- Prime Healthcare (Kankakee, IL)
- …Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators ... Milliman Criteria and InterQual Criteria preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/182636/ manager case -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Mary's Hospital - Kankakee… more
- CVS Health (Downers Grove, IL)
- …Word, 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: -… more
- CVS Health (Chicago, IL)
- …for quarterly meetings in Chicago/Downer's Grove area.** **Position Summary** The Clinical Case Manager , Behavioral Health, is responsible for driving and ... coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes. **Position… more
- CVS Health (Chicago, IL)
- …60644, 60653, 60804, 60651, 60642, 60622, 60654.** **Position Summary** The Clinical Case Manager , Behavioral Health, is responsible for driving and supporting ... coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes. **Position… more
- CVS Health (Orland Park, IL)
- …to age 20, who have experienced a behavioral health crisis event. The Clinical Case Manager - BH: Utilizes advanced clinical judgment and critical thinking ... hospital setting, outpatient clinic, PCP office, or member's residence. The Clinical Care Manager - BH is responsible for care coordination and case management… more
- CVS Health (Chicago, IL)
- …And we do it all with heart, each and every day. **Position Summary** The RN Case Manager is responsible for coordinating all case management activities with ... through integration. + Through the use of clinical tools and information/data review , conducts comprehensive assessments of member's needs and recommends an approach… more
- CenterWell (Chicago, IL)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... the Center of All We Do! The RN Clinical Manager coordinates and oversees all direct care patient services...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the… more
- AdventHealth (La Grange, IL)
- …Springs Road, La Grange, IL **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- Rush University Medical Center (Chicago, IL)
- …offered for the position. 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 the effective utilization of services and coordination of care for adult,...geriatric, neonate, pediatric and adolescent patients. The Nurse Care Manager 1 contributes to the team's effectiveness by reviewing… more
- AdventHealth (La Grange, IL)
- …La Grange, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with ... members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- Huron Consulting Group (Chicago, IL)
- …produce case studies or white papers, as applicable, regarding effective partner utilization and outcomes of tools + Review pipeline through Salesforce to ... team within the People Business Unit, the Product Account Manager oversees a portfolio of clients and Product Account...the use of product tools and resources for maximized utilization + Ensure training materials and content are always… more
- Deloitte (Chicago, IL)
- Consulting Manager - Health and Benefits Human CapitalThe Human Capital Offering Portfolio is dedicated to helping organizations enhance their performance through ... the C-Suite. Our services extend beyond HR to include the CEO, CFO, Risk Manager , and Business Unit leaders, delivering value and creating impact for our clients.… more
- Aston Carter (Downers Grove, IL)
- Hiring for a Permanent Collections Manager Role Hybrid + Competitive Salary + 20% Bonus MUST Have Qualifications + 3+ years of lead or manager experience from a ... skills + Flexible and highly motivated Description + Maximizes through the utilization portfolio data and dashboards the assigned daily and monthly team results… more
- Amazon (Chicago, IL)
- …leading examples of innovation in the areas of security, safety, space utilization , efficiency, and cost effectiveness. We are the global team responsible for ... known for changing the face of cloud computing. As a Construction Estimating Manager , you will be responsible for developing and maintaining the cost database, while… 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 ... Medical Director** will support our National Account clients in operations with utilization and case management reviews using evidence-based guidelines and be… more
- Rush University Medical Center (Chicago, IL)
- …the Division. The Care Management Navigator may contribute to transitional care planning, utilization review , and/or service line growth & outreach efforts for a ... Coordinates post discharge care transition referral communication. In collaboration with the case manager , provides referral and follow-up contacts to agencies,… more
- AdventHealth (Bolingbrook, IL)
- …Clinical Social Worker, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered ... is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of… more
- Elevance Health (Chicago, IL)
- …of 4 years managed care experience and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of ... (PulsePoint) location listed above. The **Medical Management Nurse** is responsible for review of the most complex or challenging cases that require nursing… more
- Elevance Health (Chicago, IL)
- …policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or ... Associate Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review ** **Schedule:** **Monday-Friday 9AM-5PM Central Time**… more
- Argonne National Laboratory (Lemont, IL)
- …sustainable innovative technologies to improve the efficiency of resource and energy utilization ; to minimize our dependence on imported energy; and to enhance our ... successful candidate will collaborate closely with the group leader, department manager , division director, project/thought leaders, and a dedicated team of experts… more