Utilization Manager Jobs in Chicago
1 - 15 of 17
Search Results - Utilization Manager Jobs in Chicago
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...
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Union Health Service-Chicago
reliability, adaptability, problem solving/critical thinking, teamwork, enthusiasm, and empathy
• Service oriented with an emphasis on Patient Experience
• Experience and/or certification in Utilization Management, Case Management, Quality Assurance or Managed...
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...
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Northwestern Memorial Healthcare-Chicago
wide information systems.
Demonstrates 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...
resume-library.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...
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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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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
resolution, utilization and resource management, and patient satisfaction.
Responsibilities:
Psychosocial Assessment & Intervention
Meets directly with patient/family to perform a comprehensive assessment including social, emotional, cultural, mental...
resume-library.com -
Oak Street Health, Inc.-Chicago
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:
• Medical management, care management, utilization management...
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Chicago
Demonstrated experience in the development and delivery of new products and offerings.
• Deep health care knowledge, including strong knowledge of the health market and industry, plans, case management, utilization management, vendors, special interest groups...
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 -
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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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 -
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...
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 -
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