Utilization Review Jobs in Chicago
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Search Results - Utilization Review Jobs in Chicago
Chicago
Job Description:
Join UChicago Medicine, as a Utilization Review Assistant in the Care Coordination Department.
This position is a Utilization Review Assistant within the Department of Care Coordination. As a member of an interdisciplinary...
icims.com -
Connect Search, LLC-Chicago
and educate clinicians to ensure best practices in clinical documentation.
• Lead initiatives in denial management, coding optimization, and CDI program redesign.
• Collaborate across teams including care management, utilization review, and quality assurance...
mindmatch.ai -
Chicago
analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action.
Qualifications:
EDUCATION, EXPERIENCE, TRAINING...
icims.com -
Medrina Completes Fourth Acquisition: Radial Health-Chicago
for medical practice issues within the Company
• Develop and promote evidence-based clinical pathways and guidelines
• Participate in utilization review and quality monitoring activities
• Support billing and coding compliance activities
• Develop...
appcast.io -
Center For Discovery-Chicago
and psychoeducation groups one to two times, daily.
Required to sit at a meal and/or snack a minimum of once per week.
Facilitates multi-family groups, family program, and/or family weekend.
Provides utilization reviews to insurance companies, providing appropriate...
resume-library.com -
Howard Brown Health-Chicago
practice protocols and identifies appropriate evaluative criteria for utilization review activities.
• Evaluates care based on clinical standards through the quality improvement process and implements recommended changes and improvements based...
mindmatch.ai -
Northwestern Memorial Healthcare-Chicago
and maintenance of protocols. Assures established protocols meet compliance and regulatory requirements.
Provides guidance to clinical research staff on projects related to new research study submissions, utilization reviews, wording/phrasing of medical orders...
resume-library.com -
Xsolis-Chicago
and interaction between utilization review, case management, and revenue cycle metrics (e.g., linkage between observation rate and denial rate)
• Conducts deeper analysis into metrics to understand the key drivers and potential impacts to numbers
• Responsible...
appcast.io -
Chicago
social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs...
icims.com -
Community Health & Wellness Center (CHWC)-Chicago
as required and participate in Quality Assurance and Utilization Reviews.
13. Participate in Accountable Care Organization activities as required.
14. Perform diagnostic tests and procedures and therapeutic procedures, within the scope of practice, including...
appcast.io -
Chicago
Acentra seeks an OBGYN Physician Reviewer (PRN) to join our growing team.
Job Summary:
The OB/GYN Physician Reviewer will provide principal leadership and clinical expertise to operations relating to the peer review process, utilization review activities...
acentra.com -
Loyola University Health System-Chicago
with Psychiatric NP and Psychiatrist regarding treatment planning, discharge planning and clinical staffing for all patients. Conducts in:services, provides patient referrals, and completes insurance pre:authorizations and utilization review process.
Provides...
tiptopjob.com -
Chicago
intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment.
Knowledge...
icims.com -
Chicago
Acentra seeks an Psychiatrist Physician Reviewer (PRN) to join our growing team.
Job Summary:
The Psychiatrist Physician Reviewer will provide principal leadership and clinical expertise to operations relating to the peer review process, utilization...
acentra.com -
Chicago
in a Utilization Review, Case Management, business office or related department. Experience in a Managed Care environment will be accepted for
partial qualifications.
3. Current BLS (AHA) certificate upon hire and maintain current.
4. ..
icims.com -
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