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
- ...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...SuggestedFull timeWork at office
$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...SuggestedLocal areaWorldwide- ...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...SuggestedWork at office
- 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...SuggestedRemote work
- ...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...SuggestedWork experience placementWork at officeLocal area
- ...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 workWork at office
$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 timeContract workWork at officeLocal area- ...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 employmentFull time
- ...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 officeImmediate startShift workAfternoon shift
$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- ...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 contractFull timeContract workTemporary workFor contractorsWork at officeRemote work
$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- ...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 payContract workTemporary workFor contractorsWork at officeLocal areaFlexible hoursWeekend work
- ...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...
- ...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 workWork at office
- ...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 officeLocal areaImmediate startShift work
$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 workWorldwide- ...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 timeWork experience placementLocal areaRelocation package
- ...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 placementSeasonal workWork at officeLocal area1 day per week
$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 timeWork experience placementWork at officeLocal area$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 timePart timeLocal areaNight shiftEarly shift$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 timeTemporary workFor contractorsWork at officeRemote workWork from homeHome office$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 areaNight shiftEarly shift$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 contractorsWork experience placementWork at officeLocal areaFlexible hours$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...H1bLocal area$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...- ...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 contractorsShift work
- ...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 inWork at officeLocal area
$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 employmentFull timeContract workLocal areaRemote workRelocation2 days per week3 days per week- ...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...H1bLocal area
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