Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Management Nurse

Guidehealth

A leading healthcare provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience in healthcare settings. Responsibilities include conducting reviews, documenting findings, and collaborating with providers. This position offers the flexibility of remote work while supporting professional growth and a comprehensive benefits package. #J-18808-Ljbffr

Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the Utilization Management Nurse in Chicago, IL vacancy
  •  ...embedded Healthguides™ and a centralized Managed Service Organization to build stronger...  ...centered care through precise and timely Utilization Review. In this role, you will apply clinical...  ...and growth aligned with Illinois nursing regulations and contemporary clinical practice... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Remote work
    Work from home

    Guidehealth

    Chicago, IL
    3 days ago
  • $70k - $75k

     ...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and Guidehealth policies. This role applies... 
    Suggested
    Remote job
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Work from home

    Guidehealth

    Chicago, IL
    4 days ago
  •  ...Job Description Job Description Utilization case review and application of criteria to approve initial and continued inpatient...  ...stratification or other defined criteria as well as defined disease management guidelines Work with CPHO team, patient’s Primary Care... 
    Suggested

    Humboldt Park Health

    Chicago, IL
    17 days ago
  • $39 - $40 per hour

     ...$40.00/hr Direct message the job poster from The Judge Group Lead Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of the following states: IL, TX,... 
    Suggested
    Daily paid
    Contract work
    Remote work
    Monday to Friday
    Shift work
    Weekend work

    The Judge Group

    Chicago, IL
    2 days ago
  • $50 - $85 per hour

     ...general direction of the Director of Behavioral Health, the Case Manager – Utilization Review RN provides clinically based case management and...  ...functions. QUALIFICATIONS Education Associate Degree in Nursing required. Bachelor of Science in Nursing (BSN) preferred.... 
    Suggested
    Full time
    Temporary work
    Part time

    Community First Medical Center

    Chicago, IL
    4 days ago
  • $85k - $90k

     ...patient education, orders, referrals, and medication management, and addressing gaps in care. The Team Nurse works directly with members to achieve their care...  ...primary care that promotes appropriate healthcare utilization. Facilitate Patient Centered Medical Home (... 
    Work at office

    AbsoluteCARE Inc

    Chicago, IL
    4 days ago
  • $36.41 - $55.19 per hour

     ...Responsibilities The Sexual Assault Nurse Examiner (SANE) will provide timely, non...  ...established by the Medical Director and/or management of the SANE program for which the SANE...  ...responsible for the delivery of safe patient care utilizing the nursing process of assessment,... 
    Full time
    Local area
    Relocation package
    Shift work

    Saint Mary of Nazareth Hospital

    Chicago, IL
    4 days ago
  •  ...Department CSL SHS: Clinical Operations Management. The University of Chicago is one of the nation’s leading institutions of higher education...  ...Job Summary Reporting to the Clinical Operations Manager, the Nurse Navigator (NN) in the Student Wellness Center provides focused... 
    Flexible hours

    University of Chicago

    Chicago, IL
    3 days ago
  • $10k

     ...team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our home health registered nurse case managers lead and collaborate to provide management and delivery of patient care plans. With our 20-year track record, Residential is... 
    Full time
    Flexible hours
    Day shift

    Graham Healthcare Group

    Evanston, IL
    18 hours ago
  •  ...Registered Nurse (RN) – Leadership Under New Nursing Direction Complete Care at Margate is elevating clinical standards under the...  ...clear pathways for every Registered Nurse (RN) interested in unit management or clinical education. Modern Environment: Practice in a... 
    Daily paid
    Immediate start

    Complete Care Management

    Chicago, IL
    5 days ago
  •  ...Registered Nurse/Outpatient Clinic: Duration:13 Weeks Start:08/25/2025 Shift: Day 5x8-Hour (09:00 - 17:30) Description:...  ...They support physicians, educate patients about treatments, and manage follow-up care. The RN ensures smooth patient flow and maintains... 
    Contract work
    Shift work

    Accede Solutions Inc.

    Chicago, IL
    1 day ago
  •  ...Job Description Job Description We have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings and shared-risk models. They deliver... 
    Work from home

    First Match Services, Inc.

    Oak Brook, IL
    29 days ago
  •  ...RN Case Manager The RN Case Manager coordinates management of care and ensures optimum utilization of resources, service delivery, and compliance with external review agencies. This role provides ongoing support and expertise through comprehensive assessment, care planning... 
    Contract work
    Temporary work
    Local area
    Monday to Friday

    ARMS Staffing

    Chicago, IL
    11 hours ago
  • $43 per hour

     ...Facilitate High-Quality Procedural Care:Manage a diverse caseload in an outpatient imaging...  ..., focusing on pre- and post-procedural nursing care, conscious sedation monitoring, and...  ...procedures and specialized imaging paths. Utilize Specialized Clinical Space:Work in a... 
    Daily paid
    Price work
    Local area
    Shift work

    Prime Healthcare

    Chicago, IL
    1 day ago
  •  ...training families to continue treatments and manage the necessary equipment in the home. La...  ...Description SUMMARY: The Registered Nurse (RN) focuses on developing skills to...  ...instructions for this episode of care. E. Utilizes interpreter services as necessary. F.... 
    Work experience placement

    La Rabida Children's Hospital

    Chicago, IL
    3 days ago
  •  ...training families to continue treatments and manage the necessary equipment in the home. La...  ...SHIFTS: ~7:00 PM - 7:30 AM Nursing Process Completes initial and ongoing...  ...instructions for episode of care Utilizes interpreter services as necessary Leadership... 
    Immediate start
    Night shift

    La Rabida Children's Hospital

    Chicago, IL
    2 days ago
  • $43 per hour

     ...Facilitate High-Quality Procedural Care: Manage a diverse caseload in an outpatient...  ...environment, focusing on pre- and post-procedural nursing care, conscious sedation monitoring, and...  ...and specialized imaging paths. Utilize Specialized Clinical Space: Work in a modern... 
    Daily paid
    Price work
    Local area
    Shift work

    Resurrection Health Care

    Chicago, IL
    6 days ago
  • $35.35 - $47.58 per hour

     ...Overview Department: Pain Management Schedule: Part time days  Facility: Resurrection Medical Center Location: 7435...  ...Talcott Ave, Chicago, IL 60631 Responsibilities The Registered Nurse provides direct patient care within the scope of practice. The... 
    Part time
    Local area
    Shift work

    Resurrection Health Care

    Chicago, IL
    3 days ago
  •  ...Nurse LPN The Nurse LPN works as a member of a multi-disciplinary team providing therapeutic and rehabilitative services to address all treatment needs, including crisis management, substance abuse treatment, medication management, physical health treatment, mental... 
    Temporary work
    Part time
    Immediate start
    Shift work
    Early shift

    Rincon Family Services

    Chicago, IL
    3 days ago
  •  ...Registered Nurse/Correctional Duration: 13 Weeks Start: 11/25/2025 Shift: Day 3x12-Hour (11:00 - 23:30) Description: Provides comprehensive...  ...emphasis on Diversity, Equity, and Inclusion (DEI). We have managed and Implemented Talent Acquisition and Talent Management... 
    Contract work
    Local area
    Shift work
    Weekend work

    Accede Solutions Inc (accedesolution.com)

    Chicago, IL
    2 hours ago
  • $37.5 - $46.5 per hour

     ...lives. Come grow with us. What you’ll be doing: The Registered Nurse (RN) provides coordinated medical and clinical nursing care to...  ...health care team, the RN provides professional nursing care, utilizing sound clinical judgement, in alignment with ERC Pathlight’s established... 
    Full time
    Local area
    Flexible hours
    Shift work

    Eating Recovery Center

    Chicago, IL
    2 days ago
  • $36.05 - $59.92 per hour

     ...Hour Night Shift Description: Great opportunity for a Registered Nurse, RN to work in an organization that focuses on treating the...  ...impact. We are a team-oriented unit that provides opportunities to manage a wide range of diagnoses and advancement of nursing skills. Join... 
    Hourly pay
    Full time
    Local area
    Shift work
    Night shift

    Trinity Health

    Maywood, IL
    4 hours ago
  • $40.45 - $62.7 per hour

     .... Position Highlights Position: RN Care Manager-Weekend Location: Evanston, IL Full Time...  ...will need License: Current professional Nursing Licensure in the state of IL required Education...  ...required; Previous experience in Utilization Management, Managed Care or chronic disease... 
    Hourly pay
    Full time
    Part time
    For contractors
    Weekend work
    Day shift
    Weekday work

    NorthShore University HealthSystem

    Evanston, IL
    1 day ago
  •  ...Symetria Recovery is seeking a Nurse Practitioner or Physician Assistant to provide psychiatric assessment and medication management for individuals with mental health and substance...  ...Illinois. Key responsibilities include utilizing e-Prescribing software, ensuring... 

    Symetria Recovery

    Chicago, IL
    18 hours ago
  •  ...Job Description Job Description Restorative / Psychotropic Nurse (LPN / RN) Location: Complete Care at Sheridan Commons Under...  ...facility’s Restorative Nursing Program (RNP) and Psychotropic Management. Working closely with our clinical team, you will focus on... 
    Immediate start
    Shift work

    Complete Care at Sheridan Commons

    Chicago, IL
    a month ago
  •  ...GENERAL SUMMARY/BASIC PURPOSE OF JOB: The Registered Nurse (RN) Case Manager supports and provides expertise through comprehensive...  ...physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of... 

    Sinai Chicago

    Chicago, IL
    1 day ago
  • $38.16 - $59.15 per hour

     .... Position Highlights Position: RN Case Manager Location: Elmhurst, IL Full Time: 40 hours...  ...patient outcomes, improve resource utilization, and enhance the overall quality of care...  ...HIPAA. Qualifications Bachelors Degree Nursing Required Or Masters Degree Nursing Preferred... 
    Hourly pay
    Full time
    For contractors
    Monday to Friday
    Weekend work

    Endeavor Health Services

    Oak Brook, IL
    4 days ago
  •  ...Operations Coordinator Nurse-Neurology Full Time Days The Operations Coordinator Nurse reflects the mission, vision, and values of...  ...Medical Director and the administrative direction of the Practice Manager, the Operations Coordinator, Nurse participates in the planning,... 
    Daily paid
    Full time
    Work experience placement
    Work at office
    Local area
    Relocation package

    Northwestern Medicine Central DuPage Hospital

    Chicago, IL
    5 days ago
  •  ...Position Summary The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal,... 

    VIVA

    Chicago, IL
    3 days ago
  •  ...Major Responsibilities: Nurse/Patient Relationship: Develops and maintains a therapeutic...  ...needs of patients and families. Utilizes appropriate resources to meet those needs...  ...skills. Computer skills Good time management and organizational skills Familiarity... 
    Shift work
    Weekend work

    Advocate Health

    Oak Brook, IL
    17 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Management Nurse. Be the first to apply!