Utilization Review Jobs in Illinois
1 - 15 of 45
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 -
Cynet Health-Clark (IL)
or Utilization Review. At the sole discretion of the Hospital, a Master’s Degree in nursing with a concentration in case management may substitute for the experience requirement.Licensing/Certification Requirements:Valid License from State of Nevada to Practice...
talent.com -
1 similar job: Washoe
Northwestern Memorial Healthcare-Palos Heights
other regulatory and accreditation standards.
Responsibilities:
Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team.
Serves in a lead...
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 -
Northwestern Memorial Healthcare-Winfield (IL)
appropriate decisions regarding 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...
resume-library.com -
CenterWell Home Health-North Chicago
to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed.
• Analyzes situations, identifies problems, identifies and evaluates alternative courses of action through...
appcast.io -
CNSI-Lombard
process, utilization review activities, and other activities requiring clinical leadership and consultation. They will conduct phone consultations with various Illinois hospitals to establish medical necessity and continued stay criteria for IL Medicaid...
resume-library.com -
Fusion Medical Staffing-Oak Brook
acuity, ability to effectively communicate
Other Requirements:
Utilization review and discharge planning experience is necessary. Must have a valid RN license in the state where they will be practicing, BLS certification, and Case Management...
appcast.io -
Northwestern Memorial Healthcare-Winfield (IL)
appropriate decisions regarding 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...
resume-library.com -
SojouRN-Chicago
staff meetings, patient care conferences, record audits, utilization review, performance improvement, in services, workshops, and seminars.
• Satisfies CEU requirements of the State Board of Nursing.
• Keeps up-to-date on reimbursement criteria...
jobrapido.com -
Carle Health System-Normal
and utilization issues in appropriate locations, including but not limited to: case management/utilization review software and the multidisciplinary plan of care document on all assigned patients.
Evaluates effectiveness of plan of care and collaborates...
mindmatch.ai -
Carle Health-Peoria
Plan with patient and recommends post-treatment referrals for patients.
Documents per department guidelines.
Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment...
Harvey (IL)
Job Description:
Be a part of a world-class academic healthcare system at UChicago Medicine Ingalls Memorial Hospital as a Case Manager for Utilization Review. Here, you will evaluate, coordinate, and document all activities related to clinical...
icims.com -
GlobalBridge Talent Group-Evanston (IL)
audits, utilization review, performance improvement, in services, workshops, and seminars.
Satisfies CEU requirements of the State Board of Nursing.
Keeps up-to-date on reimbursement criteria and charting needs for all patients.
Strives to improve...
jobvertise.com -
Peoria
current knowledge of and monitors facility compliance with EMTALA guidelines on each applicable transfer, completes documentation per hospital guidelines.
• Performs admission Utilization review on all direct admissions & transfers to support...
carlehealth.org -
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