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

Utilization Review Manager: Lead Authorization & Compliance

Breva Systems, SA de CV

Breva Systems, SA de CV is hiring a Utilization Review Manager in Chicago. This role is crucial for coordinating clinical documentation and service authorizations to ensure medical necessity and regulatory compliance. The ideal candidate will have a Master's degree in a related field and at least 3-5 years of related experience. You will act as a liaison among clinical staff, payers, and administrative teams while maintaining quality-of-care standards. We offer a competitive salary, benefits, and opportunities for professional development in a dynamic work environment. #J-18808-Ljbffr Breva Systems, SA de CV

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Review Manager: Lead Authorization & Compliance in Chicago, IL vacancy
  •  ...Job Description Description: Job Title: Utilization Review Manager Location: Chicago Job Type: Full-Time...  ...monitoring clinical documentation and service authorizations to ensure medical necessity, regulatory compliance, and optimal reimbursement. This role serves... 
    Suggested
    Full time
    Work at office

    GRO Community

    Chicago, IL
    18 days ago
  • $106.5k - $267.5k

     ...highly accomplished Senior Tax Manager to join our Lead Tax Services team. This...  ...responsibilities Review federal and state income tax...  ...tax planning strategies, compliance expertise, and technical tax...  ...is not sponsoring for work authorization at this time. The wage range... 
    Suggested
    Local area
    Worldwide

    Crowe

    Chicago, IL
    4 days ago
  •  ...individual needs and a specific care management plan to address objectives...  ...care plan by facilitating authorizations/referrals as appropriate...  ...and efficient services. Utilizes clinical and social work experts...  ...for care team members Reviews and provides input into... 
    Suggested
    Work at office

    University of Illinois

    Chicago, IL
    2 days ago
  • 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... 
    Suggested
    Remote work

    Guidehealth

    Chicago, IL
    4 days ago
  •  ...Description The Maintenance Manager will report directly...  ...the scheduling and review of all vehicle...  ...overseeing of all regulatory compliance inspections of the organizations...  ...applicable public authority legislation,...  ...maintenance staff follow them Utilize and supervise the... 
    Suggested
    Work experience placement
    Work at office
    Local area

    WeDriveU

    Melrose Park, IL
    5 days ago
  •  ...team that provides patient care second to none! If you would like to be a part of our future team, please apply now! ED Utilization Review/Case Manager The ED Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by... 
    Temporary work
    Work at office

    Insight Health Systems

    Chicago, IL
    2 days ago
  • $230k - $400k

     ...actionable consulting solutions, leads pursuit and proposal...  ...accountable for growing and managing a portfolio of client relationships...  ...in the U.S. electric and gas utilities sectors. Demonstrated experience...  ...position is displayed in compliance with all local/state regulations... 
    Full time
    Contract work
    Work at office
    Local area

    1898 & Co.

    Chicago, IL
    15 hours ago
  •  ...Utilization Review / Case Manager (RN) Chicago, Illinois Reports To: Clinical Director, Behavioral Health Services Term: Permanent, Full-time...  ...Maintain safe patient care environment and infection control compliance. Manage departmental operations (phones, supplies,... 
    Permanent employment
    Full time

    Veracity Solutions

    Chicago, IL
    3 days ago
  •  ...Supervisor Cenveo is a leading North American manufacturer...  ...during shift including compliance with plant safety policies...  ...interviewing, resume and application review. Assist Plant Manager and other Lead Supervisors...  ...improvement process utilizing lean manufacturing... 
    Work at office
    Immediate start
    Shift work
    Afternoon shift

    Cenveo

    Chicago, IL
    5 days ago
  • $95k - $120k

     ...Quality Control Manager Must be US Citizen...  ...activities. Authorize the release of...  ...support internal reviews, customer audits,...  ...specification results, utilizing root cause...  ...methodologies. Lead the response to customer...  ...and ensure compliance with OSHA regulations... 
    Shift work

    CPS

    Chicago, IL
    12 days ago
  •  ...Job Description Lead Project ManagerFederal...  ...The Lead Project Manager serves as the...  ...effective resource utilization, and delivery of program...  ...Ensure compliance with contract requirements...  ...for management review Identify program...  ...remote locations as authorized by contract... 
    Long term contract
    Full time
    Contract work
    Temporary work
    For contractors
    Work at office
    Remote work

    CLEAR GLOBAL SOLUTIONS, LLC

    Chicago, IL
    7 days ago
  • $100k - $120k

     ...archiving with industry-leading cloud archiving,...  ...and ensuring compliance with stringent...  ...Customer Success Manager to join our growing...  ...Business Reviews, orchestrate cross...  ...increase product utilization depth, and surface...  ...outcomes without formal authority. ~ Proficiency... 
    Temporary work

    Global Relay

    Chicago, IL
    1 day ago
  •  ...Flex-N-Gate is a leading manufacturer and supplier...  ...Reports to Maintenance Manager Summary The...  ...efficient manner in compliance with the company policies...  ...Environmental Review of Projects Contractor...  ...and keeping appropriate authorities aware of decisions being... 
    Hourly pay
    Contract work
    Temporary work
    For contractors
    Work at office
    Local area
    Flexible hours
    Weekend work

    Flex-N-Gate

    Chicago, IL
    4 days ago
  •  ...process equipment and utilities. As a Maintenance Supervisor...  ...guidance of the Sr. Manager, Maintenance, this...  ...primarily responsible for leading, coordinating and...  ...Perform all activities in compliance with company cGMP and...  ...being compromised. Review, document work... 

    Fresenius Kabi USA, LLC

    Melrose Park, IL
    4 days ago
  •  ...highly specialized Property Management Services, and focuses primarily...  ...or mental disability. In compliance with the Immigration Reform...  ...citizens and aliens lawfully authorized to work in the United States...  ...procedures are being followed. Cross utilization of Groundskeeper duties may... 
    Temporary work
    Work at office

    Yarco Property Management

    Chicago, IL
    1 day ago
  •  ...LPN Medication Care Manager is responsible for...  ...organized manner. Review, read, notate, and...  ...to times utilizing a mobile medication...  ...Manager (MCM) or Lead Care Manager (LCM)...  ...ensure community is in compliance with national/provincial...  ...other regulating authorities as applicable to... 
    Work at office
    Local area
    Immediate start
    Shift work

    Sunrise Senior Living

    River Forest, IL
    2 days ago
  • $102.6k - $193.43k

     ...Development, this position manages day to day Enterprise...  ...Architecture lead for Enterprise Architecture...  ...participate in Architecture Review Boards (ARB), design...  ..., scalability, compliance, and security.* Guide...  ...domains without direct authority to achieve architectural... 
    Temporary work
    Worldwide

    Chamberlain Group

    Oak Brook, IL
    3 days ago
  •  ...Ethics and Corporate Compliance Program, and...  ...Participates in and may lead improvement activities utilizing DMAIC, Lean, and other...  ...Coordinate peer review cases for individual...  ...with support from manager/mentor/peers. Develop...  ...to complete an authorization and disclosure form... 
    Full time
    Work experience placement
    Local area
    Relocation package

    Northwestern Medicine Central DuPage Hospital

    Chicago, IL
    2 days ago
  •  ...supervision of the Store Manager, manages the Non-...  ...ensuring staff and store compliance with all applicable...  ...one day per week. Authorize and sign for refunds and...  ...of in-stock targets; review ordering plan, seasonal...  ...Store Manager direction; utilize merchandise fixtures... 
    Work experience placement
    Seasonal work
    Work at office
    Local area
    1 day per week

    Dollar General

    Chicago, IL
    4 days ago
  • $68k - $72k

     ...The Hotel Catering Manager is responsible for...  ...discretion and authority to negotiate contracts...  ...troubleshoot and review events. Ensure...  ...events. Optimize space utilization and manage...  ...and forecasting. Lead sales activities,...  ...required. Ensure compliance with safety and sanitation... 
    Full time
    Work experience placement
    Work at office
    Local area

    Trump Organization

    Chicago, IL
    4 days ago
  • $16 - $22.2 per hour

     ...-EVERGREEN PARK, IL Lead and coach a team of framers...  ...Assist Store Manager in leading and managing...  ...Company programs to ensure compliance to applicable laws and...  ...achieve their role KPI's Review sales and production...  ...activities of your team; utilize the leadership... 
    Full time
    Part time
    Local area
    Night shift
    Early shift

    Michaels Stores

    Evergreen Park, IL
    2 days ago
  • $142.3k - $195.7k

     ...caring community The Lead Solutions Architect...  ...designs and decisions. Review current initiatives...  ...Collaborate with governance and compliance teams to validate...  ...and stakeholder management across product, engineering...  ...& Patterns: Author and maintain reference... 
    Full time
    Temporary work
    For contractors
    Work at office
    Remote work
    Work from home
    Home office

    Humana

    Chicago, IL
    3 days ago
  • $16 - $22.2 per hour

     ...CHI-EVERGREEN PARK, IL Lead and coach a team of framers...  ...Assist Store Manager in leading and managing...  ...Company programs to ensure compliance to applicable laws and...  ...achieve their role KPI’s Review sales and production workload...  ...of your team; utilize the leadership competencies... 
    Local area
    Night shift
    Early shift

    Michael's Inc

    Evergreen Park, IL
    5 days ago
  • $138k - $170k

     ...Deal Desk Manager At Komodo Health, our mission...  ...role in structuring, reviewing, and approving strategic...  ...pricing strategy, and compliance standards. As a Deal...  ...internal repositories. Utilize AI assistants to draft...  ...AI revolution – we're leading it. This is a pivotal... 
    For contractors
    Work experience placement
    Work at office
    Local area
    Flexible hours

    Komodo Health

    Chicago, IL
    3 days ago
  • $124.74k - $254.5k

     ...training facility, and leading market tools, we help...  ...is currently seeking a Manager in Oracle Procurement...  ...support, and project reviews Participate in RFP,...  ...up to 80% Must be authorized to work in the U.S. without...  ...regarding KPMG's compliance with federal, state and... 
    H1b
    Local area

    KPMG

    Chicago, IL
    7 days ago
  • $77k - $117k

     ...Day to Day National Account Managers at Indeed help the top organizations more effectively...  ...entire client organization. Assess and utilize data for in‑depth evaluation of accounts...  ...area of expertise to become an industry authority. The anticipated travel requirement for... 

    Indeed

    Chicago, IL
    15 hours ago
  •  ...support to Directors, Manager of Projects, Project Managers...  ...and programs. Utilize multiple existing Exelon...  ...tracking, project authorization, work management, contracts...  ...for project manager review and submittal to Finance...  ...accuracy to ensure compliance with annual internal and... 
    For contractors
    Shift work

    Exelon

    Chicago, IL
    4 days ago
  •  ...Accenture helps the world's leading enterprises reinvent...  ...better capture, manage, integrate, and analyze...  ...improve quality, ensure compliance, reduce time to market...  ...government agencies utilize. What would you do?...  ...the US must have work authorization that does not now or in... 
    Live in
    Work at office
    Local area

    Accenture

    Chicago, IL
    4 days ago
  • $202.78k - $230.79k

     ...Senior Manager Choosing Capgemini means choosing...  ...and help the world’s leading organizations unlock the...  ...multiple projects. Review project plans to formulate...  ...quality control and compliance with the delivery...  ...Configuration & System Utilities; Business & Integration... 
    Permanent employment
    Full time
    Contract work
    Local area
    Remote work
    Relocation
    2 days per week
    3 days per week

    Capgemini

    Chicago, IL
    1 day ago
  •  ...training facility, and leading market tools, we help...  ...is currently seeking a Manager, Forensic Technology...  ...allocation for document review engagements....  ...Applicants must be authorized to work in the U.S. without...  ...information regarding KPMG's compliance with federal, state and... 
    H1b
    Local area

    KPMG

    Chicago, IL
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Review Manager: Lead Authorization & Compliance. Be the first to apply!