- Morris Hospital (Morris, IL)
- …using evidenced-based clinical guidelines. Performs duties in accordance with the Utilization Review Plan. Demonstrates thorough knowledge of performance measure ... in acute hospital setting. + Strong clinical expertise. + Prior experience in utilization management or case management preferred. + Ability to maintain… more
- Prime Healthcare (Aurora, IL)
- …Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Two (2) years clinical experience as a Case Manager in an acute care, post-acute, or payer setting within ... status and continued stay reviews. Communicates all medical necessity review outcomes and denials to case management...the last 5 years. 2. Utilization review and denial management experience required.… more
- 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
- Ascension Health (Kankakee, IL)
- …specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and ... Regulation obtained prior to hire date or job transfer date + Case Manager credentialed from the American Case Management Association (ACMA) preferred.… more
- The Hartford (Naperville, IL)
- … case management and discharge experience. + Preference for managed care/ utilization review /insurance experience. + Preference for crisis intervention skills. ... is part of a vast team of Behavioral Health Case Managers who are responsible for the review...non-support of clinical findings. + Collaborates with Ability Benefits Manager and other key players (Vocational Rehabilitation, Consultants, Medical… more
- Argonne National Laboratory (Lemont, IL)
- The Chemical and Fuel Cycle Technologies division is seeking a Section Manager for the newly formed Materials Engineering group. The group leader reports to the ... Pyroprocess & Materials Development Department Manager . The person in this position will provide technical...of experiments and deliverables within budget constraints through judicious utilization of support personnel and facilities. + Manage and… more
- Rush Copley Medical Center (Aurora, IL)
- …appropriateness of patient admission and level of care. + Provides continuous review of medical necessity and SI/IS criteria. Notifies physician and collaborates ... necessity, appropriateness, and quality of care. Applies criteria, performs concurrent review process. Works with physicians and Medical Director regarding Case… more
- Sysco (Naperville, IL)
- **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... developing the talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance and development of… 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
- 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
- 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 ... role, the successful candidate will collaborate closely with the department manager , division director, project/thought leaders, and a dedicated team of experts… more