- Rush University Medical Center (Chicago, IL)
- …and acts in accordance with Rush policies and procedures. **Responsibilities:** + Assists the Surgical Clinical Reviewer in the identification of surgical ... analyzes data + Team membership skills are crucial **Preferred Job Qualifications:** + Clinical chart review and abstraction experience preferred + Knowledge of … more
- Rush University Medical Center (Chicago, IL)
- …national origin, disability, veteran status, and other legally protected characteristics.** **Position** Clinical Manager RN - Breast Surgical & Medical Oncology ... 1520 W Harrison St, Chicago, IL 60607 **Department:** Breast Surgical & Medical Oncology **Work Type:** Full-Time - 40...more at our Rush benefits page . **Summary:** The Clinical Manager, RN, under the leadership of both the… more
- Elevance Health (Chicago, IL)
- …the medical necessity of outpatient radiology, cardiology, sleep management, endoscopies and surgical site of care requests using clinical guidelines, state ... initial nurse review , of high-tech diagnostic imaging, upper endoscopy, other surgical procedures, surgical site of care and sleep testing. Imaging… more
- Elevance Health (Chicago, IL)
- …+ Ability to work in a dynamic, fast-paced environment + Preferred interest in Surgical utilization review + Strong analytical skills + Ability to multi-task + ... Benefits Management is currently seeking a Board-Certified Surgeon (or other surgical subspecialties beyond general surgery) to participate in pre-authorization and… more
- Elevance Health (Chicago, IL)
- …are not limited to: + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization ... and appropriate sites of service. + Provides education regarding applicable clinical criteria and discusses clinically appropriate alternative surgical and… more
- Rush University Medical Center (Chicago, IL)
- …study. * Consult with investigative staff in protocol development involving surgical procedures including specialty procedures and appropriate use of anesthetics and ... health surveillance program for the CRC. * Manages and/or performs complicated surgical procedures and provide postoperative monitoring of the animals. * Provide… more
- Rush University Medical Center (Chicago, IL)
- …and resource allocation related to service line initiatives across RUSH. * Review key performance metrics of key clinical subspecialties (volumes, patient ... Oak Park Hospital (ROPH), RUSH Copley Medical Center (RCMC), RUSH Oak Brook Surgical Center (ROBSC), and RUSH ambulatory sites. This position will be responsible for… more
- Rush University Medical Center (Chicago, IL)
- …PM) **Summary:** The Service Line Coordinator's primary function is to serve as the clinical nursing expert and lead in a specific area of specialization. This role ... facilitates the direct clinical activities for nursing and support personnel necessary to...with courtesy and respect. 7. Collaborates with the interdisciplinary surgical team to identify patients with special needs; facilitate… more
- Rush University Medical Center (Chicago, IL)
- …and resource allocation related to service line initiatives across RUSH. * Review key performance metrics of key clinical subspecialties (volumes, patient ... Oak Park Hospital (ROPH), RUSH Copley Medical Center (RCMC), RUSH Oak Brook Surgical Center (ROBSC), and RUSH ambulatory sites. This position will be responsible for… more
- Insight Global (Northbrook, IL)
- …problems relating to patients and/or staff with immediate supervisor * Fulfills clinical medical assisting responsibilities that vary according to state law, which ... may include medical/ surgical asepsis, sterilization, instrument wrapping and autoclaving; checking vital signs or mensuration; physical examination preparations; … more
- Adecco US, Inc. (Chicago, IL)
- … criteria documentation requirements used to successfully substantiate code assignments . Perform clinical coding review to ensure accuracy of medical coding and ... utilizes clinical expertise and judgment to determine correct coding and...Solid command of anatomy and physiology, diagnostic procedures, and surgical operations developed from specialized training and extensive experience… more
- Elevance Health (Chicago, IL)
- …the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness ... you will make an impact:** + Conducts pre-certification, continued stay review , care coordination, or discharge planning for appropriateness of treatment setting… more
- Surgery Care Affiliates (Chicago, IL)
- …predictable billing to patients. + We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines. The new SCA ... effective quality control processes to ensure data integrity + Review claims data to ensure accurate and adequate payment...+ Experience working with large healthcare claims data + Clinical code knowledge (ICD, CPT, Rev Codes, etc.) related… more