Utilization Review Jobs in Illinois
1 - 15 of 43
Search Results - Utilization Review Jobs in Illinois
Northwestern Memorial Healthcare-Palos Heights
Job Description
Schedule: Full-time day shift. Monday-Friday hours.
This is a great opportunity for a dynamic candidate to work in different utilization review projects. Heavy emphasis on patient accounts and billing, ensuring that denials...
resume-library.com -
Hines & Associates Inc-Rockford
Friday position, 9:30 AM to 6:00 PM.******
RESPONSIBILITIES AND PERFORMANCE:
• Completes first level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review. General Medical-Surgical nursing...
Hines & Associates Inc-Rockford
involved in other Hines programs.
**This is a Monday through Friday position, 9:30 AM to 6:00 PM.***
RESPONSIBILITIES AND PERFORMANCE :
Completes first level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial...
mindmatch.ai -
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 -
Hines & Associates Inc-Rockford
Friday position, 9:30 AM to 6:00 PM.******
RESPONSIBILITIES AND PERFORMANCE:
• Completes first level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review. General Medical-Surgical nursing...
Northwestern Memorial Healthcare-Woodstock (IL)
patients. Utilizes evidence-based, trauma, cultural, and recovery-informed practices to guide practices.
Develops effective discharge planning with input from multidisciplinary team and managed care/utilization review. Knowledgeable about referral...
resume-library.com -
Hines & Associates Inc-Rockford
nurses on active cases involved in other Hines programs.
**This is a Monday through Friday position, 9:30 AM to 6:00 PM.***
RESPONSIBILITIES AND PERFORMANCE :
Completes first level reviews within the scope of practice relevant to the clinical area(s)...
mindmatch.ai -
AW Health Care-Maryville (IL)
personnel.
Conducts patient care conferences on patients assigned to his/her care.
Participates in peer review and performance improvement as assigned.
Participates in utilization review of medical records as assigned.
Gives total patient care as needed...
2 similar jobs: O Fallon, St Louis
LHH-Algonquin
management, and employee relations.
• Ensure readiness for new product launches and manage production schedules.
• Track and report key performance metrics (OTCS, Customer PPM, Test Failures, Labor Utilization).
• Review Engineer Work Requests (EWR)...
mindmatch.ai -
Carle Health-Peoria
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 statistical data or special reports as required...
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 -
Association of Clinicians for the Underserved-Peoria
and accreditation standards.
Essential Functions:
• Serves as an ex-officio member of the Quality Assurance/Utilization Review and Academic Education Committees and other committees as assigned.
• Reports to the Board of Directors regarding quality improvement...
appcast.io -
Community Resource & Counseling Center-Paxton (IL)
standards and HIPAA regulations
• Review records and documentation for accuracy and compliance with regulations
• Committee chair for utilization review, ensuring records are in compliance with state law and accreditation requirements
Compensation...
mindmatch.ai -
Paycor-Chicago
and unless expressly allowed by state or federal law, are in a state or territory of the United States when conducting appeal considerations.
• Conduct peer-to-peer consultations, adverse determinations, and appeals for drug utilization review...
appcast.io -
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 -
123
Companies now hiring in Illinois:
Utilization Review jobs in Illinois – Similar offers:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Illinois
It's free, and you can cancel email updates at any time
123