Utilization Manager Jobs in Chicago
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Search Results - Utilization Manager Jobs in Chicago
Integrated Resources, Inc-Chicago
Prepares reports on findings and communicates outcomes to Medical Groups/IPAs and HMO management.
Communicates contractual requirements to medical groups, IPAs, and contract management firms, corporate headquarters including but not limited to utilization...
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AbsoluteCARE Medical Center & Pharmacy-Chicago
setting offering hydration, IV antibiotics, wound care, and other services.
• Knowledge of value-based provider programs, utilization management and HEDIS quality measures.
• Long-term interest in AbsoluteCare.
Preferred Qualifications
• Infectious...
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Integrated Resources, Inc-Chicago
5 days onsite
BASIC FUNCTION: This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of Client ILs HMOs.
Evaluates...
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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...
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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...
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Monogram Health, Inc.-Chicago
care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management...
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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...
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Oak Street Health, Inc.-Chicago
Additionally, the Medical Director will be part of the At Home leadership team that will have strategic input into a variety of divisional projects that support the enhancement of the care model, including:
1. Medical management, care management, utilization...
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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...
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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...
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AbsoluteCARE Medical Center & Pharmacy-Chicago
self-starter and critical thinker interested in population health, healthcare utilization management, and the ongoing development of our care model.
This job operates in a professional office environment. This role routinely uses general office...
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AbsoluteCARE Medical Center & Pharmacy-Chicago
self-starter and critical thinker interested in population health, healthcare utilization management, and the ongoing development of our care model.
This job operates in a professional office environment. This role routinely uses general office...
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Nesthealth-Chicago
which is responsible for achieving clinical outcomes, optimizing utilization/costs, and ensuring high patient satisfaction across the market. The MMD provides direct and indirect medical care and population health management, overseeing and building...
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Edward Elmhurst Health-Chicago
physician link between Population Health and VBC initiatives.
• Develop and drive VBC strategies focused on: Network loyalty/catchment, Care Model Optimization, Care Standardization, and Utilization Management
• Work in conjunction with CQTO, IPA Medical...
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MedChi, The Maryland State Medical Society-Chicago
of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefits package), and on communication regarding this process with both network and non...
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