Utilization Review Jobs in Illinois
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Search Results - Utilization Review Jobs in Illinois
Northwestern Memorial Healthcare-Lake Forest (IL)
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...
resume-library.com -
Carle Health-Peoria
per department guidelines.* Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment approval.* Participates in covering weekend inpatient evaluations on a rotating...
Northwestern Memorial Healthcare-Winfield (IL)
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...
resume-library.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 -
Northwestern Memorial Healthcare-Winfield (IL)
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...
resume-library.com -
Celebrate Senior Living of Moline-Moline (IL)
staffing and utilization reviews held in the facility to coordinate a total patient plan of care.
B. SAFETY
Duties: Comply with all facility policies related to safety and infection control procedures including the proper use of mechanical lifts, gait...
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...
resume-library.com -
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 -
Rising Medical Solutions-Schaumburg
utilization review, or quality assurance
Familiarity with regional physicians
CCM, and COHN-S/CM are optional but highly valued
Ability to drive to appointments within a 2-hour radius
Active, unencumbered registered nursing license with a minimum of 5...
resume-library.com -
1 similar job: South Bend
Urbana (IL)
to ensure responsive and appropriate care is provided post-discharge.
• Documents plan of care and utilization issues in appropriate locations, including but not limited to: case management/utilization review software and the multidisciplinary plan of care...
carlehealth.org -
Rising Medical Solutions-Schaumburg
utilization review, or quality assurance
• Familiarity with regional physicians
• CCM, and COHN-S/CM are optional but highly valued
• Ability to drive to appointments within a 2-hour radius
• Active, unencumbered registered nursing license with a minimum of 5...
workable.com -
Peoria
guidelines.* Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment approval.* Participates in covering weekend inpatient evaluations on a rotating basis.* Provides...
carlehealth.org -
Normal
of accounts receivable. Review and submit claims for assigned payer and/or business line.
Run a monthly aging report; follow up on unpaid claim balances. Communicate with Utilization Review Coordinator regarding authorizations and appeals, documenting all...
icims.com -
Pekin (IL)
guidelines.* Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment approval.* Participates in covering weekend inpatient evaluations on a rotating basis.* Provides...
carlehealth.org -
Springfield
in record after each session and supports information needed for Utilization Review criteria and the patient treatment plan.
1. Adhere to department productivity standards.
1. Participate in the monitoring of quality and utilization metrics...
icims.com -
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