Average salary: $251,000 /yearly
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- ...Clinical Delegation Coordinator BASIC FUNCTION: This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of BCBSIL’s HMOs. Evaluates...SuggestedContract workNight shift
Innovative Systems Group
Naperville, IL12 days ago - ...(once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills to obtain patient specific... ...be met, this individual will defer decision to a second level reviewer. This individual interfaces with case managers and disease...SuggestedTemporary workWork at officeRemote workWork from homeMonday to FridayFlexible hours
Hines & Associates Inc
Elgin, ILa month ago - ...Job Description Job Description Company : Skyway Behavioral Health Title : Utilization Review Specialist (URS) FLSA Status : Exempt Location : Remote Skyway Behavioral Health is an innovative center that goes beyond the treatment of mood, anxiety, and...SuggestedTemporary workLocal areaRemote work
- ...Job Description Job Description Title: Utilization Review Manager (URM) FLSA Status: Exempt Location: Fully Remote or Remote/In-Office Hybrid Approved by: Executive Leadership Skyway Behavioral Health is an innovative behavioral health center that...SuggestedTemporary workWork at officeLocal areaRemote work
- ...collection as part of the onboarding process. Hireology Management: Utilize Hireology to post job listings, track applicants, and move... ...readiness for their roles. Compliance Assurance: Regularly review and update employee files to ensure they meet all compliance...SuggestedTemporary workWork at office
Golden Touch Home Care Services, LLC
Addison, IL16 days ago - ...make recommendations to meet QM objectives Responsibilities: Reviews documentation and evaluates Potential Quality of Care issues based... ...Nurse in state of residence Must have prior authorization utilization experience Experience with Medcompass Skills: MUST HAVE...Suggested
- ...job may require Working on the weekends. WAREHOUSE • Reviews bills of lading for incoming merchandise and customer orders in... ...ready for inspection. • Load and unload trucks when needed, utilize Forklift for Pick On and Off the Racks • Support customers with...SuggestedWeekend work
Hankyu Hanshin Express usa Inc
Addison, IL20 days ago $40 - $45 per hour
Join to apply for the Registered Nurse - Utilization Review (Nursing) role at J. Edward Staffing Continue with Google Continue with Google 2 months ago Be among the first 25 applicants Join to apply for the Registered Nurse - Utilization Review (Nursing) role at J. Edward...SuggestedFull timeContract workImmediate startRemote workRelocation packageMonday to Friday- ...ensure our client’s revenue cycle is managed in the most efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical information...SuggestedFull timeWork at officeRemote workFlexible hours
- Title: Utilization Review / Case Manager (RN) Location: Chicago, Illinois Reports To: Clinical Director, Behavioral Health Services Term: Permanent, Full-time General Summary The Utilization Review/Case Manager facilitates appropriate use of hospital resources by ensuring...SuggestedPermanent employmentFull time
$41 per hour
...medical necessity and appropriateness of the treatment plan. This position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from...SuggestedRemote jobContract work- Position: ED UTILIZATION REVIEW/CASE MANAGER Location: Chicago, IL Job Id: 666 # of Openings: 0 WE ARE INSIGHT At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location...SuggestedTemporary workWork at office
- Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct...Suggested
- ...Utilization Review / Case Manager (RN) Chicago, Illinois Reports To: Clinical Director, Behavioral Health Services Term: Permanent, Full-time General Summary: The Utilization Review/Case Manager facilitates appropriate use of hospital resources by ensuring that...SuggestedPermanent employmentFull time
$45k
...inspections of people, documents or goods for criminal activity, fraud, and/or illegal operations. Utilizing observational techniques, evaluating facts, and reviewing documentation while applying Federal, State, or local laws and regulations. Making determinations...SuggestedFull timeWork experience placementWork at officeLocal areaUS Customs and Border Protection
Addison, IL12 days ago$53k - $59k
...processed and reaches out to program participants as necessary for chargebacks. Reviews, creates, updates, and activates all programs within RecTrac to ensure accuracy. Utilizes ePACT to Review, monitor, and update all medical and program forms within department...Summer workSeasonal workWork at officeLocal areaFlexible hoursAddison Park District
Addison, IL13 days ago$78.54k - $121.72k
**Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals...Full timeWork at officeLocal areaShift workDay shift- Overview Dane Street, a nationally recognized Independent Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding our panel of expert physician reviewers. We are actively seeking Board-Certified Orthopedic Spine Surgery Specialists...Extra incomeContract workFor contractorsRemote work
$16.5 per hour
...customers or businesses in a timely, friendly and courteous manner. Review orders before and after delivery to ensure that orders are... ...and reconcile customer credit and debt balances Ability to utilize a tablet and/or mobile device for purposes of navigation/route...Full timeTemporary workFlexible hours$40 per hour
...Overview Join to apply for the Remote MCO Utilization Review Nurse (RN) IL ONLY role at Anchor Staffing Remote MCO Utilization Review Nurse (RN) IL ONLY $40.00 per hour Schedule: Monday Friday, 8:00 am 4:30 pm. Remote (IL). What We Offer Medical PTO...Remote jobHourly payFull timeImmediate startMonday to Friday- ...love to hear from you. We prioritize customer satisfaction and utilize industry-leading technologies to deliver top-notch service.... ...a steady close rate. Deliver a 5-star experience : ask for reviews, set expectations, and resolve concerns promptly. Partner with...Full timeWork at officeRelocation packageFlexible hoursWeekend workAfternoon shift
$45k
...and/or international shipping to and from the United States. Utilizing intelligence techniques and behavior analysis to identify... ...JOA(s) on USAJOBS to complete your application. Be certain to review ALL details of the job opportunity announcement and follow all...Work at officeLocal areaUS Customs and Border Protection
Addison, IL16 days ago$45k - $71.55k
...Provides for the safety and well-being of team members; effectively utilizes the Security Operations Center. Complies with all company... ...relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you...Temporary workInternshipLocal areaRelocationFlexible hoursShift workWeekend workAfternoon shift$25.7 - $41.8 per hour
...Small Package Dispatch Assistant This position assists and reviews UPS Small Package dispatch activity to ensure timely and proficient... ...safety reports. Verifies appropriate driver uniforms and utilization of safe work methods. Determines employee training needs to...Permanent employmentTemporary workWork experience placementWork at officeFlexible hours$33 - $38 per hour
...laser inspection of blanks Key Tasks and Responsibilities: Review job packets for accuracy, checking materials, blank sizes,... ...support customer or internal data collection. Identify and utilize drop-off material for small-run jobs when possible. MPI does...Contract workLocal areaFlexible hours- ...Description Job Description Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level Department: Legal... ...; - Produces a variety of written documents and materials utilizing a wide range of office software applications; - Establishes...Full timeWork at officeFlexible hours
Contact Government Services, LLC
Chicago, IL14 days ago $18 - $20 per hour
...guardians, answering program questions and registering as needed. Utilizes problem solving abilities to mitigate issues as they arise with... ...required. Must successfully pass state Driver's Abstract Review, Drug & Alcohol Screening, Physical and Criminal background screening...Part timeLocal areaMonday to FridayNight shiftWeekend workDay shift$21.13 - $36.3 per hour
...development, candidate sourcing, phone interviewing, coordinating interviews, and extending job offers Utilize Jobvite, our Applicant Tracking System (ATS), to review candidate resumes, perform phone interviews, and proactively communicate with hiring managers and candidates...Hourly payCasual workFlexible hours- ...accurately record data on client progress during therapy sessions. Utilize positive reinforcement techniques to encourage desired... ...effectiveness of interventions. Participate in team meetings and case reviews to discuss client progress and treatment plans. Maintain...
- ...Description: This position is responsible for performing concurrent review in accordance with accepted department criteria; performing... ...reciprocity. ~3 years of clinical experience ~ Experience utilizing various software packages ~ Verbal and written communication...Contract work
w3r Consulting
Downers Grove, IL6 days ago
