- Humana (Springfield, IL)
- …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2: + Review ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...required, with no disciplinary action + 2+ years of Post - Acute clinical experience in a SNF, LTACH… more
- Humana (Springfield, IL)
- …prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation **Preferred ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers + Utilization management experience in a medical management … more
- Guidehouse (Chicago, IL)
- …care access, efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post - acute care and ... their business processes, internal controls, operating efficiency, transparency and performance management , and ability to comply with federal laws and regulations.… more
- AdventHealth (La Grange, IL)
- …documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes ... AND EXPERIENCE PREFERRED:** . Current working knowledge of discharge planning, utilization management , care management , performance improvement and… more
- Carle (Urbana, IL)
- …and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Ensures ... post - hospital providers to ensure responsive and appropriate care is provided post -discharge. + Documents plan of care and utilization issues in appropriate… more
- Guidehouse (Chicago, IL)
- …care access, efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post - acute care and ... aspects of the care continuum. Senior Consultants have responsibility for client management , solution implementation and generation of project results. You will own… more
- Guidehouse (Chicago, IL)
- …care access, efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post - acute care and ... and internal projects. Responsibilities will include client and project management , data and information analysis, solution implementation and generation of… more
- AdventHealth (La Grange, IL)
- …documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes ... . BSN . Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION OR REGISTRATION… more
- Humana (Springfield, IL)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Springfield, IL)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Carle (Urbana, IL)
- …to SNF and monitor progress throughout the patient stay in collaboration with Post Acute internal and external care partners. Uses technology platform(s) to ... Outpatient Care Coordination RN + Department: OP Care Management - CPG_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Nursing + Employment Type: Full… more
- Humana (Springfield, IL)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Select Medical (Chicago, IL)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... Medical, we care for chronically and critically ill or post -ICU patients who require extended hospital care. Select Medical...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
- Humana (Springfield, IL)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a… more
- Huron Consulting Group (Chicago, IL)
- …[not required] + Expertise managing cost structures and improving operational workflows within acute and post - acute settings + Seeking specific clinical ... instill passion and trust in clients, junior staff members, and Huron management . If you can lead teams, create customized solutions, and masterfully communicate… more
- Somatus (Oak Park, IL)
- …program, educate on benefits, and obtain consent to the program. + Align with post acute facilities and collaborate on appropriate discharge needs of members as ... with local leadership and/or provider engagement to build relationships with case management teams at strategic facilities in assigned area as identified by the… more
- Huron Consulting Group (Chicago, IL)
- …building talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Employees are required to follow utilization ... required] + Expertise managing cost structures and improving operational workflows within post - acute settings (eg, SNF, long-term care, home health, rehab) [not… more