- Morris Hospital (Morris, IL)
- …using evidenced-based clinical guidelines. Performs duties in accordance with the Utilization Review Plan. Demonstrates thorough knowledge of performance measure ... in acute hospital setting. + Strong clinical expertise. + Prior experience in utilization management or case management preferred. + Ability to maintain… more
- Prime Healthcare (Aurora, IL)
- …Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Two (2) years clinical experience as a Case Manager in an acute care, post-acute, or payer setting within ... status and continued stay reviews. Communicates all medical necessity review outcomes and denials to case management...the last 5 years. 2. Utilization review and denial management experience required.… more
- ICW Group (Lisle, IL)
- …evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and ... + Measures and reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial, variance, quality of life,… more
- Prime Healthcare (Chicago, IL)
- …Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/182631/ manager case -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityResurrection Medical Center… more
- The Hartford (Naperville, IL)
- … case management and discharge experience. + Preference for managed care/ utilization review /insurance experience. + Preference for crisis intervention skills. ... is part of a vast team of Behavioral Health Case Managers who are responsible for the review...non-support of clinical findings. + Collaborates with Ability Benefits Manager and other key players (Vocational Rehabilitation, Consultants, Medical… more
- Rising Medical Solutions (Schaumburg, IL)
- …medical case management, occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional physicians ... medical case management for workplace injuries. The successful PDM case manager works from their home office, and they drive to physician appointments… more
- Rush University Medical Center (Chicago, IL)
- …offered for the position. Offers may very depending on the circumstances of each case . **Summary:** The Nurse Care Manager 1 works with physician practices and ... inpatient teams to promote the effective utilization of services and coordination of care for adult,...geriatric, neonate, pediatric and adolescent patients. The Nurse Care Manager 1 contributes to the team's effectiveness by reviewing… more
- AdventHealth (Hinsdale, IL)
- …N Oak Street, Hinsdale, IL **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- AdventHealth (La Grange, IL)
- …La Grange, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with ... members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- Argonne National Laboratory (Lemont, IL)
- The Chemical and Fuel Cycle Technologies division is seeking a Section Manager for the newly formed Materials Engineering group. The group leader reports to the ... Pyroprocess & Materials Development Department Manager . The person in this position will provide technical...of experiments and deliverables within budget constraints through judicious utilization of support personnel and facilities. + Manage and… more
- CBRE (Chicago, IL)
- Sr. Project Manager -Chicago Job ID 194432 Posted 21-Nov-2024 Service line GWS Segment Role type Full-time Areas of Interest Construction, Project Management ... and Workplace Experience. About the Role: As a CBRE Project Management Sr. Manager , you'll manage a team responsible for providing advanced management services to… more
- Deloitte (Chicago, IL)
- …the C-Suite. Our services extend beyond HR to include the CEO, CFO, Risk Manager , and Business Unit leaders, delivering value and creating impact for our clients. ... client expectations and working with leading global businesses? Your RoleAs a Manager in Employer Health, you will provide strategic and technical employee benefit… more
- Cisco (Chicago, IL)
- …candidate will work onsite/hybrid in Illinois. What You'll Do As a Customer Experience Manager , you will play a pivotal role in driving the successful adoption and ... utilization of Cisco technologies and services within our customer...execution * Lead Customer Value Workshops and QBRs to review adoption progress and drive customers outcomes and benefits… more
- Rush Copley Medical Center (Aurora, IL)
- …appropriateness of patient admission and level of care. + Provides continuous review of medical necessity and SI/IS criteria. Notifies physician and collaborates ... necessity, appropriateness, and quality of care. Applies criteria, performs concurrent review process. Works with physicians and Medical Director regarding Case… more
- Rush University Medical Center (Chicago, IL)
- …for the position. Offers may vary depending on the circumstances of each case . **Summary:** Develops sourcing strategy for specified spend categories to achieve key ... by category when industry and benchmark data show apparent savings opportunity. 6. Review and negotiate terms & conditions to ensure that business terms are in… more
- Sysco (Naperville, IL)
- **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... developing the talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance and development of… more
- Elevance Health (Chicago, IL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... The **Oncology Medical Director** will be supporting our clients in operations with utilization and case management reviews. In addition, the medical director… more
- Elevance Health (Chicago, IL)
- …mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests involving radiology imaging ... clinical criteria and relevant Carelon Medical Benefits Management policies pertaining to utilization review . + Demonstrate and maintain knowledge of applicable… more
- AdventHealth (Bolingbrook, IL)
- …Clinical Social Worker, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered ... is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of… more
- AdventHealth (Bolingbrook, IL)
- …Clinical Social Worker, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered ... is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of… more