- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13429/ clinical - nurse -%28hourly%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) ... professional licensure, certification, and health requirements as well as demonstrates clinical competence. + Participates in the orientation of other nurses or… more
- Elara Caring (Mchenry, IL)
- …Care, at the Right Time, in the Right Place. **Job Description:** **Licensed Vocational Nurse ** ** Hourly ** At Elara Caring, we care where you are and believe ... Nurse + 1 year of experience in a clinical care setting hospice preferred + Experience in a...is $35 to the high end up to $45 hourly , which can include additional earnings for work beyond… more
- Molina Healthcare (Kenosha, WI)
- JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment ... Monday - Friday 8:00am - 5:00pm. **Essential Job Duties** * Performs clinical /medical reviews of retrospective medical claim reviews, medical claims and previously… more
- Fresenius Medical Center (Highland Park, IL)
- PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position ... functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. . Performs… more
- Molina Healthcare (Kenosha, WI)
- …with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure ... to ensure appropriate reimbursement to providers. **Job Duties** + Performs clinical /medical reviews of retrospective medical claim reviews, medical claims and… more
- Fresenius Medical Center (Waukegan, IL)
- …Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... Act as a resource for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. +… more
- Molina Healthcare (Kenosha, WI)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery… more
- Molina Healthcare (Kenosha, WI)
- …and experience. *Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required ... and informal ICT collaboration. * Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.… more
- Fresenius Medical Center (Mchenry, IL)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine...activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +… more
- Molina Healthcare (Kenosha, WI)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members...equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
- Molina Healthcare (Kenosha, WI)
- JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary ... and align with established clinical guidelines, insurance policies, and regulations - ensuring members...equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
- Molina Healthcare (Kenosha, WI)
- …benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely ... + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. + Communicate and participate in meetings related to… more
- Molina Healthcare (Kenosha, WI)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... in consistent and efficient manner. + Makes appropriate referrals to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care… more