Case Manager & Utilization Review Specialist
Loretto Hospital
Loretto Hospital in Chicago is seeking a Case Manager/Utilization Review to assess and direct clinical management for episodes of care, coordinating with physicians, nurses, and payors to ensure appropriate length of stay and quality outcomes. The role emphasizes discharge planning, admission reviews, and collaboration to optimize resource use, along with timely documentation and cross‑team communication. #J-18808-Ljbffr Loretto Hospital
- The Case Manager/Utilization Review at Loretto Hospital oversees assessment and direction of clinical management for patient episodes, collaborating with physicians and staff to meet care outcomes. The role interfaces with payers to ensure proper authorization and billing...Suggested
- ...Hospital strives to cultivate a culture of proactive medical management within the community, with the goal of increasing the... ...patients and community residents. SUMMARY The Case Manager/Utilization Review assumes responsibility for assessing and directing the...SuggestedWork at office
$85k - $90k
...PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now! General Summary The ED Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute...SuggestedTemporary workWork at office$50 - $85 per hour
...Job Description Job Description Description: Under the general direction of the Director of Behavioral Health, the Case Manager – Utilization Review RN provides clinically based case management and utilization review services to support the delivery of high-quality,...SuggestedFull timeTemporary workPart time- ...detail-oriented Prior Authorization Specialist to join our national Utilization Management team. In this role, you will... ...and routing requests to clinical reviewers. You will directly support timely... ...authorization list and route complex cases directly to the appropriate...SuggestedFull timeLive inRemote workWork from homeMonday to Friday
- ...and lived experience. We take a holistic review of applicants, and we strongly encourage... ...POSITION TITLE: Older Adults Housing Case Manager CLASSIFICATION STATUS: Exempt POSITION DESCRIPTION... ...) and short-term rental, mortgage, and utility assistance (STRMU), to adults ages 55+...Permanent employmentTemporary work
- ...USA is seeking an experienced Prior Authorization Specialist to join our national Utilization Management team. 100% remote role with a Monday-Friday schedule... ...medical documentation, and route requests to clinical reviewers to support timely access to care. The position...Remote jobMonday to Friday
- ...with healthcare providers, families, and staff, ensuring compliance with state and federal regulations, advocating for rights and community inclusion, and participating in interdisciplinary team meetings and case reviews. #J-18808-Ljbffr Bellwood Developmental Center
$77k - $202k
...Description & SummaryThe OpportunityAs an Oracle Utilities - Senior Associate, you will play a... ...Customer Experience (CX) and Revenue Management Cloud Service (RMCS) to enhance client... ...for improved customer data management- Reviewing and validating the quality and accuracy...Full timeH1b$64.47k - $82.84k
...instruction within their school. The Case Manager position is solely committed to... ...eligibility determination meetings, and annual reviews) for parents who are limited English... ...Representative Ensuring that IEP teams are utilizing qualitative and quantitative data when...Temporary workWork at officeLocal areaFlexible hours$50k
...Job Title: Housing Case Manager Organization: Life Is Work Resource Center Location: Chicago... ...services. Housing Support: ○ Utilize the Housing First approach to support clients... ...and participate in regular case reviews with the Housing Program Manager. ○ Track...Full timeWork at office- ...of the Program Coordinator, the Housing Case Manager is responsible for offering... ...plan. Assists clients in setting up utilities, as needed. Links participants to... ...means of enhancing professional growth, reviewing and processing the provision of case management...Flexible hours
- Noble Schools in Chicago seeks a dedicated Special Education professional to manage IEP/504 compliance, coordinate meetings, and supervise related services. You will work closely with school staff and families to ensure timely, accurate documentation and high-quality educational...
- Paradigm in Chicago seeks a Vocational Case Manager to assist individuals with the job-related effects of disabilities from work injuries. You will coordinate with clients, families, insurers, medical providers, employers and attorneys to support return-to-work planning...
- ...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 care and...
$107.53k - $147.89k
...Project Controls Scheduling Specialist provides advanced scheduling... ...(WBS) development Own and manage baseline schedules and support... ...project teams and stakeholders Review contractor and subcontractor... ...industries, including utility infrastructure projects such...For contractorsFor subcontractorWork at officeWork from home- ...mtgs as required. The Permit Specialist (Technician) is responsible for processing and managing all permits required for fiber-... ..., permit submissions, plan review, and building relationships with... ...departments, transportation agencies, utility pole owners, and environmental...Local areaWork from home
- ...SUMMARYUnder the supervision of the Program Supervisor, the Case Manager is responsible for managing a caseload of justice-... ...needed.Performs contingency management planning and utilization.Provides face-to-face reviews with the participant and/or relevant staff on a...Work at officeMonday to FridayFlexible hours
- The ACT CADC Case Manager is responsible for providing comprehensive, community-based services... ...living with serious mental illness, utilizing the Assertive Community Treatment (ACT)... ...employment laws.For further information, please review the Know Your Rights notice from the...Contract workWork at officeLocal area
$102.97k - $131.69k
...hardware and configuration problems. · Utilizes predictive equipment and interprets... ...innovations as required. · Updates records and reviews CMMS history and analyzes data. ·... ...proficient technician. Assumes project manager responsibilities as assigned. · Completes...$70k - $85k
...Technology Learning Specialist Under the general direction... ...of the IT Training Manager and according to... ...applications and in some cases telephone systems, in... ..., captioning, quality review, and publishing content... ...various applications utilized by the firm in order to...Full timeTemporary workWork at officeRemote work- ...About Managed Business Solutions Managed Business Solutions is... ...system. This position focuses on reviewing, analyzing, and investigating... ...on flagged activity Utilize Microsoft Excel to review transaction... ...support accurate and timely case resolution Meet...Permanent employmentFull timeContract workTemporary work
- ...Description Job Description Bilingual Case Manager -SOT Program The Marjorie Kovler... ...Participate in weekly supervision to review cases, identify service gaps affecting participants... ...skills in meetings and presentations, Utilizes one consistent style of communication,...Work at officeWorldwide
- ...your life You arrive to a dynamic production floor where batches are blending and utilities are humming. Your morning might start by verifying the fire protection system is healthy, reviewing overnight work orders in AMMS, and coordinating with operations on priorities....ApprenticeshipCasual workRelocation packageShift workNight shiftWeekend workDay shiftAfternoon shift
$90k - $110k
...maintains the project BMP (BIM Management Plan), including identifying... ...and objectives for the utilization of BIM, in collaboration with... ...guidelines with fellow BIM Specialists in other offices on a consistent... ...work samples will not be reviewed. Portfolios should be one PDF...Full time- ...Welcome to Digital Direction, your source for Managed Telecom Solutions. We help CIO’s, IT... ...technologies You must be able to review telecom order packages, submit to... ...CSRs Build inventory records in our CRM utilizing CSRs Possess a high understanding of...Contract workLocal areaRemote work
- ...The Patient Access Specialist reflects the mission,... ...consumer requests and alerts management of issues or concerns... ...in Quality Assurance reviews to ensure integrity of... ...when they occur. Utilizes department and... ...Results are evaluated on a case-by-case basis, and we...Work at officeLocal areaRelocation packageShift work
$87.6k - $97k
...commercial insurance company, has a need for a Complex Care Case Manager, RN for Workers Compensation managed care team. PRIMARY... ...approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination...Work experience placementWork at officeFlexible hours- ...Maintains photo equipment and utilizes store systems and technology... ...during times when the Photo Specialist is not scheduled. Follows... ...completes e-Learnings requested by Manager or assigned by corporate.... ...remain open until filled. To review benefits, please click here...Work experience placementSeasonal workFlexible hoursAfternoon shift
$18.87 - $29.73 per hour
...depending on the circumstances of each case. Summary The RUSH Access Center Specialist I manages all clinical and non-clinical... ...problem solving. Ability to utilize Epic Cadence efficiently. Employees... ...or requirements. Date Reviewed Date Revised: Responsibilities Answers...Hourly payFull timeWork experience placementWork at officeFlexible hoursShift work
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