Utilization Manager Jobs in Illinois
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Search Results - Utilization Manager Jobs in Illinois
Wexford Health Sources-Vandalia (IL)
For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing, and quality management services.
At Wexford...
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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Promise Healthcare-Champaign
to prevent relapse (if substance use patient).
Maintains scheduling capabilities to ensure adequate patient access to appointments.
Maintain progress notes and other documentation required for the patient medical record and utilization management within...
TalentWorldGroup-Illinois City
and maintain the principles of utilization management by adhering to company policies and procedures.Uphold clinical integrity of pharmaceutical solutions by participating in ongoing training programs to ensure quality performance in compliance with applicable...
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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...
appcast.io -
Northwestern Memorial Healthcare-Mchenry (IL)
Communicates a tentative length of stay to the patient health care team and patient.
This position works closely with Utilization Management team to ensure responsible use of resources related to patient care and appropriate length of stay. Maintains a working...
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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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Urbana (IL)
Services as defined in the Illinois Pharmacy Practice Act.
• Performs utilization management reviews.
• Serves as drug information resource for other departments.
• Conduct medication reconciliation, perform clinical interventions, uncover adverse drug...
carlehealth.org -
Aurora (IL)
Rights: [...]
Responsibilities:
Responsible for the coordination of the various activities of the Case Management Department including utilization management, social services and performance improvement. Assists with development of discharge plans...
icims.com -
1 similar job: Des Plaines
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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Memorial Health-Springfield
insurance coverage, payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.
Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure...
AbbVie-Mettawa
specific market access analytical insights in response to specific market access issues/ trends. Understanding the impact of utilization management, tiering and medical policy impact on overall demand, line of therapy and co-pay support.
Conducting...
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Evanston (IL)
Rights: [...]
Responsibilities:
Responsible for the coordination of the various activities of the Case Management Department including utilization management, social services and performance improvement. Assists with development of discharge plans...
icims.com -
4 similar jobs: Chicago, Joliet, Kankakee, Elgin
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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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...
appcast.io -
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