- 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
- Zurich NA (Schaumburg, IL)
- Medical Bill Review Nurse II 119265 Zurich Insurance is seeking a skilled Medical Bill Review Senior Nurse to join our team in Schaumburg, IL. In this ... role, you will review highly complex medical bills and reports, including intricate...in the areas listed above + Active Registered Professional Nurse license + Customer service experience + Knowledge 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
- 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
- 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. (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
- 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
- Trinity Health (Melrose Park, IL)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Nurse Manager of our Emergency Department at Gottlieb Memorial Hospital is a registered ... professional nurse , conversant with the nursing process, who has 24x7...projects and research activities (as appropriate). a) Conduct bi-annual review of all unit-specific policies/procedures to ensure compliance with… 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)
- ** 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 (Evanston, 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
- Rush University Medical Center (Chicago, IL)
- …our Rush benefits page . **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of nursing practice responsible for ... information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure * National certification * Master's degree in Nursing from… more
- CenterWell (Oak Brook, IL)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization ... Review staff. Upon completion of the assessment, creates and...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Rush University Medical Center (Chicago, IL)
- …RN is the RN Unit Director designee. The Assistant Unit Director Registered Nurse implements initiatives in support of the unit vision and manages human, operational ... **Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure. * Consistent proficient performance at the RN 2 level… more