- 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
- Molina Healthcare (Kenosha, WI)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level ... quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review ,...Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of Care, Inpatient Readmission, and any… more
- Froedtert South (Kenosha, WI)
- Physician Assistant/ Nurse Practitioner a€" Shepler Froedtert South Kenosha, WI (Onsite) Full-Time Apply Now Job Details Physician Assistant or Nurse Practitioner ... has an exciting opportunity for a Physician Assistant or Nurse Practitioner to join Neil Shepler, MD as a...and clinic setting, handle all aspects of treatment plans, review and evaluate test results, complete medical documentation, and… more
- Froedtert South (Pleasant Prairie, WI)
- Registered Nurse - Coordinator Froedtert South Pleasant Prairie, WI (Onsite) Full-Time Apply Now Job Details POSITION PURPOSE + Oversees oncology nursing care. ... of hire. + Licensure to practice as a Registered Nurse or Graduate Nurse in the State...as requested. + Oversees nursing policy and procedure creation, review , and annual revision to best ensure overall quality… more
- Froedtert South (Pleasant Prairie, WI)
- Physician Assistant or Nurse Practitioner a€" Cardiology Froedtert South Pleasant Prairie, WI (Onsite) Full-Time Apply Now Job Details Physician Assistant or ... Nurse Practitioner - Cardiology Froedtert South Medical Group Froedtert...patient care, follow through with the physician's treatment plans, review and evaluate test results, complete medical documentation and… more
- Froedtert South (Pleasant Prairie, WI)
- Nurse Practitioner Froedtert South Pleasant Prairie, WI (Onsite) Full-Time Apply Now Job Details Nurse Practitioner - Obstetrics & Gynecology Froedtert South ... Medical Group Froedtert South has an exciting opportunity for a Nurse Practitioner to join a patient-centered OB/GYN practice. The position will have an average of… more
- Molina Healthcare (Kenosha, WI)
- …contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM ... as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care ... The CNL provides insight regarding the microsystem for collaboration with the Clinical Nurse Specialist (CNS) on macrosystem processes and outcomes. The CNL and CNS… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **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
- 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
- Elevance Health (Chicago, IL)
- …the Elevance Health major office (PulsePoint) location listed above. The **Medical Management Nurse ** is responsible for review of the most complex or ... **Medical Management Nurse ** **Office Location** : Atlanta, GA; Indianapolis, IN;...and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Nurse Care Manager is an Illinois licensed Registered Nurse who provides ... a diverse role as a clinician, educator, care coordinator and advocate. The Nurse is an expert in chronic disease management, prevention, health maintenance, and… more
- R1 RCM (Chicago, IL)
- …production-driven position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct a detailed review of patient medical records and ... analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Appeals Nurse ** , you will help our hospital clients by serving as an… more
- KPH Healthcare Services, Inc. (Hoffman Estates, 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
- Chenega Corporation (Des Plaines, IL)
- **Summary** **CHENEGA TRI-SERVICES, LLC** Chicago, Illinois The ** Nurse Practitioner** shall perform medical histories, physical examinations, and reviews of ... medical histories on applicants for the Armed Forces + Review of required medical tests and documents pertaining to...from a program accredited by the American Academy of Nurse Practitioners Certificate Program (ANPCP) or the American Nurses… more
- Surgery Care Affiliates (Lake Villa, IL)
- …career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision, and values of SCA ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** Expert research nurse who leads the provision of clinical care within the context of a ... publications. 16. May act as a nursing representative on the Protocol Review and Monitoring Committee, Data Safety Monitoring Board and other relevant committees.… more
- Molina Healthcare (Kenosha, WI)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or other specific program… more
- Rush University Medical Center (Chicago, IL)
- …established research projects. 5. Submits materials (articles, media, etc.) for peer- review . 6. Presents evidence based and/or scholarly papers locally and ... disability, veteran status, and other legally protected characteristics. **Position** Registered Nurse - Clinical Care **Location** US:IL:Chicago **Req ID** 16801 more
- Fresenius Medical Center (Chicago, IL)
- …to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. + Delivers safe, effective care in a ... May be assigned to in-center patient care on an as needed basis + Review and comply with the Code of Business Conduct and all applicable company policies… more