Utilization Manager Jobs in Illinois
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Search Results - Utilization Manager Jobs in Illinois
Lake Behavioral Hospital-Waukegan
JOIN OUR TEAM AS A UTILIZATION MANAGEMENT DIRECTOR!
Your Work Matters How will you make a difference?
Lake Behavioral Hospital is looking for a Utilization Management Director that will oversees the Utilization Management Program. The ideal...
Northwestern Memorial Healthcare-Palos Heights
Job Description
The Utilization Management Lead reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all...
resume-library.com -
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...
Monte Nido & Affiliates, LLC-Winfield (IL)
and utilization management
• Participating in discharge and aftercare planning
• Therapeutic meal support, while modeling a healthy relationship with food
• Provides safe, empathetic, and affirming care for each client and their unique circumstance based...
appcast.io -
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...
AbbVie-Mettawa
of stakeholder negotiations, and informing financial projections based on pricing and contracting strategies.
Delivering brand specific market access analytical insights in response to specific market access issues/trends. Understanding the impact of utilization...
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-Palos Heights
the continuum to facilitate the achievement of cost and quality patient care, appropriate utilization of resources and maximum financial reimbursement to the hospital and acts as a leader to achieve best practices of case management.
They educate hospital...
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 -
AbbVie-Mettawa
of utilization management, tiering and medical policy impact on overall demand, line of therapy and co-pay support. Conducting investigative analytics to validate and/ or quantify market phenomenon related to competitive or customer tactics.
Identifying through...
resume-library.com -
Champaign
Overview:
The Utilization Management Intake Coordination Representative is responsible for providing assistance with, and coordination of utilization management operational functions. The Intake Coordination Rep is the initial phone or digital...
carlehealth.org -
Decatur (IL)
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, COHN, Certified...
enlyte.com -
Jacksonville (IL)
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 consistent...
icims.com -
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 -
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 -
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