infection… more
    KPH Healthcare Services, Inc. (04/25/25)
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  • Bilingual Registered Nurse RN

    BioLife Plasma Services (Addison, IL)
    …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma Services is a subsidiary ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
    BioLife Plasma Services (05/01/25)
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  • Cila Nurse Trainer (Part time). Three Days…

    Reliance Home Health Caregivers (Bolingbrook, IL)
    …to live in the community, in the private residence of their own. The RN Nurse Trainer will evaluate and provide the medical, health, and safety needs of the clients ... residencies. Will provide training and authorization for non-licensed staff. The RN Nurse Trainer will be responsible for: + Documenting client specific medical… more
    Reliance Home Health Caregivers (04/17/25)
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  • Part-time Bilingual Plasma Center Nurse

    BioLife Plasma Services (Harwood Heights, IL)
    …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma Services is a subsidiary of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
    BioLife Plasma Services (05/21/25)
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  • Registered Nurse RN - Bed Coordinator

    Ascension Health (Elk Grove Village, IL)
    …transfers and bed availability and plans bed assignments accordingly. + Review all admissions and transfers for clinical/unit appropriateness and medical necessity. ... data, identify issues and potential resolutions, and prepare reports forexecutive review . **Requirements** Licensure / Certification / Registration: + Registered … more
    Ascension Health (04/25/25)
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  • RN Registered Nurse Care Manager Medical…

    AdventHealth (Hinsdale, IL)
    …patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial ... updates, as needed. **.** Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patients **.**… more
    AdventHealth (05/16/25)
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  • Nurse Case Manager II Hybrid Illinois

    Adecco US, Inc. (Buffalo Grove, IL)
    Adecco is recruiting for a Nurse Case Manager for a national health care company in Illinois Southside of Chicago, Suburban Cook (Chicago Heights, South Chicago ... outcomes. + Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines… more
    Adecco US, Inc. (05/24/25)
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  • Registered Nurse - Clinical Care

    Rush University Medical Center (Chicago, IL)
    …established research projects. 5. Submits materials (articles, media, etc.) for peer- review . 6. Presents evidence based and/or scholarly papers locally and ... disability, veteran status, and other legally protected characteristics. **Position** Registered Nurse - Clinical Care **Location** US:IL:Chicago **Req ID** 16801 more
    Rush University Medical Center (03/14/25)
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  • Dialysis Clinical Manager Registered Nurse

    Fresenius Medical Center (Chicago, IL)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... including efficient utilization of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and on-site state or… more
    Fresenius Medical Center (05/27/25)
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  • Nurse Supervisor

    Reliance Home Health Caregivers (Naperville, IL)
    …as needed. Create a system for the team to be able to locate and review any files or records. Organize onboarding programs for new employees. Create and maintain the ... office budget. + Coordination - Arrange and book travel and accommodations. Respond to correspondence, complaints and inquiries. Provide backup support to other administrative staff as needed including answering phones, sorting and distributing mail, and… more
    Reliance Home Health Caregivers (04/17/25)
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  • Case Manager Registered Nurse (Field…

    CVS Health (Chicago, IL)
    …through integration. + Through the use of clinical tools and information/data review , conducts comprehensive assessments of member's needs and recommends an approach ... to case resolution by meeting needs in alignment with their benefit plan and available internal and external programs and services. + Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical and… more
    CVS Health (05/08/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Schaumburg, IL)
    AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the ... of a home-based office. As the AVP of Utilization Review & Pharmacy, you will lead and direct a...of experience in the Nursing areaAND + Registered Professional Nurse license in residential area and in operational national/local… more
    Zurich NA (05/22/25)
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