- Jobleads-US (Chicago, IL)
- …team blends deep medical expertise with startup execution. Pinch is building the infrastructure to support a new kind of care delivery, and that means we need ... aesthetics practice. We empower Nurse Practitioners to deliver expert care in the comfort of clients' homes, making aesthetic...a voice for Provider needs across the company Performance Management Track and review provider KPIs ( Utilization ,… more
- Monte Nido (Naperville, IL)
- …of care . + Collaborate with insurance companies for pre-certification and utilization management . + Contribute to discharge and aftercare planning to ... Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction. At **Clementine** , we support adolescents and their families on the path to full recovery by… more
- The Clorox Company (Willowbrook, IL)
- … support of facility repair and maintenance projects, inventory and supply management , coordination of routine facility services and support of facility ... + Enforce safety protocols and hazardous material handling procedures. **Storage Management ** + Organize and maintain storage areas for chemicals, equipment, and… more
- Monte Nido (Naperville, IL)
- …and outpatient providers + Interact with insurance companies for pre-certification and utilization management + Participating in discharge and aftercare planning ... Eating Disorder, or Exercise Addiction. At **Clementine** , we support adolescents and their families on the path to...relationship with food + Provides safe, empathetic, and affirming care for each client and their unique circumstance based… more
- Monte Nido (Winfield, IL)
- …of care . + Collaborate with insurance companies for pre-certification and utilization management . + Contribute to discharge and aftercare planning to ... Nervosa, Binge Eating Disorder, or Exercise Addiction. At **Monte Nido** , we support adolescents and their families on the path to full recovery by preparing… more
- Centene Corporation (Westmont, IL)
- …given to applicants who (1) reside in Illinois and have experience with (2) utilization management , authorizations or managed care . Additional Details: * ... workplace flexibility. NOTE: This fully remote role involves completing utilization management related tasks for LTSS waiver...guidelines. + Provides outreach to members via phone to support with care plan next steps, community… more
- US Tech Solutions (Chicago, IL)
- …MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... objectives **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. +… more
- Danaher Corporation (Chicago, IL)
- …that includes some of the following: infection detection/control, sepsis care , decision support , utilization management , case management , ED patient ... decision making-we are enabling clinicians to deliver the best possible care to their patients with improved efficiency, clinical confidence, adaptive collaboration,… more
- Rush University Medical Center (Chicago, IL)
- …Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Ambulatory Care Management **Work Type:** Full Time (Total FTE between 0.9 ... for the position. Offers may vary depending on the circumstances of each case. **Summary:** The Care Management Navigator II is part of a care management … more
- ChenMed (Oak Lawn, IL)
- …ability to make informed decisions re: goals of care , palliative care and hospice. + Utilization /Financial Management -managing resource utilization ... history, physical exam, diagnosis and treatment, development of the plan of care , health education, specialty referrals, case management referrals, follow-up and… more
- Rush University Medical Center (Chicago, IL)
- …standards, and referring physician communication standards). * Manage staff in utilization support to develop qualitative and quantitative analyses. * ... activities of a highly qualified, dedicated physician faculty, consulting, and primary care physicians. * Ability to promote increased utilization of services… more
- Stantec (Chicago, IL)
- …marketing. - Participate in project execution as needed for technical or client management support . - Provide strong technical skills and ethics leadership to ... coordinating the operations and business development for Stantec's Chicago based Health Care Technology Team. The Team Leader is responsible for execution and… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... years. The RN assumes responsibility for the coordination of care focused on patient education, self- management , and...community are referred and scheduled into the community, and support the delivery of high quality, timely care… more
- Rush University Medical Center (Chicago, IL)
- …in support of a healthy work environment. 5. Coordinates care using the nursing process, multidisciplinary collaboration and coordination of all appropriate ... progress toward achievement of annual goals. 18. Considers factors related to resources utilization when delivering care to patients and families. 19. Supports… more
- Health Care Service Corporation (Chicago, IL)
- …With Facility Ur Personnel. Additional Duties Include: Review Of "Cases" With Care Management Professional Staff (Case Consultation). Review Of Medical Records; ... with facility UR personnel. Additional duties include review of "cases" with care management professional staff (case consultation). Review of medical records;… more
- Health Care Service Corporation (Chicago, IL)
- …making within short timeline. **Preferred Job Qualifications:** + Experience with Utilization Management data (eg authorizations, appeals, grievances) + ... bring a strategic, collaborative mindset, paired with strong technical acumen, data management expertise, and advanced reporting skills to support and enhance… more
- Health Care Service Corporation (Chicago, IL)
- …with topics that include Claims and Payment Integrity, Member Engagement, Utilization Management , Document Intelligence, Risk Stratification, and the AI ... The role reports to the Senior Director of Product Management for AI Solutions. There are many different domains...our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an… more
- Aperion Care (Chicago, IL)
- …skill, and/or ability required. + Bachelor's Degree in Nursing required. + Five years management experience with experience in long-term care + Must possess a ... Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data… more
- Elevance Health (Chicago, IL)
- …Capabilities, and Experiences:** + Actuarial sciences background highly preferred. + Utilization Management experience preferred. + Medical economics, provider ... **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity,… more
- Publicis Groupe (Chicago, IL)
- …by Adweek, ANA Reggie Awards and Effies. **Overview** The Associate Director, Project Management is a key leadership role within the Project Management ... and externally client-facing as required. **Responsibilities** + **Project Leadership & Management :** + Oversee team to manage multiple complex advertising projects… more
