- CVS Health (Springfield, IL)
- …skills, both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience in acute or ... post acute setting - A Registered Nurse that must hold an unrestricted...years of clinical experience - Managed Care experience - Utilization management experience Education Associates degree required… more
- ProgenyHealth (Elk Grove Village, IL)
- …medical record. + May include evening and/or weekend on call. Qualifications + Registered Nurse (RN) with a current, unrestricted license is required + ... ProgenyHealth is a leading provider of care management solutions for premature and medically complex newborns. Our program promotes appropriate utilization ,… more
- Ascension Health (Des Plaines, IL)
- …Registered Nurse with 3-5 years Hospital experience. Prefer Case Management / Utilization experience. **Why Join Our Team** Ascension Illinois delivers ... **Details** + **Department:** Case Management + **Schedule:** Full time day, 8 am...**Requirements** Licensure / Certification / Registration: + Required Credential(s):* Registered Nurse credentialed from the Illinois Board… more
- AdventHealth (Hinsdale, IL)
- …documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes ... . Associates Degree Nursing or RN Diploma degree . Registered Nurse (RN) . Two (2) years.... Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION… more
- Fresenius Medical Center (Chicago Heights, IL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Chicago, IL)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Rush University Medical Center (Chicago, IL)
- …AM - 5:30:00 AM) **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...The Oncology Nurse Navigator 2 is a registered nurse (RN) who works with physician… more
- Rush University Medical Center (Chicago, IL)
- …workshops. **Other information:** **Required Job Qualifications:** *Current license in Illinois as Registered Nurse (RN). *Ability to perform all job components ... **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** Care Management **Work Type:** Full Time (Total FTE between 0.9 and 1.0)… more
- Rush University Medical Center (Chicago, IL)
- …**Other information:** **Required Job Qualifications:** * Current State of Illinois Professional Registered Nurse licensure * Graduate degree in nursing * o ... Hr (7:00:00 AM - 5:00:00 PM) **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing...improvement of patient care outcomes, and resource in the management of clinically complex patients. The CNL provides insight… more
- Rush University Medical Center (Chicago, IL)
- …**Other information:** **Required Job Qualifications:** * Current State of Illinois Professional Registered Nurse licensure Graduation from a CNL program and CNL ... Schedule:** 10 Hr (7:00:00 AM - 5:30:00 PM) **Summary:** The Ambulatory Clinical Nurse Leader functions as an advanced generalist providing and managing care for… more
- Marriott (Springfield, IL)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... **Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Rush University Medical Center (Chicago, IL)
- …the clinic. **Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure. State of IN RN licensure required for ... Certificate, ONS Chemotherapy Biotherapy: Fundamentals of Administration provider card, or Certified Registered Nurse of Infusion (CRNI) OR obtain the ONS/ONCC… more
- Carle (Urbana, IL)
- …agencies and payers to plan and execute a safe discharge* Collaborates with Utilization Management team on continued stay review. + Discharge Planning* ... systems. Qualifications: EDUCATION REQUIREMENTSBachelor's in NursingCERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse (RN) License in state of… more
- Rush University Medical Center (Chicago, IL)
- …procedures. **Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure. * Three years' nursing experience. * ... 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
- AdventHealth (Hinsdale, IL)
- …documents avoidable days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient status changes and ... . Associates Degree Nursing or RN Diploma degree . Registered Nurse (RN) . Two (2) years.... Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION… more
- Kepro (IL)
- …reports for clients. + Identify patterns and trends in clinical case and utilization management performance. + Maintain the Department's Quality Management ... processes for clients. Requirements Required Qualifications/Experience: + Active, unrestricted Registered Nurse (RN) license in the State...+ Master's degree in nursing. + 1+ years of utilization management experience. + Formal training or… more
- Carle (Urbana, IL)
- … Professional Nurse (RN) License Current licensure in good standing as a Registered Nurse in the State of Illinois. EXPERIENCE REQUIREMENTS Three years of ... This role will focus on nursing process, physician communication, case management and resource utilization . Qualifications: EDUCATIONAL REQUIREMENTS College… more
- Rush University Medical Center (Chicago, IL)
- …from an ARC-PA (or predecessor) accredited PA Program. * Current State of Illinois Registered Nurse (RN) and Advanced Practice Nurse (APN) Licensure. * ... Donor Care Unit with the goal of maximizing organ utilization . They demonstrate a high degree of clinical expertise...The APP - Organ Donation will provide both donor management care as well as intraoperative care to the… more
- Carle (Urbana, IL)
- …CMS, EMTALA guidelines). Actively collaborates with providers, nursing, and case management / utilization management to ensure appropriate patient placement ... Associate's Degree in or diploma in nursing CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse (RN) License Licensed and registered … more
- Amergis (Chicago, IL)
- $42 / hour Amergis is hiring a Registered Nurse to provide Care Coordination. The RN collaborates with enrollee and medical home care team to develop and ... from an accredited college or university Licensed as a Registered Professional Nurse in the State of...settings and providers + 1 year of experience in utilization management or case management … more