- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... in this remote position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform initial admission and continued stay reviews… more
- ProgenyHealth (Elk Grove Village, IL)
- …for premature and medically complex newborns. Our program promotes appropriate utilization , improves access, educates family members and reduces costs. Our team ... coordinate overall member care, from pre-admission, continued stay (concurrent review ) and any outpatient services utilizing a pro-active, evidence-based… more
- Elevance Health (Chicago, IL)
- …medical decisions to members and providers. **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 ,...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… more
- Rush University Medical Center (Chicago, IL)
- …0.9 and 1.0) **Shift:** **Shift 1** **Work Schedule:** 10 Hr **Summary:** The Nurse Care Manager 1 works with physician practices and inpatient teams to promote ... the effective utilization of services and coordination of care for adult,...for adult, geriatric, neonate, pediatric and adolescent patients. The Nurse Care Manager 1 contributes to the team's effectiveness… more
- AdventHealth (Hinsdale, IL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient status changes… more
- AdventHealth (Hinsdale, IL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes… more
- Rush University Medical Center (Chicago, IL)
- …**Work Schedule:** 8 Hr (7:00:00 AM - 5:00:00 PM) **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care for ... 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
- Fresenius Medical Center (Evergreen Park, IL)
- …of adjustment, along with increased risk of hospitalization and mortality. As a TCU nurse , you will help patients feel better and make more informed decisions about ... Park clinic._ _Monday-Friday, day hours._ **PURPOSE AND SCOPE:** The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation… more
- Rush University Medical Center (Chicago, IL)
- …Schedule:** 10 Hr (7:00:00 AM - 5:30:00 PM) **Summary:** The Ambulatory Clinical Nurse Leader functions as an advanced generalist providing and managing care for ... anticipator, team lead, professional, and lifelong learner. The Ambulatory Clinical Nurse Leader collaborates with nursing leadership and the healthcare team, and… more
- Trinity Health (Berwyn, IL)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Perioperative Clinical Nurse Leader (CNL) at MacNeal Hospital is an expert nurse and ... healthcare team's effectiveness by identifying barriers to effective and efficient utilization of resources and evaluating patients' needs. The CNL facilitates… 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
- Fresenius Medical Center (Chicago, IL)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Rush University Medical Center (Chicago, IL)
- …(7:00:00 AM - 3:30:00 PM) **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of nursing practice responsible for ... readiness to learn. * Selects and promotes optimal, cost effective resource utilization and interventions. Nursing Practice * Provides formal and informal education… more
- Vyaire Medical (Chicago, IL)
- …of new products and services; make recommendations to drive client acceptance and utilization of new medical devices. Facilitate UPE's for new products. + Develop, ... Minimum 5 years clinical experience as a respiratory therapist or critical care nurse required + Ability to meet requirements in vendor credentialing services, eg… more
- Trinity Health (Maywood, IL)
- …regional and hospital nursing operations, including regionalized services for Utilization Review /Case Management, Centralized Telemetry, Nursing Professional ... care setting, preferably in a large hospital or health system. Current Registered Nurse License. **Our Commitment to Diversity and Inclusion:** Trinity Health is one… more