- Jobleads-US (Chicago, IL)
- …team blends deep medical expertise with startup execution. Pinch is building the infrastructure to support a new kind of care delivery, and that means we need ... aesthetics practice. We empower Nurse Practitioners to deliver expert care in the comfort of clients' homes, making aesthetic...a voice for Provider needs across the company Performance Management Track and review provider KPIs ( Utilization ,… 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
- 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
- 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
- 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
- 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
- Rush University Medical Center (Chicago, IL)
- …Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Ambulatory Care Management **Work Type:** Full Time (Total FTE between 0.9 ... for the position. Offers may vary depending on the circumstances of each case. **Summary:** The Care Management Navigator II is part of a care management … more
- AdventHealth (Glendale Heights, IL)
- …skills + Data analysis skills + Current working knowledge of discharge planning, utilization management , care management , performance improvement and ... Social Worker is under the general supervision of the Care Management Supervisor or Manager and is...to the team:** + Provides grief counseling, disease adjustment support , crisis intervention, goals of care planning… 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
- Centene Corporation (Great Lakes, IL)
- …with the care management and coordination teams to identify complex care transition support services. + Evaluates the needs of the member by completing ... in the State of Illinois** + **Experience in case management and/or utilization management ** +...plans and provides appropriate interventions + Facilitates transition into care management service for member based on… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... years. The RN 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
- Health Care Service Corporation (Chicago, IL)
- …with topics that include Claims and Payment Integrity, Member Engagement, Utilization Management , Document Intelligence, Risk Stratification, and the AI ... The role reports to the Senior Director of Product Management for AI Solutions. There are many different domains...our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an… more
- Aperion Care (Chicago, IL)
- …skill, and/or ability required. + Bachelor's Degree in Nursing required. + Five years management experience with experience in long-term care + Must possess a ... Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data… more
