Utilization Review Jobs in Chicago
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Search Results - Utilization Review Jobs in Chicago
Northwestern Memorial Healthcare-Chicago
specialty committees focused on product introductions, value analysis and utilization review consistent with NM policies and procedures.
Manages the overall medical-surgical product, equipment and services portfolios for various clinical and non-clinical...
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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 -
Integrated Resources, Inc-Chicago
with 2 years experience in utilization review, quality assurance, or statistical research.
Clinical knowledge, knowledge of the UM/QR process, and knowledge of managed care principles.
Analytical, verbal and written communications skills.
Current...
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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 -
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 -
Chicago
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
Northwestern Memorial Healthcare-Chicago
related to new research study submissions, utilization reviews, wording/phrasing of medical orders, protocols and workflows.
Develops and maintains clinical nursing research policies, standard operating procedures, and guidelines.
Reviews and trends...
resume-library.com -
Chicago
guidelines; telephone triage and other tele- health professional standards and guidelines; Case Management Society of America (CMSA); American Accreditation Healthcare Commission/Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health...
icims.com -
Northwestern Memorial Healthcare-Lake Forest (IL), 29 mi from Chicago
admission nurse does not provide direct patient care. Chart review is used to assess for appropriate level of care and admission status.
Assigns patients to the appropriate units based on clinical assessment while balancing the resources of the organization...
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Northwestern Memorial Healthcare-Winfield (IL), 28 mi from Chicago
patient care and staffing issues.
Contributes to the Utilization Review process by adding a consultative nursing assessment regarding total patient care delivery.
Participates and communicates with third party payers with regards to the nursing...
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