- Elevance Health (Chicago, IL)
- ** Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum ... Monday - Friday (9:30 AM -6:00 PM Centeral) 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
- Huron Consulting Group (Chicago, IL)
- …for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the Utilization Management Department ... Annapolis, MD + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the system, reporting to the Director of Utilization… more
- AccentCare, Inc. (Rosemont, IL)
- Overview Nurse Practitioner / NP, Palliative Care Location: Rosemont, IL Position: Nurse Practitioner Palliative Care Job ID: 71503 Remote/Virtual Position : No ... Area: Find Your Passion and Purpose as a Full-Time Nurse Practitioner / NP, Palliative Care Salary: $48.00 -...with the supervisory physician (s) and attending physician to review patient records and care plans on a routine… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary 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)
- …on the circumstances of each case. **Summary:** The Bone Marrow Transplant (BMT) Oncology Nurse Navigator 2 is a registered nurse (RN) who works collaboratively ... Cellular Therapy within the Cancer Center service line. The BMT Oncology Nurse Navigator 2 assesses patients' psychosocial, financial, and clinical needs throughout… more
- KPH Healthcare Services, Inc. (Hoffman Estates, 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
- Sunrise Senior Living (Crystal Lake, IL)
- …services by administering medication and treatments in a safe organized manner. + Review , read, notate, and initial the electronic health record to document and ... + Receive medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and treatments for each… more
- BioLife Plasma Services (Chicago, 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 of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- Sunrise Senior Living (Prospect Heights, IL)
- …Sunrise of Prospect Heights **Job ID** 2025-230959 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... Resident Assessment/Evaluation process in accordance with state/provincial regulatory requirements + Review Physician Reports of all new residents as directed by… more
- IQVIA (Chicago, IL)
- **Clinical Trial Nurse - Per Diem - Chicago, IL** **Work Setup:** Local travel - In patient home **About IQVIA** IQVIA is a global leader in advanced analytics, ... Future of Medicine-Join Our Clinical Research Team!** Are you a dedicated Registered Nurse with a passion for advancing healthcare? This is your opportunity to make… more
- Surgery Care Affiliates (Des Plaines, IL)
- …you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision, and values of SCA . + ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
- Rush University Medical Center (Chicago, IL)
- …are done based on college needs and/or faculty requests. **Job Qualifications:** ** Nurse faculty of a professional nursing program shall have:** 1. A graduate ... established research projects. 5. Submits materials (articles, media, etc.) for peer- review . 6. Presents evidence based and/or scholarly papers locally and… more
- Elevance Health (Chicago, IL)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... 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
- Surgery Care Affiliates (Oak Brook, IL)
- …you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp. + Promote the mission, vision, and values of SCA . + Assess ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...team in planning patient care. + Participate in quality review and performance improvement projects. + Participate in the… more
- BrightStar Care (Wheaton, IL)
- RN Registered Nurse , Do You have Experience in Home Care and/or Home Health? Immediately Hiring an RN Case Manager to Join our Team in Wheaton, IL! - Your Pay! * ... coach home nursing and home services field staff * Review nursing notes and coach field staff to improve...notes and coach field staff to improve quality * Review weekly care notes for quality of documentation and… more
- Prime Healthcare (Mount Prospect, IL)
- …effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service ... post-graduation of an accredited school of nursing and a current state Registered Nurse license 2. Grandfathered prior to April 1, 2015. Minimum 5 years post… more
- Fresenius Medical Center (Chicago, IL)
- …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
- Fresenius Medical Center (Waukegan, IL)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work… more
- Advanced Correctional Healthcare (Sycamore, IL)
- …appropriate duration of time, as determined by your professional medical judgement. + Review patient medical records, as appropriate + Sign off on orders, as ... appropriate. + Comply with the correctional facility's policies and procedures, unless doing so would be counter to common sense. + If a determination is made that off-site care would be more appropriate for the patient, work with medical staff to send the… more