- MRG Exams (Colp, IL)
- …of the VA's disability benefits process.In performing Disability Assessments, you will review medical records electronically through a web portal and perform ... Mon-Fri 8a-4pThis is an IN-PERSON position.Key Attributes: Interested in performing Independent Medical Assessments. Able to analyze data from the medical … more
- Randstad US (North Chicago, IL)
- …+ Will attend, advise, and approve in review meetings as the lead Medical Reviewer for the designated therapeutic area. + Will be responsible for providing ... in Company, attends, advises, and approves in review meetings as the lead Medical Reviewer for promotional review . + Functions as lead Medical … more
- Carle (Urbana, IL)
- Licensed Practitioner of the Healing Arts (LPHA) Reviewer + Department: Cert Comm BH Clinic - CTP + Entity: Peoria Service Area + Job Category: Mental Health + ... Arts (LPHA) authorizing Integrated Assessment and Treatment Plans. Will complete thorough review of each document, provide clinical guidance to team members, and… more
- Prime Therapeutics (Springfield, IL)
- …**Job Description Summary** Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the ... Initial Clinical Reviewers as needed to discuss cases and problems. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… more
- Evolent Health (Springfield, IL)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... You'll Be Doing:** As a Vascular Surgery, Physician Clinical Reviewer you will be a key member of the...Surgery cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- Evolent Health (Springfield, IL)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member of the...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- Kepro (Lombard, IL)
- …clinical operations. + Represent the organization through state appeal processes. + Review medical information trends, experiences, and approaches and assist in ... in the public sector. Acentra seeks a Psychiatrist Physician Reviewer (Illinois Remote, PRN) to join our growing team....and clinical expertise to operations relating to the peer review process, utilization review activities, and other… more
- Kepro (Lombard, IL)
- …clinical operations. + Represent the organization through state appeal processes. + Review medical information trends, experiences, and approaches and assist in ... in the public sector. Acentra seeks an OBGYN Physician Reviewer (PRN, Remote within Illinois) to join our growing...and clinical expertise to operations relating to the peer review process, utilization review activities, and other… more
- KPMG (Chicago, IL)
- **Business Title:** Tax Return Reviewer , Global Mobility Services **Requisition Number:** 112773 - 32 **Function:** Tax Services **Area of Interest:** **State:** IL ... for as a firm. KPMG is currently seeking a Tax Return Reviewer , Global Mobility Services to join our Global Mobility Services (GMS)… more
- Centene Corporation (Springfield, IL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care + Conduct peer reviews with psychologist… more
- UL, LLC (Northbrook, IL)
- UL's Consumer, Medical and Information Technology (CMIT) team is currently seeking an experienced candidate interested in conducting safety investigations of ... Medical Devices! This is a hybrid role requiring 3...management. May serve as Project Handler of record and/or Reviewer of record as assigned. + Communicates project status… more
- Elevance Health (Chicago, IL)
- …**Job Summary:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and supportive care. + Perform ... physician-level case review , following initial nurse review , of chemotherapy regimens. + Determine medical ...nurse review , of chemotherapy regimens. + Determine medical necessity of requests using guidelines and client-specific health… more
- Zurich NA (Schaumburg, IL)
- Medical Bill Review Manager 113691 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing ... in-office attendance should be expected. Zurich Insurance is seeking a dedicated Medical Bill Review Manager to join our team in Schaumburg, IL. This role… more
- Zurich NA (Springfield, IL)
- Clinical Bill Review and Treatment Plan Team Manager 113692 Zurich Insurance is seeking a Clinical Bill Review and Treatment Plan Team Manager. This position is ... 100% remote. The Clinical Bill Review and Treatment Plan Team Manager will be responsible...responsible for overseeing the team that reviews and evaluates medical bills and creates treatment plans for Zurich's Workers… more
- Citizens (Chicago, IL)
- Description Senior Credit Review Manager - Wholesale and Capital Markets The Senior Credit Review Manager is a member of the bank's Credit Review function. ... responsible for oversight of all bank lending activities. The Senior Credit Review Manager is responsible for the independent evaluation of Commercial Banking loan… more
- Terracon (Glendale Heights, IL)
- …of plans and specifications, observation and inspection, and the writing, preparation, and review of related reports for the services provided. You will also help ... to clients on projects. + Serves as an Authorized Project Reviewer . **Requirements:** + Bachelor's degree in Environmental Engineering, Civil Engineering or… more
- Citizens (Chicago, IL)
- Description Credit Review Manager - Commercial Real Estate The Credit Review Manager position is a team member in the bank's third line Credit Review ... Committee responsible for oversight of all bank lending activities. The Credit Review Manager is responsible for the independent evaluation of borrower-level loan… more
- Spectrum Billing Solutions (Skokie, IL)
- …include: + Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial ... healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR...+ Demonstrate the ability to make critical decisions about medical necessity of treatment by using good judgment. +… more
- Sedgwick (Springfield, IL)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer SVP Bill Review - Careworks **PRIMARY PURPOSE OF THE ROLE:** To plan, direct, control and ... oversee functions within Bill Review -Careworks; and to maintain relationships with internal and external...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Discover (Riverwoods, IL)
- …have skills and experience to lead Consumer Credit Reviews, provide oversight on review activities and deliver the review results including identification of ... issues and overseeing the reporting of the review results to relevant stakeholders and credit governance committees....Leave + Paid Time Off + 401(k) Plan + Medical , Dental, Vision, & Health Savings Account + STD,… more
