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
- ...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...SuggestedBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote workWork from home
$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...SuggestedRemote jobBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...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
$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,...SuggestedDaily paidContract workRemote workMonday to FridayShift workWeekend work$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....SuggestedFull timeTemporary workPart time$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$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 timeLocal areaRelocation packageShift work- ...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
$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 timeFlexible hoursDay shift- ...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 paidImmediate start
- ...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 workShift work
- ...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
- ...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 workTemporary workLocal areaMonday to Friday
$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 paidPrice workLocal areaShift work- ...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
- ...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 startNight shift
$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 paidPrice workLocal areaShift work$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 timeLocal areaShift work- ...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 workPart timeImmediate startShift workEarly shift
- ...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 workLocal areaShift workWeekend work
$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 timeLocal areaFlexible hoursShift work$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 payFull timeLocal areaShift workNight shift$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 payFull timePart timeFor contractorsWeekend workDay shiftWeekday work- ...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...
- ...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 startShift work
- ...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...
$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 payFull timeFor contractorsMonday to FridayWeekend work- ...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 paidFull timeWork experience placementWork at officeLocal areaRelocation package
- ...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,...
- ...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 workWeekend work
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