- CVS Health (Downers Grove, IL)
- …Excel, etc.) **Preferred Qualifications** -Crisis intervention skills preferred -Managed care/ utilization review experience preferred -Case management and ... + coordination of psychosocial wraparound services to promote effective utilization resources and optimal, cost-effective outcomes. Assessment of Members: Through… more
- Elevance Health (Chicago, IL)
- …must be located in a state or territory of the United States when conducting a utilization review or an appeals consideration and cannot be located on a US ... pm MST, PST or CST.** The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …works closely with the VISN's Office of Community Care division for up-to-date utilization review standards to ensure proper authorizations are issued and ... Summary The practical nurse in Community Care provides administrative support to clinicians, administrative and ancillary health care professionals through the… 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 ... brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue shield… 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 ... our Elevance Health locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the… more
- Trinity Health (Maywood, IL)
- …regional and hospital nursing operations, including regionalized services for Utilization Review /Case Management, Centralized Telemetry, Nursing Professional ... ensure appropriate communication necessary to fulfill job requirements and to provide administrative representation to ensure the achievement of the goals of the… more
- Wolters Kluwer (Chicago, IL)
- …negotiation + Obtain final signature and finalize order _Customer Management_ + Review account utilization management reporting + Conduct account review ... + Customize value prop/solution and product solution proposal + Develop and review implementation scope + Obtain solution acceptance + Coordinate with Field Account… more
- National Youth Advocate Program (Roselle, IL)
- …Continuous Quality Improvement initiatives including administrative and clinical review of medical records, utilization management, outcome measurement, and ... and monitoring of quality assurance / quality improvement plans; utilization reviews; licensing standards; accreditation; certification requirements and contract… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …Recommend personnel actions. Provide advice and counsel related to performance and administrative matters. Initiate disciplinary measures. Review , approve and or ... and/or program support work such as; office planning, evaluation of administrative programs, training issues, program administration , correspondence control and… more
- Rush University Medical Center (Chicago, IL)
- …**Required Job Qualifications:** * A master's degree in related area (hospital administration , public health, business administration , nursing) * Minimum 10 ... and primary care physicians. * Ability to promote increased utilization of services through business development and to develop,...updated annually in accordance with the budget process. * Review and provide input on annual budgets and resource… more
- CommonSpirit Health (Chicago, IL)
- …Strategy provides overall strategic leadership for the design, development, administration , and communication of innovative employee benefits, retirement and total ... time off strategies. In addition to managing the administration of the organization's benefit programs & benefit policies, the role will artfully balance the needs… more
- Rush University Medical Center (Chicago, IL)
- …Chicago, IL **Hospital:** RUSH University Medical Center **Department:** Clinical Staffing Office- Admin **Work Type:** Full Time (Total FTE between 0.9 and 1.0) ... established staff through department-based initiatives and learning opportunities, and real-time review . Relationships and Caring * Serves as an advocate and… more
- AON (Chicago, IL)
- …service for assigned book of business including, billing, policy collection, review and transmittal in accordance with established departmental service standards. + ... negotiation skills. + Establish an understanding of the claims administration process and utilize the claims and legal advocacy...and as advised by senior team members. + Drive utilization of all available technology throughout broking process and… more
- AON (Chicago, IL)
- …service for assigned book of business including, billing, policy collection, review and transmittal in accordance with established departmental service standards. + ... Establish basic understanding of claims administration process and utilize the claims and legal advocacy...and as directed by senior team members. + Drive utilization of all available technology throughout broking process and… more
- Rush University Medical Center (Chicago, IL)
- …**Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** RUMG Administration MSP **Work Type:** Full Time (Total FTE between 0.9 and ... to ensure that RUSH Medical Group achieves the proper operational controls, administrative and reporting procedures, and people in place to effectively grow the… more
- AAR (Wood Dale, IL)
- …that demonstrates ability to perform a specific level of tasks related to database administration . + Able to review and make decisions regarding the software and ... The Database Administrator will work with all aspects of database administration including but not limited to design, installation, configuration, upgrades, capacity… more
- Fresenius Medical Center (Downers Grove, IL)
- …state or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,… more
- ARCO (Chicago, IL)
- …in relation to Anaerobic Digestion, Fermentation, Gasification, Pyrolysis, Gas Utilization , Aerobic Composting or Alternative Protein & Fertilizer Production. At ... quality requirements. + Lead and coordinate all managerial and administrative aspects of project from the earliest stages of...+ Participate in the proposal meeting with clients to review the scope of work, discuss ways to reduce… more
- Huron Consulting Group (Chicago, IL)
- …align staff to meet the shift expectations + Monitors the unit utilization and provides regular reporting on unit time allocation and financial impact/spend ... in each time category + Creates and maintains unit budget and utilization key performance indicators, including project and client specific budgets and monitoring +… more
- Sysco (Chicago, IL)
- …SC's sales planning, prospecting, and daily customer engagement and expects productive utilization of Sysco 360 among all SC's. + Successfully delivers Sysco brand ... + Bachelor's degree in a related field (eg business administration ) or equivalent relevant industry experience. Experience + 2...and participate in general sales and district meetings. + Review and analyze daily and weekly reports such as… more