- Elevance Health (Chicago, IL)
- ** Nurse Reviewer I** **Location:** Within 50 miles of a pulse point **Shift** : Monday - Friday from 9:30 am - 6:00 pm CST or PST The ** Nurse Reviewer ... on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners with… more
- Elevance Health (Chicago, IL)
- …and Sundays based upon the needs of the business; 40 hour work week The ** Nurse Reviewer I** is responsible for conducting preauthorization, out of network and ... on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners with… 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
- Rising Medical Solutions (Chicago, IL)
- …was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. ... team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance,… more
- Elevance Health (Chicago, IL)
- Nurse Auditor Senior - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... to recover, eliminate, and prevent unnecessary medical-expense spending. The Nurse Auditor Senior is responsible for identifying, monitoring, and analyzing… more
- Gentiva (Buffalo Grove, IL)
- …care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join ... difference in people's lives every day. **Overview** We're looking for a **Hospice Nurse Practitioner** to join our team.You will report directly to the Executive… more
- Rush University Medical Center (Chicago, IL)
- …**Work Schedule:** 8 Hr (7:00:00 AM - 5:00:00 AM) **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care for ... 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
- Rush University Medical Center (Chicago, IL)
- …0.9 and 1.0) **Shift:** **Shift 1** **Work Schedule:** 8 Hr **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)
- …1** **Work Schedule:** 10 Hr (9:00:00 AM - 7:30:00 PM) **Summary:** The Registered Nurse 3 is a proficient nurse possessing an in-depth knowledge of patient ... events and can respond with efficiency, flexibility and confidence. The Registered Nurse 3 immediately sees the whole situation while being able to discriminate… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... Summary This Licensed Practical Nurse position is located in the Nursing Service...completed work may require routine or detailed higher level review depending upon the complexity of the duties involved.… 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 (Melrose Park, IL)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Nurse Manager, Emergency Room at Gottlieb Memorial Hospital is a registered professional ... nurse , conversant with the nursing process, who has 24-...projects and research activities (as appropriate). a) Conduct bi-annual review of all unit-specific policies/procedures to ensure compliance with… more
- R1 RCM (Chicago, IL)
- …production-driven position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct a detailed review of patient medical records and ... analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Appeals Nurse ** , you will help our hospital clients by serving as an… more
- KPH Healthcare Services, Inc. (Des Plaines, 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
- Chenega Corporation (Chicago, IL)
- **Summary** **CHENEGA TRI-SERVICES, LLC** Chicago, Illinois The ** Nurse Practitioner** shall perform medical histories, physical examinations, and reviews of ... medical histories on applicants for the Armed Forces + Review of required medical tests and documents pertaining to...from a program accredited by the American Academy of Nurse Practitioners Certificate Program (ANPCP) or the American Nurses… 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
- BioLife Plasma Services (Harwood Heights, IL)
- …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
- Rush University Medical Center (Oak Park, IL)
- …Hr (7:00:00 AM - 5:00:00 AM) **Summary:** The RNIII is a proficient nurse possessing in-depth knowledge of patient management; can accommodate unplanned events and ... management of complex patient situations. * Provides coaching for reflection and review of complex patient situations in order to identify practical solutions.… more
- Ascension Health (Mount Prospect, IL)
- …urgent admissions to determine appropriate level of patient care. + Review physician orders for clinical appropriateness/completeness and proper admission status. + ... development of internal staff and external departments to ensure understanding of intake review and approval process. + Conduct complex clinical review for… more
- Ascension Health (Hoffman Estates, IL)
- …transfers and bed availability and plans bed assignments accordingly. + Review all admissions and transfers for clinical/unit appropriateness and medical necessity. ... data, identify issues and potential resolutions, and prepare reports forexecutive review . **Requirements** Licensure / Certification / Registration: + Registered … more