- 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
- Trinity Health (Berwyn, IL)
- …looking for an experienced Authorization Referral Coordinator. Reporting to the Manager of Utilization Management and working under general supervision, ... under the supervision of the clinical team per protocol. Refers requests to the nurse reviewer or medical director if criteria or guidelines not met. This position… 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
- ChenMed (Berwyn, IL)
- …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... State of practice. + Other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Demonstrated record of consistently achieving… more