- GIBSON AREA HOSPITAL (Gibson City, IL)
- …Full Time Salary Range $32.00 - $48.00 Hourly Description JOB TITLE: UTILIZATION REVIEW / CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) ... GENERAL SUMMARY The Utilization Review / Case Management Nurse is directly...to interact with patients/families, healthcare providers, and outside agencies. Registered Nurse with at least two years… more
- Carle Health (Champaign, IL)
- …for nurses with 1 or more years experience - External Applicants Only** Hybrid Option The Registered Nurse ( RN ) who serves in the role of System Case ... outcomes. The incumbent will have a deep understanding of utilization review and case management...to the success of the incumbent. Qualifications **License/Certifications:** Licensed Registered Professional Nurse ( RN ) -… more
- AdventHealth (Hinsdale, IL)
- …**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:** ... 120 N Oak Street, Hinsdale, IL 60521 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians… more
- Carle Health (Normal, IL)
- … utilization issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of ... ensure coordination and completion of services to meet post-hospitalization needs. Conducts case review presentations to educate peers on unique or challenging… 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 ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Prime Healthcare (Chicago, IL)
- …license. 2. Five (5) years of experience in acute hospital setting in a Utilization Review , Case Management, business office or related department. ... Under the direction and supervision of the Clinical Manager, the RN Assessment Coordinator is responsible for conducting and coordinating the completion… more
- Trinity Health (Maywood, IL)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal ... Hospitals. Utilization Review - RN Reviewer- Regional...management, typing and communication skills are necessary. + Current Registered Nurse License State of Illinois +… more
- Carle Health (Urbana, IL)
- … utilization issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of ... team for timely planning and collaboration. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) -...and physician to determine next level of care Conducts case review presentations to educate peers on… more
- Lincoln Financial (Springfield, IL)
- …proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- BJC HealthCare (Belleville, IL)
- …nursery, medical and surgical services plus critical care. Care Management includes Utilization Management ( Utilization Review ), Discharge Planning, Social ... **City/State:** Belleville, Illinois **Categories:** Case Coordination **Job Status:** PRN **Req ID** : 96667 **Pay Range:** $32.80 - $50.39 / hour (Salary or hourly… more
- CenterWell (Buffalo Grove, IL)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Rush University Medical Center (Chicago, IL)
- …**Other information:** **Required Job Qualifications:** Current State of Illinois Registered Nurse licensure required **Preferred Job Qualifications:** ... for the position. Offers may vary depending on the circumstances of each case . **Summary:** The Service Line Coordinator's primary function is to serve as the… more
- ICW Group (Lisle, IL)
- …Discharge Planning, or Home Health preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational ... and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment… more
- Rush University Medical Center (Chicago, IL)
- …**Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure * National certification * Master's degree ... of each case . **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of nursing practice responsible for working… 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 ... offered for the position. Offers may vary depending on the circumstances of each case . **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced… more
- Blessing Hospital (Quincy, IL)
- …the care delivery model utilized and includes the following team members: Registered Nurses, Certified Nursing Assistants, Case Managers, Discharge Planners, ... and procedures + I CARE standards of behavior + Collaborates with the nurse manager in budget development, utilization , evaluation, and adjustment + Maintenance… more
- AdventHealth (Bolingbrook, IL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care ... physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
- AdventHealth (Hinsdale, IL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care ... physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
- Molina Healthcare (IL)
- …and experience. * At least 1 year of health care management/leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
- Sharecare (Springfield, IL)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
