- Elevance Health (Chicago, IL)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Evolent (Springfield, IL)
- …mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States. Acts… more
- Zurich NA (Schaumburg, IL)
- Medical Bill Review Senior Nurse 127127 Zurich Insurance is currently looking for a **Medical Bill Review Senior Nurse ** to work from our Schaumburg, IL ... standards by adhering to Best Practices and participating in monthly peer review audits. + Ensure legal compliance by following regional, country and/or local… 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
- Huron Consulting Group (Chicago, IL)
- …for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the Utilization Management Department ... Annapolis, MD + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the system, reporting to the Director of Utilization… more
- Blessing Hospital (Quincy, IL)
- …BENEFITS Click here (https://www.blessinghealth.org/sites/default/files/users/user15/HR\_2023\_Total\_Rewards\_Guide.pdf) to review our complete Total Rewards Guide. ... access + Educational assistance opportunities JOB SUMMARY The associate nurse manager in collaboration with the nurse ...associate nurse manager in collaboration with the nurse manager leads frontline nursing staff in the delivery… more
- Blessing Hospital (Quincy, IL)
- …BASED ON RELEVANT EXPERIENCE COMPETITIVE BENEFITS Click here (https://www.blessinghealth.org/benefits) to review our complete Total Rewards Guide. + 403b + matching ... Therapist, Physical Therapist, and an Unit-based Educator. The associate nurse manager in collaboration with the nurse ...associate nurse manager in collaboration with the nurse manager leads front line nursing staff in the… more
- CVS Health (Springfield, IL)
- …it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health of Texas by ensuring compliance ... clinical expertise with quality improvement leadership, including clinical documentation review , Performance Improvement Projects (PIPs), ANE oversight, and policy… more
- Rush Copley Medical Center (Aurora, IL)
- **2026 March START Nurse Residency Program** **_Applications will be considered for our March 2026 Cohort._** READ THIS ENTIRE POSTING FOR DETAILED INSTRUCTIONS ... **START Nurse Residency Program Overview** : Rush Copley START ...cohort will begin on March 16, 2026 **.** Application review and interviews will not take place until the… more
- AccentCare, Inc. (Rosemont, IL)
- Overview Nurse Practitioner / NP, Palliative Care Location: Rosemont, IL Position: Nurse Practitioner Palliative Care Job ID: 71503 Remote/Virtual Position : No ... Area: Find Your Passion and Purpose as a Full-Time Nurse Practitioner / NP, Palliative Care Salary: $48.00 -...with the supervisory physician (s) and attending physician to review patient records and care plans on a routine… 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)
- …on the circumstances of each case. **Summary:** The Bone Marrow Transplant (BMT) Oncology Nurse Navigator 2 is a registered nurse (RN) who works collaboratively ... Cellular Therapy within the Cancer Center service line. The BMT Oncology Nurse Navigator 2 assesses patients' psychosocial, financial, and clinical needs throughout… more
- CVS Health (Springfield, IL)
- …medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital setting. + ... A Registered Nurse that holds an active, unrestricted license in their...levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred.… more
- Humana (Springfield, IL)
- …and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and frequently require interpretation… more
- Sunrise Senior Living (Gurnee, IL)
- …services by administering medication and treatments in a safe organized manner. + Review , read, notate, and initial the electronic health record to document and ... + Receive medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and treatments for each… more
- KPH Healthcare Services, Inc. (IL)
- …**Job Summary:** Provides services to clients in accordance with the State Nurse Practice Act, Agency policy, and accepted professional standards of practice. The ... Registered Nurse provides nursing services utilizing a comprehensive base of...accidents and promote + Notifies supervisor of need for review and/or training related to equipment, procedures, or safety/infection… more
- BioLife Plasma Services (Chicago, IL)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma Services is a subsidiary of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- BioLife Plasma Services (Villa Park, IL)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma Services is a subsidiary of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- CVS Health (Springfield, IL)
- …with heart, each and every day. Our palliative and hospice care certified Nurse Practitioners (NP) are key members of the Aetna Compassionate Care Program (ACCP), ... services. + Provides consultation both formal and informal, education, review of literature and evidence-based care for the support...license **.** + 5-8 years of experience as a Nurse Practitioner in palliative and/or hospice care is required.… more
- Reliance Home Health Caregivers (Bolingbrook, IL)
- …to live in the community, in the private residence of their own. The RN Nurse Trainer will evaluate and provide the medical, health, and safety needs of the clients ... residencies. Will provide training and authorization for non-licensed staff. The RN Nurse Trainer will be responsible for: + Documenting client specific medical… more