- US Tech Solutions (Chicago, IL)
- …Do you have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global ... + 3+ years of experience as an RN + Registered Nurse in state of residence +...and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …Works in collaboration with the Patient Safety, HRO, Innovation, Systems Redesign, Risk Management , Infection Control and Utilization Management teams for ... senior leadership in a format that is conducive for utilization in decision making, strategic planning and performance improvement....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- R1 RCM (Chicago, IL)
- …schedule with some weekend requirement throughout the month. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our hospital… more
- Fresenius Medical Center (Chicago, IL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Chicago, IL)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- AdventHealth (La Grange, IL)
- …be responsible for Inpatient Wound Care oversight, wound/ostomy consultation and management , monitoring of quality indicators, and staff education. This role will ... wound Care/Hyperbarics programs. This includes, but is not limited to, utilization of skills in organization, planning, implementing, evaluating, and providing care… more
- Rush University Medical Center (Chicago, IL)
- …AM - 5:30:00 PM) **Summary:** The Oncology Nurse Navigator 2 is a registered nurse (RN) who works with physician practices and multi-disciplinary teams to ... promote the effective utilization of services and coordination of care for patients...procedures. **Other information:** **Requirements:** * Current State of Illinois Registered Nurse licensure required * At least… more
- Trinity Health (Melrose Park, IL)
- …preferred. + Managerial Experience: 1-2 years + Basic Life Support (CPR) + Current Registered Nurse license in State of Illinois At Gottlieb Memorial Hospital, ... **Description:** The Nurse Manager at Gottlieb Memorial Hospital is a registered professional nurse , conversant with the nursing process, who has 24-hour… more
- Rush University Medical Center (Chicago, IL)
- …**Other information:** **Required Job Qualifications:** * Current State of Illinois Professional Registered Nurse licensure * Graduate degree in nursing * o ... Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing...improvement of patient care outcomes, and resource in the management of clinically complex patients. The CNL provides insight… more
- Rush University Medical Center (Chicago, IL)
- …procedures. **Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure. State of IN RN licensure required for ... Certificate, ONS Chemotherapy Biotherapy: Fundamentals of Administration provider card, or Certified Registered Nurse of Infusion (CRNI) OR obtain the ONS/ONCC… more
- AdventHealth (La Grange, IL)
- …documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes ... . Associates Degree Nursing or RN Diploma degree . Registered Nurse (RN) . Two (2) years.... Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION… more
- Rush University Medical Center (Chicago, IL)
- …from an ARC-PA (or predecessor) accredited PA Program. * Current State of Illinois Registered Nurse (RN) and Advanced Practice Nurse (APN) Licensure. * ... Donor Care Unit with the goal of maximizing organ utilization . They demonstrate a high degree of clinical expertise...The APP - Organ Donation will provide both donor management care as well as intraoperative care to the… more
- Rush Copley Medical Center (Aurora, IL)
- **Position Summary** The registered nurse is responsible for the assessment, planning, implementation, and evaluation of the patients' status, plan of care, and ... and is in accordance with policies and procedures. The registered nurse is expected to uphold the...skills. + Knowledge of concepts and principles of Care Management and/or Utilization Review. Hospital experience preferred.… more
- Rush University Medical Center (Chicago, IL)
- …(8:00:00 AM - 5:00:00 PM) **Summary:** The Supervisor, Organ Placement RN is a registered nurse who provides leadership and direct oversite to the Organ ... Placement Clinical Coordinators and Referral Management team within the Transplant department. The Supervisor provides...accredited nursing program required. * Current State of Illinois Registered Nurse licensure required. * Ability to… more
- Rush University Medical Center (Chicago, IL)
- …RN licensure required. * A minimum of three years of experience as a Registered Nurse . * BLS/CPR certification required. * Analytical ability. * Communication ... agents. **Preferred Job Qualifications:** * At least two years of experience as Registered Nurse working in a medical/surgical area. * National certification.… more
- Amergis (Chicago, IL)
- Amergis is hiring a Registered Nurse to provide Care Coordination in Chicago, IL. The RN collaborates with enrollee and medical home care team to develop and ... Supports implementation of new workflows to bring health care utilization and cost in alignment with departmental policies and...from an accredited college or university Licensed as a Registered Professional Nurse in the State of… more
- Rush University Medical Center (Chicago, IL)
- …procedures. **Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure. * Three years' nursing experience. * ... current situations. The Ambulatory RN 2 is a competent nurse who has mastered technical skills and utilizes evidence...the teaching- learning process to meet the learning and self- management needs of patients and families. 11. Assesses patient… more
- Trinity Health (Maywood, IL)
- …care setting, preferably in a large hospital or health system. Current Registered Nurse License. Computer Skills: Required: Basic Keyboarding Skills, Microsoft ... regional and hospital nursing operations, including regionalized services for Utilization Review/Case Management , Centralized Telemetry, Nursing Professional… more
- CVS Health (Chicago, IL)
- …functions, as well as be the health plan's subject matter expert in medical management operations, including Utilization Management , Care Management , ... development, modeling inclusive behaviors, and proactively managing bias **Preferred Qualifications** + Registered Nurse , preferably in the state of IL +… more
- Trinity Health (Berwyn, IL)
- …colleagues with:** **Education** : Current licensure in the State of Illinois as a Registered Nurse . Certification in Case Management preferred or willing to ... of a Bachelor's of Science in a Healthcare related field. Case management / utilization management experience preferred. Current CPR certification. **Our… more