- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Hines VA Utilization Management (UM) RN reports to the UM Manager RN. The UM RN demonstrates a high level of clinical practice, knowledge, and ... utilization of resources and care coordination. Responsibilities The Utilization Management (UM) Consultant Registered Nurse (RN) demonstrates leadership,… more
- Fresenius Medical Center (Chicago, IL)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Elevance Health (Chicago, IL)
- …4 years managed care experience and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of education ... is granted as required by law. The **Medical Management Nurse ** is responsible for review of the...in multiple states. **Preferred Skills, Capabilities & Experiences:** + Utilization management experience. + Strong of computer skills. For… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care ... microsystem. The CNL is a point of care expert clinician, outcomes manager , client advocate, educator, information manager , system analyst/risk anticipator, team… more
- CenterWell (Joliet, IL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Prime Healthcare (Chicago, IL)
- …license. + Five (5) years of experience in acute hospital setting in a Utilization Review , Case Management, business office or related department. Experience in ... IL Responsibilities Under the direction and supervision of the Clinical Manager , the RN Assessment Coordinator is responsible for conducting and coordinating… more
- Deloitte (Chicago, IL)
- …Experience as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review , informatics ... in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS… more