- Elevance Health (Chicago, IL)
- …across an expanding set of clinical domains, including radiology, cardiology and oncology._ ** Nurse Reviewer I** **Location:** This is a virtual position open to ... in CDT, regardless of your individual time zone. The ** Nurse Reviewer I** is responsible for conducting...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)
- …VA Controlled Substance Coordinator (CSC) RN reports directly to the Deputy Chief Nurse of Quality and Patient Safety (QPS). The CSC is responsible for coordinating ... management. Responsibilities The Controlled Substance Coordinator (CSC) Consultant Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Quality & Performance Improvement (QPI) Consultant Registered Nurse will be assigned responsibility for support of specific patient care areas. The ... program. Responsibilities The Quality & Performance Improvement Consultant Registered Nurse is responsible for trending and analyzing data, interpreting Joint… 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
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records ... **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal denied and underpaid claims. +… 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
- Trinity Health (Maywood, IL)
- …and MacNeal Hospital (https://www.loyolamedicine.org/location/macneal-hospital) . If you are a Registered Nurse who's interested in working for a regional leader in ... and other pertinent information in clinic and before medical review board. + Coordinates care of the patient or...3-5 years of previous job-related experience + Current Registered Nurse License State of Illinois + Current CPR with… 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
- AdventHealth (Hinsdale, 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 ... updates, as needed. **.** Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patients **.**… more
- Rush University Medical Center (Chicago, IL)
- …established research projects. 5. Submits materials (articles, media, etc.) for peer- review . 6. Presents evidence based and/or scholarly papers locally and ... disability, veteran status, and other legally protected characteristics. **Position** Registered Nurse - Clinical Care **Location** US:IL:Chicago **Req ID** 16801 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 ... including efficient utilization of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and on-site state or… more
- Fresenius Medical Center (Gary, IN)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work… more
- CVS Health (Chicago, IL)
- …through integration. + Through the use of clinical tools and information/data review , conducts comprehensive assessments of member's needs and recommends an approach ... to case resolution by meeting needs in alignment with their benefit plan and available internal and external programs and services. + Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical and… more
- Adecco US, Inc. (Chicago, IL)
- …outcomes. + Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines ... approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services + Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies,… more
- Wolters Kluwer (Chicago, IL)
- …Mentor, review , and edit customized projects. + Serve as the final reviewer for test writing, curriculum development, program review reports, and other ... curricular success. If you are an analytical thinker with a passion for developing nurse educators, we want to hear from you! You will collaborate closely with the… more
- Molina Healthcare (Chicago, IL)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... hire. + MCO experience preferred. + UM experience preferred- prior auth, inpatient review , concurrent review and prior experience wtih InterQual or MCG… more
- Rush University Medical Center (Chicago, IL)
- …circumstances of each case. **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of nursing practice responsible for ... information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure * National certification * Master's degree in Nursing from… more
- Fresenius Medical Center (Chicago, IL)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more