- Elevance Health (Chicago, IL)
- …clinicians and business leaders passionate about transforming American healthcare delivery. ** Nurse Reviewer I** **Location:** **Illinois. This is a remote ... miles of our Elevance Health PulsePoint location in** **Chicago, Illinois** **.** The ** Nurse Reviewer I** is responsible for conducting preauthorization, out of… 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
- Loyola University Chicago (Chicago, IL)
- Director of Women's Health/Gender-Related Nurse Practitioner Track of the Doctor of Nursing Practice Program (Clinical Assistant Professor or higher) Thank you for ... Job Please see Special Instructions for more details. Special Instructions to Applicants Review of applications will begin in February 2025 and continue until the… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- Summary The Nurse IV Chief Nurse of Operations executes leadership that is characterized by substantial and continuous responsibility and accountability for ... cross services and/or discipline lines and, influence the organizational healthcare mission. The Nurse IV Chief Nurse of Operations functions as an advisor,… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Med Surg Oncology Clinical Nurse Leader **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** 14 W Tower ... 1 **Work Schedule:** 8 Hr (7:00:00 AM - 3:30:00 PM) **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care for… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** **BMT Clinical Nurse Leader** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** 14 E Tower (BMT/Heme ... **Work Schedule:** 8 Hr (7:00:00 AM - 3:30:00 PM) **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care for… more
- Elevance Health (Chicago, IL)
- ** Nurse Auditor Senior - Carelon Payment Integrity** **Location:** Alternate locations may be considered. This position will work in a hybrid model (remote and ... to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Auditor Senior** is responsible for identifying, monitoring, and analyzing… more
- Loyola University Chicago (Chicago, IL)
- Part Time Faculty for Nurse Clinical Instructor (Pediatrics, OB, Psych/Mental Health, Med-Surg. Community Health) Thank you for your interest in Loyola University ... Preview | Apply for this Job Please see Special Instructions for more details. Review of applications will be ongoing. Applicants are asked to submit (1) a letter… 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
- 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
- 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
- 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
- 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
- Amergis (Chicago, IL)
- $50 / hour Position: Care Management Nurse Location: Chicago, IL Pay Rate (set rate): $50/hour Schedule: + Full-time + 8:00am - 4:30pm Monday to Friday Weekend ... with extension based on performance Requirements: + Licensed as Registered Professional Nurse in the State of Illinois + Bachelor's Degree from accredited college… 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 ... and to identify opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches… more
- Prime Healthcare (Chicago, IL)
- …status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. ... Graduate, Dental Graduate, PA, or Nursing Graduate required. 2. Three years of Utilization Review experience as a Medical Review Coordinator - I required. 3.… more
- Trinity Health (Maywood, IL)
- …toward the integrity of clinical documentation through the roles of reviewer , educator and consultant. Facilitates the overall quality, completeness, accuracy and ... integrity of medical record documentation through extensive record review . Through extensive interaction with physicians and other members of the healthcare team,… more
- Loyola University Chicago (Chicago, IL)
- …Preview | Apply for this Job Please see Special Instructions for more details. Review of applications will begin in February 2025 and continue until the position is ... field + Eligibility for Illinois licensure as a Registered Nurse + Eligibility for Illinois licensure as an Advanced...market pay for comparable jobs. Special Instructions to Applicants Review of applications will begin in February 2025 and… more