- Cognizant (Springfield, IL)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- US Tech Solutions (Chicago, IL)
- …Do you have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global ... and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + Considers all documented...+ 3+ years of experience as an RN + Registered Nurse in state of residence +… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- CVS Health (Springfield, IL)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Springfield, IL)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient… more
- Fresenius Medical Center (Decatur, IL)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Fresenius Medical Center (Macomb, IL)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Trinity Health (Silvis, IL)
- …As One! (http://www.genesishealth.com/) Join the MercyOne Family! We are looking to hire a Registered Nurse ! A dedicated Charge Nurse is a registered ... Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits....+ Bachelor of Science in Nursing (BSN) preferred + Registered Nurse in Illinois, Registered … more
- CVS Health (Springfield, IL)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Veterans Affairs, Veterans Health Administration (Scott AFB, IL)
- Summary The Registered Home Based Primary Care (HBPC) Nurse in Specialty Care is located at the VA Clinic Scott AFB Illinois. The HBPC RN is responsible and ... the ANA Standards of Nursing Practice. 2. Applies advanced clinical knowledge/judgment to lead staff involvement in planning, decision-making,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Carle Health (Peoria, IL)
- …home unit. * Additional support from nurse residency coordinator. The staff Registered Nurse (RN) is a professional caregiver who assumes responsibility for ... Overview Nurse Residency Program RESIDENCY CLINICAL TRACKS...REQUIREMENTS College Diploma in Nursing CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse (RN) License Illinois upon… more
- Prime Healthcare (Evanston, IL)
- …EDUCATION, EXPERIENCE, TRAINING 1. Must have a current and valid state license as a Registered Nurse . 2. BLS upon hire and maintain current.3. ACLS within 30 ... of hospital policies to ensure patient needs are met. The Cardiac Catheterization Nurse Manager is responsible for the clinical , operational, and administrative… more
- AdventHealth (Glendale Heights, IL)
- …EKG (based on patient population; see document EKG and Advanced Life Support Requirements) + Registered Nurse (RN) Required + Basic Life Support - CPR Cert (BLS) ... 701 WINTHROP AVE, Glendale Heights, 60139 **The role you'll contribute:** The Registered Professional Nurse (RN) is responsible for providing and supervising… more
- AdventHealth (Hinsdale, IL)
- …**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:** ... Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general… more
- Rush University Medical Center (Chicago, IL)
- …through an integrated role of practice, education, administration and research. The Clinical Nurse Specialist exemplifies the Rush mission, vision, and values ... information:** **Required Job Qualifications:** 1. Current state of Illinois Registered Nurse licensure required. 2. Current state...needs. 2. Functions as a role model in the clinical setting. 3. Promotes optimal resource utilization .… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and ... The CNL provides insight regarding the microsystem for collaboration with the Clinical Nurse Specialist (CNS) on macrosystem processes and outcomes. The… more
- Fresenius Medical Center (Urbana, IL)
- **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN, for a limited period of time, and ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- CVS Health (Springfield, IL)
- …a member's overall wellness through integration. - Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and ... functions as well as smooth transition to programs and plans. - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and… more
- Rush University Medical Center (Chicago, IL)
- …of each case. **Summary:** The Oncology Nurse Navigator 2 is a registered nurse (RN) who works with physician practices and multi-disciplinary teams 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
- Humana (Springfield, IL)
- …help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... of action. The Utilization Management Behavioral Health Nurse uses clinical knowledge, communication skills, and...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more