- Elevance Health (Chicago, IL)
- ** Nurse Reviewer I** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training ... an accommodation is granted as required by law. The ** Nurse Reviewer I** will be responsible for...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
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …The incumbent practices in the Medicine Hematology Oncology Service as a Nurse Practitioner (NP) to provide a full range of services emphasizing quality, ... of care including disease process, treatment plans, and medication regimens. Review medications for clinical need, simplification and possible drug-drug interactions… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Registered Nurse 3 is a proficient nurse possessing an in-depth knowledge of ... events and can respond with efficiency, flexibility and confidence. The Registered Nurse 3 immediately sees the whole situation while being able to discriminate… 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
- 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
- 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
- Elevance Health (Chicago, IL)
- …unless an accommodation is granted as required by law._** The **Medical Management Nurse ** is responsible for review of the most complex or challenging ... **Medical Management Nurse ** **Work schedule: M-F** **8:00am to 5:00pm EST....Make an Impact** : + Conducts precertification, continued stay review , care coordination, or discharge planning for appropriateness of… more
- 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
- ICW Group (Lisle, IL)
- …and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and ... standards. + Interfaces with external agencies in relation to the utilization review process including, Third-Party Payers, Insurance Companies and Providers. + May… more
- BioLife Plasma Services (Chicago, 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
- 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
- Sunrise Senior Living (Naperville, IL)
- …services by administering medication and treatments in a safe organized manner. + Review , read, notate, and initial the electronic health record to document and ... + Receive medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and treatments for each… more
- Sunrise Senior Living (Willowbrook, IL)
- …NAME** Sunrise of Willowbrook **Job ID** 2025-228402 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... Resident Assessment/Evaluation process in accordance with state/provincial regulatory requirements + Review Physician Reports of all new residents as directed by… more
- AdventHealth (La Grange, 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 ... needed. . Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all...Associates Degree Nursing or RN Diploma degree . Registered Nurse (RN) . Two (2) years of medical/hospital nursing… more
- Surgery Care Affiliates (Tinley Park, IL)
- …you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision, and values of SCA . + ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
- Elevance Health (Chicago, IL)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Elevance Health (Chicago, IL)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… 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