- 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 (Elgin, IL)
- …Utilization Review Committee wherever applicable. + Participate in regular Utilization committee and Case management meetings with stakeholders from all ... coding staff and hospital management staff. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/179182/regional- utilization - review - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySaint Joseph Hospital -… more
- CVS Health (Springfield, IL)
- …case management system to organize cases dealing with disease management and utilization review ; tracks patient progress and manages specific conditions. + ... Qualifications** + Case Management experience + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience + Home Health experience +… 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/191737/ manager case -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Mary's Hospital - Kankakee… 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
- CVS Health (Springfield, 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
- Huron Consulting Group (Chicago, IL)
- … Management department experience in roles that focus Length of stay, utilization review , discharge planning, patient throughput, care coordination and ... it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that… more
- United Therapeutics (Springfield, IL)
- …to meet the needs of the intended audience and contributors + End-to-end case processing, including data entry, QC, medical review , and regulatory submissions ... with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was… more
- Rising Medical Solutions (Schaumburg, IL)
- …medical case management, occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional physicians ... medical case management for workplace injuries. The successful PDM case manager works from their home office, and they drive to physician appointments… more
- CenterWell (Buffalo Grove, IL)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and… more
- Rush University Medical Center (Chicago, IL)
- …offered for the position. Offers may very 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)
- …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
- 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
- CBRE (Chicago, IL)
- Sr. Project Manager -Chicago Job ID 194432 Posted 21-Nov-2024 Service line GWS Segment Role type Full-time Areas of Interest Construction, Project Management ... and Workplace Experience. About the Role: As a CBRE Project Management Sr. Manager , you'll manage a team responsible for providing advanced management services to… more
- Deloitte (Chicago, IL)
- …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. ... client expectations and working with leading global businesses? Your RoleAs a Manager in Employer Health, you will provide strategic and technical employee benefit… more
- Cisco (Chicago, IL)
- …candidate will work onsite/hybrid in Illinois. What You'll Do As a Customer Experience Manager , you will play a pivotal role in driving the successful adoption and ... utilization of Cisco technologies and services within our customer...execution * Lead Customer Value Workshops and QBRs to review adoption progress and drive customers outcomes and benefits… 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
- Rush University Medical Center (Chicago, IL)
- …for the position. Offers may vary depending on the circumstances of each case . **Summary:** Develops sourcing strategy for specified spend categories to achieve key ... by category when industry and benchmark data show apparent savings opportunity. 6. Review and negotiate terms & conditions to ensure that business terms are in… more
- Walgreens (Deerfield, IL)
- …initiatives to deliver intended business results on time and on budget. The Manager is actively involved in all stages of the end-to-end program lifecycle, starting ... Walgreens. Creates and manages measurement strategies to track adoption utilization and proficiency of individual changes. Presents findings to...works with project leads to build into upfront business case . Manages the day to day work of any… more