- Elevance Health (Chicago, IL)
- ** Nurse Reviewer I** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** **Work ... 9:30am to 6:00pm depending on your time zone.** The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- US Tech Solutions (Chicago, IL)
- …experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global staff ... policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. +...3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior… more
- Rush University Medical Center (Chicago, IL)
- …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 ... of care for adult, geriatric, neonate, pediatric and adolescent patients. The Nurse Care Manager 1 contributes to the team's effectiveness by reviewing plans… more
- Rush University Medical Center (Chicago, IL)
- …may very depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care ... The CNL provides insight regarding the microsystem for collaboration with the Clinical Nurse Specialist (CNS) on macrosystem processes and outcomes. The CNL and CNS… more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records ... **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal denied and underpaid claims. +… more
- Trinity Health (Mishawaka, IN)
- …inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination for inpatient would ... Consultation, educational support and staff development activities that provide the bedside nurse with the knowledge, skills, and confidence to manage wounds will be… more
- City of Chicago (Chicago, IL)
- **Description:** BID/JOB ANNOUNCEMENT **OCCUPATIONAL HEALTH NURSE ** **OFFICE OF PUBLIC SAFETY ADMINISTRATION** **Medical Section** **Number of Vacancies:** 1 ... medical histories, including injuries on duty and illnesses, for review by Medical Director . Provides limited nursing care.... Must be licensed to practice as a Registered Nurse . Applicants must possess a valid State of… more
- BioLife Plasma Services (Elkhart, IN)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma Services is a subsidiary ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- KPH Healthcare Services, Inc. (Chicago, IL)
- …**Job Summary:** Provides services to clients in accordance with the State Nurse Practice Act, Agency policy, and accepted professional standards of practice. The ... Registered Nurse provides nursing services utilizing a comprehensive base of...accidents and promote + Notifies supervisor of need for review and/or training related to equipment, procedures, or safety/infection… more
- Fresenius Medical Center (Mishawaka, IN)
- **PURPOSE AND SCOPE:** The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered ... months from date of hire. + Performs ongoing, systematic review and analysis of dialysis data for Home Therapy...Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: + Successful completion… more
- Elevance Health (Chicago, IL)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the… more
- Elevance Health (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make… more
- Elevance Health (Chicago, IL)
- ** Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Fresenius Medical Center (Chicago, IL)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:** + As… more
- Rush University Medical Center (Chicago, IL)
- …Offers may very depending on the circumstances of each case. **Summary:** Expert research nurse who leads the provision of clinical care within the context of a ... publications. 16. May act as a nursing representative on the Protocol Review and Monitoring Committee, Data Safety Monitoring Board and other relevant committees.… more
- Ascension Health (Chicago, IL)
- …functional resource and performs similar duties with staff. + Assign, monitor, and review progress of work and compliance with policies and/or procedures. + Oversee ... of assigned associates. + May provide input in the review and evaluation of staff performance. + Work with...date. American HeartAssociation or American Red Cross accepted.* Registered Nurse credentialed from the Illinois Board of Nursing obtained… more
- Fresenius Medical Center (Niles, MI)
- …Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. + Performs additional duties as assigned.… more
- Mosaic (Osceola, IN)
- …LOVE working with a team that puts people first. We're looking for a Registered Nurse to join our team! With so many moving pieces, Mosaic relies heavily on the ... according to Mosaic policies and state licensing requirements. * Maintain and review medical records of individuals served to monitor pertinent concerns and provide… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …patients need to keep moving and keep enjoying their life. The Registered Nurse is responsible for providing professional nursing care for clinic patients following ... of tests and/or other orders given by the physician. + Maintain and review patient records, charts, and other pertinent information. + Respond to incoming patient… more
- Fresenius Medical Center (South Bend, IN)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... including efficient utilization of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and on-site state or… more