- Fresenius Medical Care (Spring Valley, IL)
- PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for ... from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …interact with patients/families, healthcare providers, and outside agencies. Registered Nurse with at least two years clinical experience preferred. ... Full Time Salary Range $32.00 - $48.00 Hourly Description JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) GENERAL… more
- Boost Home Health (Coal City, IL)
- …at their place of residence in the healthiest and happiest state of being possible. The Clinical Manager is a Registered Nurse (RN) who has graduated from an ... Monitor staff assignments, caseloads, and team productivity. Promote efficient utilization of resources to achieve desired clinical ...of professional nursing who is currently licensed as a registered nurse in the state of agency… more
- Cognizant (Springfield, IL)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… 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 ... and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + Considers all documented...+ 3+ years of experience as an RN + Registered Nurse in state of residence +… more
- CVS Health (IL)
- …non-compact states as needed. + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals ... of utilization management services for assigned area + Implements clinical policies & procedures in accordance with applicable regulatory and accreditation… more
- Fresenius Medical Center (Cicero, IL)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Fresenius Medical Center (Chicago, IL)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Registered Nurse - Informaticist will support physicians with EHR Modernization (EHRM), and will demonstrate proficiency in core Informatics functions ... Department at the Edward Hines, Jr. VA Hospital. Responsibilities The lnformaticist Registered Nurse (RN) exercises leadership in the assessment, planning,… more
- Trinity Health (Silvis, IL)
- …As One! (http://www.genesishealth.com/) Join the MercyOne Family! We are looking to hire a Registered Nurse ! A dedicated Charge Nurse is a registered ... Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits....+ Bachelor of Science in Nursing (BSN) preferred + Registered Nurse in Illinois, Registered … more
- Fresenius Medical Center (Spring Valley, IL)
- **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) ... from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. + Performs ongoing, systematic collection and analysis of patient data… more
- CVS Health (IL)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Carle Health (Peoria, IL)
- …home unit. * Additional support from nurse residency coordinator. The staff Registered Nurse (RN) is a professional caregiver who assumes responsibility for ... Overview Nurse Residency Program RESIDENCY CLINICAL TRACKS...REQUIREMENTS College Diploma in Nursing CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse (RN) License Illinois upon… more
- Trinity Health (Maywood, IL)
- …organizational, time management, typing and communication skills are necessary. + Current Registered Nurse License State of Illinois + Specialty certification in ... Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist** nurse works with the multidisciplinary… more
- AdventHealth (Glendale Heights, IL)
- …EKG (based on patient population; see document EKG and Advanced Life Support Requirements) + Registered Nurse (RN) Required + Basic Life Support - CPR Cert (BLS) ... 701 WINTHROP AVE, Glendale Heights, 60139 **The role you'll contribute:** The Registered Professional Nurse (RN) is responsible for providing and supervising… more
- Prime Healthcare (Evanston, IL)
- …EDUCATION, EXPERIENCE, TRAINING 1. Must have a current and valid state license as a Registered Nurse . 2. BLS upon hire and maintain current.3. ACLS within 30 ... * Facility:St. Francis Hospital * Location:Evanston, IL 60201 The Cardiac Catheterization Nurse Manager is responsible for the clinical , operational, and… more
- AdventHealth (Hinsdale, IL)
- …**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:** ... Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general… more
- Centene Corporation (Springfield, IL)
- …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + For ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and ... The CNL provides insight regarding the microsystem for collaboration with the Clinical Nurse Specialist (CNS) on macrosystem processes and outcomes. The… more
- CenterWell (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
