• Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …+ Do you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? ... more
    US Tech Solutions (01/17/25)
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  • Regional Utilization Review

    Trinity Health (Maywood, IL)
    …is Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist** nurse works with the ... more
    Trinity Health (02/01/25)
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  • RN Utilization Review Behavioral…

    AdventHealth (Glendale Heights, IL)
    …Behavioral Health RN experience strongly preferred + Experience in utilization review strongly preferred + Registered Nurse credentialed from the Illinois ... more
    AdventHealth (02/13/25)
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  • Clinical Denials Specialist

    Insight Global (Skokie, IL)
    …https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements 3+ years experience as a utilization review nurse Experience reviewing and ... more
    Insight Global (01/03/25)
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  • Utilization Review Author (Weekend)

    R1 RCM (Chicago, IL)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Author** , you will help our hospital ... more
    R1 RCM (02/15/25)
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  • Analyst- Utilization Review

    Ascension Health (Hoffman Estates, IL)
    …Heart Association or American Red Cross accepted. + Practical/Vocational Nurse credentialed from the Illinois Department of Financial and ProfessionalRegulation ... more
    Ascension Health (02/05/25)
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  • Nurse Care Manager 1

    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 ... more
    Rush University Medical Center (02/13/25)
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  • Registered Nurse - Transfer Coordinator

    Veterans Affairs, Veterans Health Administration (Hines, IL)
    …Nursing degree (BSN) At least 5 Years RN Experience Case Management/Care Coordination/ Utilization Review experience Knowledge of Veteran driven care, patient ... more
    Veterans Affairs, Veterans Health Administration (02/13/25)
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  • RN Registered Nurse Care Manager

    AdventHealth (La Grange, IL)
    …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... more
    AdventHealth (02/11/25)
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  • BMT Clinical Nurse Leader

    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 ... more
    Rush University Medical Center (01/15/25)
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  • Nurse Reviewer I

    Elevance Health (Chicago, IL)
    …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... more
    Elevance Health (02/13/25)
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  • Dialysis Clinical Manager Registered Nurse

    Fresenius Medical Center (Chicago, IL)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... more
    Fresenius Medical Center (01/29/25)
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  • Dialysis Clinical Manager Registered Nurse

    Fresenius Medical Center (Chicago, IL)
    …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... more
    Fresenius Medical Center (01/29/25)
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  • Medical Review Coordinator II

    Prime Healthcare (Chicago, IL)
    …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... more
    Prime Healthcare (02/14/25)
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  • Care Review Clinician, Inpatient…

    Molina Healthcare (Chicago, IL)
    REGISTERED NURSE must be licensed for the state of Illinois and must be willing to work CENTRAL daytime business hours 9AM to 6PM.** **JOB DESCRIPTION** **Job ... more
    Molina Healthcare (02/05/25)
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  • RN Clinical Manager, Home Health

    CenterWell (Buffalo Grove, IL)
    review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... more
    CenterWell (01/25/25)
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  • Clinical Consulting Specialist RN

    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 ... more
    Rush University Medical Center (12/10/24)
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  • Care Manager

    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 ... more
    Rush Copley Medical Center (01/07/25)
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  • Senior Operations Manager

    GE Vernova (Oakbrook Terrace, IL)
    …+ Hold operating rhythm, pacing calls on Resource/workload management, Engineering utilization , Budget Deviation, On Time Delivery (OTD), Say Do Ratio (SDR), ... more
    GE Vernova (01/07/25)
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  • Coordinator - MDS

    Prime Healthcare (Elgin, IL)
    …license. 2. Five (5) years of experience in acute hospital setting in a Utilization Review , Case Management, business office or related department. Experience in ... more
    Prime Healthcare (02/12/25)
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