- Elevance Health (Chicago, IL)
- …across an expanding set of clinical domains, including radiology, cardiology and oncology._ ** Nurse Reviewer I** **Location:** This is a virtual position open to ... in CDT, regardless of your individual time zone. The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- 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
- 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 (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
- 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
- Rush Copley Medical Center (Aurora, IL)
- **POSITION PERFORMANCE PLAN - Oncology Nurse Navigator, Cancer Center** **Position Summary:** The Oncology Nurse Navigator (ONN) is a registered nurse who ... and participates collaboratively to make improvements. Coached by: Clinical Nurse Manager **Position Performance Areas/Expectations:** **Evidence Based Practice** +… more
- 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
- 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
- BioLife Plasma Services (Joliet, 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 (Joliet, 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
- AdventHealth (Hinsdale, IL)
- …+ Professional Forensic Nursing Scope and Standards of Practice. + The Illinois Nurse Practice Act. + Sexual Assault Survivors Emergency Treatment Act (SASETA). + ... goals of UChicago-AdventHealth. + Policies and protocols of UChicago-AdventHealth. + Peer review of all medical forensic examinations by a qualified peer. + Proper… more
- 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
- 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
- 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
- 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
- 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
- Adecco US, Inc. (Chicago, IL)
- …outcomes. + Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines ... approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services + Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies,… more
- Wolters Kluwer (Chicago, IL)
- …Mentor, review , and edit customized projects. + Serve as the final reviewer for test writing, curriculum development, program review reports, and other ... curricular success. If you are an analytical thinker with a passion for developing nurse educators, we want to hear from you! You will collaborate closely with the… more
- Molina Healthcare (Joliet, IL)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... hire. + MCO experience preferred. + UM experience preferred- prior auth, inpatient review , concurrent review and prior experience wtih InterQual or MCG… more
- GE Vernova (Oakbrook Terrace, IL)
- …and any changes to be part of change control process. + Responsible for review of engineering reports to meet customer technical specification under PDG and region ... implement standards and structured programs, including quality. + Serves as Chief reviewer of technical output, makes judgments on technical conflicts. + Works on… more