- Endeavor Health (Naperville, IL)
- … review and/or clinical experience And 2 Years of utilization review experience Registered Nurse (RN) - Illinois Department of Financial and ... and years of experience, among other factors. Position Highlights: Position: RN Utilization Review Location: Naperville, IL Full Time/Part Time: full time,… more
- Endeavor Health (Elmhurst, IL)
- …expertise and years of experience, among other factors. Position Highlights: Position: Registered Nurse Case Manager Location: Elmhurst Hospital Full Time: 36 ... patients with complex needs and facilitates discharge planning. Works closely with Utilization Review Coordinators to provide necessary information to payers to… more
- US Tech Solutions (Chicago, IL)
- …you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About ... + 3+ years of experience as an RN + Registered Nurse in state of residence +...and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1… more
- Zurich NA (Schaumburg, IL)
- …medical terminology Preferred Qualifications: + 2 or more years' experience in Utilization Review , Case Management, Workers Compensation, or medical bill reviews ... Medical Bill Review Senior Nurse 127127 Zurich Insurance...Medical Surgical Facility or Operating Room areaAND + Current Registered Professional Nurse license + Customer service… more
- AdventHealth (Hinsdale, IL)
- …**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:** ... 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
- 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 ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Rush University Medical Center (Chicago, IL)
- …Bone Marrow Transplant (BMT) Oncology Nurse Navigator 2 is a registered nurse (RN) who works collaboratively with physician practices and multi-disciplinary ... teams as to promote the effective utilization of services and coordination of care for patients...procedures. **Other information:** **Requirements:** * Current State of Illinois Registered Nurse licensure required * At least… 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 ... may vary depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care… more
- CenterWell (Joliet, IL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Molina Healthcare (Naperville, IL)
- …and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed ... * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse (RN). License must be active and unrestricted… more
- Trinity Health (Berwyn, IL)
- …you'll need** **Licensure/Certifications** **Required:** + Certified Medical Assistant (CMA) or Registered medical Assistant (RMA) or Licensed practice Nurse ... an experienced Authorization Referral Coordinator. Reporting to the Manager of Utilization Management and working under general supervision, manages Utilization … more
- Rush University Medical Center (Chicago, IL)
- …**Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure * National certification * Master's degree ... circumstances of each case. **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of nursing practice responsible for… more
- Prime Healthcare (Chicago, IL)
- …the Clinical Manager. Qualifications EDUCATION, EXPERIENCE, TRAINING + Current and valid state Registered Nurse license. + Five (5) years of experience in acute ... hospital setting in a Utilization Review , Case Management, business office or related department. Experience in a Managed Care environment will be accepted for… more
- Deloitte (Chicago, IL)
- …degree in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist ... (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, clinical documentation… more
- AdventHealth (Hinsdale, IL)
- …expertise and experiences you'll need to succeed:** + Bachelor's of Nursing Required + Registered Nurse (RN) Required + Basic Cardiac Life Support (BLS) Required ... by the Sexual Assault Survivors Emergency Treatment Act (SASETA), the Illinois Nurse Practice Act, the International Association of Forensic Nurses Scope and… more
- AdventHealth (La Grange, IL)
- …Discharge Planning + Conflict management and resolution skills + Teamwork principles + Registered Nurse (RN) Required + Certified Case Manager (CCM) Preferred + ... to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care… more
