- Elevance Health (Chicago, IL)
- ** Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum ... Monday - Friday (9:30 AM -6:00 PM Centeral) The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- 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
- Huron Consulting Group (Chicago, IL)
- …for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the Utilization Management Department ... Annapolis, MD + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the system, reporting to the Director of Utilization… 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
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Bone Marrow Transplant (BMT) Oncology Nurse Navigator 2 is a registered nurse (RN) who works collaboratively ... Cellular Therapy within the Cancer Center service line. The BMT Oncology Nurse Navigator 2 assesses patients' psychosocial, financial, and clinical needs throughout… 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
- BioLife Plasma Services (Chicago, IL)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma Services is a subsidiary of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- Sunrise Senior Living (Palos Park, IL)
- …services by administering medication and treatments in a safe organized manner. + Review , read, notate, and initial the electronic health record to document and ... + Receive medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and treatments for each… more
- IQVIA (Chicago, IL)
- **Clinical Trial Nurse - Per Diem - Chicago, IL** **Work Setup:** Local travel - In patient home **About IQVIA** IQVIA is a global leader in advanced analytics, ... Future of Medicine-Join Our Clinical Research Team!** Are you a dedicated Registered Nurse with a passion for advancing healthcare? This is your opportunity to make… more
- Rush University Medical Center (Chicago, IL)
- …are done based on college needs and/or faculty requests. **Job Qualifications:** ** Nurse faculty of a professional nursing program shall have:** 1. A graduate ... established research projects. 5. Submits materials (articles, media, etc.) for peer- review . 6. Presents evidence based and/or scholarly papers locally and… more
- Elevance Health (Chicago, IL)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Fresenius Medical Center (Merrillville, IN)
- …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
- Fresenius Medical Center (Gary, IN)
- …Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. + Performs additional duties as assigned.… more
- Fresenius Medical Center (Steger, IL)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... including efficient utilization of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and on-site state or… more
- Adecco US, Inc. (Chicago, IL)
- …license Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines ... approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies,… more
- Loyola University Chicago (Chicago, IL)
- …Preview | Apply for this Job Please see Special Instructions for more details. Review of applications will begin in February 2026 and continue until the position is ... gained during graduate study. .Clinical experience as a registered professional nurse .Potential to establish and maintain a program of scholarship, consistent… more
- Rush University Medical Center (Chicago, IL)
- …circumstances of each case. **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of nursing practice responsible for ... information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure * National certification * Master's degree in Nursing from… more
- Rush University Medical Center (Chicago, IL)
- …as clinical resource for staff through consultation, formal and informal education, review of literature, and participation in seminars and conferences. Ensures that ... a licensed physician assistant (PA) or advanced practice registered nurse (APRN) who functions as a member of the...care for everyone who comes to Rush. **Position Requirements:** ** Nurse Practitioner:** * Current licensure from the State of… more
- Fresenius Medical Center (Merrillville, IN)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- Fresenius Medical Center (Blue Island, IL)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more