- Monte Nido (Naperville, IL)
- …of care . + Collaborate with insurance companies for pre-certification and utilization management . + Contribute to discharge and aftercare planning to ... Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction. At **Clementine** , we support adolescents and their families on the path to full recovery by… more
- Monte Nido (Naperville, IL)
- …and outpatient providers + Interact with insurance companies for pre-certification and utilization management + Participating in discharge and aftercare planning ... Eating Disorder, or Exercise Addiction. At **Clementine** , we support adolescents and their families on the path to...relationship with food + Provides safe, empathetic, and affirming care for each client and their unique circumstance based… more
- Monte Nido (Winfield, IL)
- …of care . + Collaborate with insurance companies for pre-certification and utilization management . + Contribute to discharge and aftercare planning to ... Nervosa, Binge Eating Disorder, or Exercise Addiction. At **Monte Nido** , we support adolescents and their families on the path to full recovery by preparing… more
- The Clorox Company (Willowbrook, IL)
- … support of facility repair and maintenance projects, inventory and supply management , coordination of routine facility services and support of facility ... + Enforce safety protocols and hazardous material handling procedures. **Storage Management ** + Organize and maintain storage areas for chemicals, equipment, and… more
- GCG (Chicago, IL)
- …the organization. You will collaborate closely with HR Business Partners to support talent reviews, succession planning, and performance management , while ... Lead the refinement and continuous improvement of a Talent Management System (TMS) to support performance ...management and user training to ensure effective system utilization across the organization + Monitor system performance and… more
- Centene Corporation (Westmont, IL)
- …given to applicants who (1) reside in Illinois and have experience with (2) utilization management , authorizations or managed care . Additional Details: * ... workplace flexibility. NOTE: This fully remote role involves completing utilization management related tasks for LTSS waiver...guidelines. + Provides outreach to members via phone to support with care plan next steps, community… more
- Trinity Health (Maywood, IL)
- …following HIPAA guidelines. + Identify and document appropriate necessary changes in level of care . + Partners with Care Management for Medicare patients ... of medical records to the QIO within required timeframes. + Partners with Care Management for delivery of any regulatory documentation. + Documents all… more
- US Tech Solutions (Chicago, IL)
- …MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... objectives **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. +… more
- Danaher Corporation (Chicago, IL)
- …that includes some of the following: infection detection/control, sepsis care , decision support , utilization management , case management , ED patient ... decision making-we are enabling clinicians to deliver the best possible care to their patients with improved efficiency, clinical confidence, adaptive collaboration,… more
- ChenMed (Oak Lawn, IL)
- …ability to make informed decisions re: goals of care , palliative care and hospice. + Utilization /Financial Management -managing resource utilization ... history, physical exam, diagnosis and treatment, development of the plan of care , health education, specialty referrals, case management referrals, follow-up and… more
- Rush University Medical Center (Chicago, IL)
- …standards, and referring physician communication standards). * Manage staff in utilization support to develop qualitative and quantitative analyses. * ... activities of a highly qualified, dedicated physician faculty, consulting, and primary care physicians. * Ability to promote increased utilization of services… more
- Stantec (Chicago, IL)
- …marketing. - Participate in project execution as needed for technical or client management support . - Provide strong technical skills and ethics leadership to ... coordinating the operations and business development for Stantec's Chicago based Health Care Technology Team. The Team Leader is responsible for execution and… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... care . Assumes responsibility for the coordination of care focused on patient education, self- management , and...community are referred and scheduled into the community, and support the delivery of high quality, timely care… more
- MSC Industrial Supply Co. (Hanover Park, IL)
- …conversion, upselling & productivity measurements. + Conducts extensive follow-up through the utilization of a ticket management system to ensure accuracy and ... **Employment Type :** Full Time **Job Category :** Customer Service/ Support **Work Location :** Hanover Park, IL- **BRIEF POSITION...management and other innovative supply chain solutions. We care about our associates and have programs in place… more
- Rush University Medical Center (Chicago, IL)
- …in support of a healthy work environment. 5. Coordinates care using the nursing process, multidisciplinary collaboration and coordination of all appropriate ... progress toward achievement of annual goals. 18. Considers factors related to resources utilization when delivering care to patients and families. 19. Supports… more
- Health Care Service Corporation (Chicago, IL)
- …With Facility Ur Personnel. Additional Duties Include: Review Of "Cases" With Care Management Professional Staff (Case Consultation). Review Of Medical Records; ... with facility UR personnel. Additional duties include review of "cases" with care management professional staff (case consultation). Review of medical records;… more
- Health Care Service Corporation (Chicago, IL)
- …making within short timeline. **Preferred Job Qualifications:** + Experience with Utilization Management data (eg authorizations, appeals, grievances) + ... bring a strategic, collaborative mindset, paired with strong technical acumen, data management expertise, and advanced reporting skills to support and enhance… more
- Elevance Health (Chicago, IL)
- …Capabilities, and Experiences:** + Actuarial sciences background highly preferred. + Utilization Management experience preferred. + Medical economics, provider ... **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity,… more
- Trinity Health (Maywood, IL)
- …cost savings targets. + Develop and maintain policies, procedures, and systems that support cost reduction and efficient labor utilization . + Provide monthly ... Full time **Shift:** Day Shift **Description:** The Manager of Workforce Management and Productivity is responsible for developing and executing strategic workforce… more
- CVS Health (Chicago, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... every day. **Position Summary** Applies in-depth knowledge to provide technical support to end-users, diagnosing and resolving technical issues through various… more
