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...
Wexford Health Sources-Sumner (IL)
clinical program development, quality management, utilization management and staff education at their site(s) in a manner consistent with the corporate objectives and philosophy of Wexford Health Sources.
DUTIES/RESPONSIBILITIES
Responsibilities include...
mindmatch.ai -
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
brand specific market access analytical insights in response to specific market access issues/trends. Understanding the impact of utilization management and policy on overall demand, and line of therapy use.
Conducting investigative analytics...
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
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 -
Wexford Health Sources-Pinckneyville (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...
mindmatch.ai -
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 -
Clementine-Naperville
companies for pre-certification 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...
Champaign
Overview:
The Clinical Denial/Utilization Management Assistant provides support to the Clinical Denial Management and Utilization Review teams. The assistants are responsible for the maintenance and utilization of EPIC work queues that drive payer...
carlehealth.org -
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...
1 similar job: South Miami
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 -
Winfield (IL)
Providing individual, group, and family therapy
• Serving as liaison with families and outpatient providers
• Interact with insurance companies for pre-certification and utilization management
• Participating in discharge and aftercare planning...
montenidoaffiliates.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 -
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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