Utilization Manager Jobs in Chicago
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Search Results - Utilization Manager Jobs in Chicago
Northwestern Memorial Healthcare-Chicago
admission utilization management functions in accordance with established procedures.
Masters the use of the utilization management medical necessity criteria to determine appropriate level of care upon admission.
Monitors and assures clinical...
resume-library.com -
Paycor-Chicago
if not prohibited by state laws or the requesting party specifically requests a clinical peer.
• Acts as a medical resource to the Utilization Management Department staff, as needed.
• Acts as an active member of the quality committees, if appointed.
• Follows...
appcast.io -
Northwestern Memorial Healthcare-Chicago
Provides patient and family education that promotes wellness and increases knowledge of the health care system.
Demonstrates advanced knowledge of the utilization management process which includes level of care assignment, communication with payors...
resume-library.com -
Elevance Health-Chicago
training preferred.
• Extensive orthopedic surgery experience preferred.
• Experience with utilization management, especially with CMS guidelines preferred.
For candidates working in person or remotely, the salary range for this specific position...
appcast.io -
Northwestern Memorial Healthcare-Chicago
knowledge of the utilization management process which includes level of care assignment, communication with payors and benefit authorization for applicable situations.
Actively Participates in Clinical Performance Improvement Activities
Assists...
resume-library.com -
Paycor-Chicago
if not prohibited by state laws or the requesting party specifically requests a clinical peer.
8. Acts as a medical resource to the Utilization Management Department staff, as needed.
9. Acts as an active member of the quality committees, if appointed.
10. Follows...
appcast.io -
Chicago
branches in Illinois
• Board Certification in Psychiatry
• Engaged in active practice
• Have admitting or staff privileges in one or more Illinois hospitals or state facilities
• Experience in Utilization Management, Case and Disease Management...
acentra.com -
Infosys Limited-Chicago
healthcare clients.
Responsibilities:
1. Leadership, practice management, thought leadership:
• Bring healthcare domain knowledge & experiences in healthcare value chain: end to end claims process, contact center, utilization management, prior...
appcast.io -
Chicago
skills in working with teams and ability to work with clients and to successfully exceed client expectations.
• Proven organization and ability to work with others.
• Experience in resource deployment and utilization management.
• Strong interpersonal...
icims.com -
Medrina Completes Fourth Acquisition: Radial Health-Chicago
and population management
• Oversee utilization management guidelines and decisions
• Support business development and marketing departments by meeting with key decision-makers, clients and prospects, as needed
• Support corporate General Counsel in risk...
appcast.io -
Chicago
Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse...
enlyte.com -
Chicago
Certification in Pediatrics
• Engaged in active practice
• Have admitting or staff privileges in one or more Illinois hospitals or state facilities
• Experience in Utilization Management, Case and Disease Management with knowledge of Medicaid and Medicare...
acentra.com -
Chicago
health care knowledge, including strong knowledge of the health market and industry, plans, case management, utilization management, vendors, special interest groups, professional organizations.
• Knowledge and application of clinical, non-clinical...
icims.com -
Chicago
Certification in Obstetrics and Gynecology
• Engaged in active practice
• Have admitting or staff privileges in one or more Illinois hospitals or state facilities
• Experience in Utilization Management, Case and Disease Management with knowledge of Medicaid...
acentra.com -
Chicago
in Utilization Management, Case and Disease Management with knowledge of Medicaid and Medicare program
• Knowledge of standards of practice related to the determination of level of care
• Knowledge of Medicaid programs with relevant experience navigating similar...
acentra.com -
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