• Utilization Management Nurse

    CVS Health (Springfield, IL)
    …rotation per business needs Preferred Qualifications - Prior authorization & utilization management experience - Outpatient Clinical experience - Knowledge ... internal and external constituents in the coordination and administration of the utilization /benefit management function. For more information on our benefit… more
    CVS Health (05/09/24)
    - Save Job - Related Jobs - Block Source
  • PT Nurse Practitioner, Virtual Care…

    ChenMed (Chicago, IL)
    …I, Care Line is responsible for diagnostic patient care primarily through virtual, remote consultation via video conference or telephone. The incumbent in this role ... trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of… more
    ChenMed (05/23/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse (RN) Infection Control,…

    Veterans Affairs, Veterans Health Administration (Danville, IL)
    …Control (IPC) Registered Nurse (RN) collaborates with the Chief of Quality Management along with other health care professionals to ensure that all services are ... Summary The Infection Prevention and Control (IPC) Registered Nurse (RN) is responsible and accountable for the planning, designing, integrating, implementing, and… more
    Veterans Affairs, Veterans Health Administration (05/24/24)
    - Save Job - Related Jobs - Block Source
  • Nurse Audit Lead

    Elevance Health (Chicago, IL)
    ** Nurse Audit Lead** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ideal ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team of clinicians… more
    Elevance Health (05/23/24)
    - Save Job - Related Jobs - Block Source
  • Quality Manager - RN ( Remote , preferred…

    Kepro (IL)
    …reports for clients. + Identify patterns and trends in clinical case and utilization management performance. + Maintain the Department's Quality Management ... public sector. Acentra seeks a Quality Manager - RN ( Remote , preferred within Illinois) to join our growing team....+ Master's degree in nursing. + 1+ years of utilization management experience. + Formal training or… more
    Kepro (05/16/24)
    - Save Job - Related Jobs - Block Source
  • PRN Nurse Practitioner, Virtual Care

    ChenMed (Chicago, IL)
    …PRN is responsible for diagnostic patient care primarily through virtual, remote consultation via video conference or telephone. Providing on-call coverage, the ... trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of… more
    ChenMed (05/23/24)
    - Save Job - Related Jobs - Block Source
  • RN, Virtual Care ( Remote ) (Weekends…

    ChenMed (Chicago, IL)
    …expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic triage directional patient care ... client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call coverage, the… more
    ChenMed (05/13/24)
    - Save Job - Related Jobs - Block Source
  • Staff Professional-Risk Mgmt

    Marriott (Springfield, IL)
    …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely, ... **Additional Information** Nurse CARE Manager (CARE - Coordinated Action and...**Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization more
    Marriott (05/12/24)
    - Save Job - Related Jobs - Block Source
  • Ambulatory RN 2 - Neurology

    Rush University Medical Center (Chicago, IL)
    …**Shift:** **Shift 1** **Work Schedule:** 8 Hr (8:30:00 AM - 5:00:00 PM) (1 day Remote OR 4 - 10 hour Shifts!) **Summary:** The Ambulatory RN 2 identifies patterns ... current situations. The Ambulatory RN 2 is a competent nurse who has mastered technical skills and utilizes evidence...the teaching- learning process to meet the learning and self- management needs of patients and families. 11. Assesses patient… more
    Rush University Medical Center (05/19/24)
    - Save Job - Related Jobs - Block Source
  • Senior Vice President, Population Health…

    Centene Corporation (Burr Ridge, IL)
    …5+ years of leadership experience. Master's degree preferred. **License/Certification:** Registered Nurse . Certified Case Management (CCM). **For Illinois Plan ... Must reside in Illinois. Will direct all activities pertaining to Case Management and Care Coordination activities and monitor utilization of Enrollees'… more
    Centene Corporation (04/26/24)
    - Save Job - Related Jobs - Block Source
  • Physician (Primary Care) - Medical Director

    Veterans Affairs, Veterans Health Administration (Peoria, IL)
    …appropriate. Duties and responsibilities include a variety of medical care management techniques, which requires knowledge, skills, licensures, and experience as a ... adequate and comprehensive services and communicates these to staff physicians, nurse practitioners, physician assistants and other members of Ambulator Care.… more
    Veterans Affairs, Veterans Health Administration (04/24/24)
    - Save Job - Related Jobs - Block Source