- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're… more
- AdventHealth (Hinsdale, IL)
- …Street, Hinsdale, IL 60521 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- Elevance Health (Chicago, IL)
- ** Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... 48 hours of receipt and meet the criteria._** The ** Nurse Case Manager II** is responsible for...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Fresenius Medical Center (Steger, IL)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- 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 ... time,** **with rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out of… 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 ... microsystem. The CNL is a point of care expert clinician, outcomes manager , client advocate, educator, information manager , system analyst/risk anticipator, team… more
- CenterWell (Joliet, IL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- AdventHealth (La Grange, IL)
- …Planning + Conflict management and resolution skills + Teamwork principles + Registered Nurse (RN) Required + Certified Case Manager (CCM) Preferred + Accredited ... AdventHealth La Grange Hospital **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and… more
- Molina Healthcare (Chicago, IL)
- …supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral ... requirements. * Actively participates in the department auditing program to review , communicate findings and identify opportunities for improved quality and… more
- Prime Healthcare (Chicago, IL)
- …license. + Five (5) years of experience in acute hospital setting in a Utilization Review , Case Management, business office or related department. Experience in ... IL 60622 Responsibilities Under the direction and supervision of the Clinical Manager , the RN Assessment Coordinator is responsible for conducting and coordinating… more
- Deloitte (Chicago, IL)
- …Experience as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review , informatics ... in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS… more