Average salary: $251,000 /yearly

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  •  ...(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... 
    Suggested
    Temporary work
    Work at office
    Remote work
    Work from home
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Elgin, IL
    a month ago
  •  ...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... 
    Suggested
    Contract work
    Night shift

    Innovative Systems Group

    Naperville, IL
    12 days ago
  •  ...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... 
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    Temporary work
    Work at office
    Local area
    Remote work

    Skyway Behavioral Health

    Downers Grove, IL
    6 days 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... 
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    Temporary work
    Local area
    Remote work

    Skyway Behavioral Health

    Downers Grove, IL
    5 days ago
  •  ...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... 
    Suggested
    Temporary work
    Work at office

    Golden Touch Home Care Services, LLC

    Addison, IL
    16 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

    US Tech Solutions

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

    Hankyu Hanshin Express usa Inc

    Addison, IL
    20 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... 
    Suggested
    Full time
    Contract work
    Immediate start
    Remote work
    Relocation package
    Monday to Friday

    J. Edward Staffing

    Aurora, IL
    4 days ago
  •  ...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... 
    Suggested
    Full time
    Work at office
    Remote work
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    1 day ago
  • 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... 
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    Pharmacy Careers

    Chicago, IL
    4 days ago
  • 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... 
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    Temporary work
    Work at office

    Insight Hospital and Medical Center

    Chicago, IL
    4 days ago
  • 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... 
    Suggested
    Permanent employment
    Full time

    Veracity Software Inc

    Chicago, IL
    5 days ago
  •  ...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... 
    Suggested
    Permanent employment
    Full time

    Veracity

    Chicago, IL
    5 days ago
  • $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... 
    Suggested
    Remote job
    Contract work

    HireOps Staffing, LLC

    Chicago, IL
    1 day ago
  • $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... 
    Suggested
    Full time
    Work experience placement
    Work at office
    Local area

    US Customs and Border Protection

    Addison, IL
    12 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 work
    Seasonal work
    Work at office
    Local area
    Flexible hours

    Addison Park District

    Addison, IL
    13 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 time
    Work at office
    Local area
    Shift work
    Day shift

    Trinity Health

    Maywood, IL
    5 days ago
  • $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... 
    Temporary work
    Flexible hours

    Parts Authority

    Addison, IL
    4 days ago
  •  ...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 time
    Work at office
    Relocation package
    Flexible hours
    Weekend work
    Afternoon shift

    A-Perfect Climate Incorporated

    Addison, IL
    17 days ago
  • $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 job
    Hourly pay
    Full time
    Immediate start
    Monday to Friday

    Anchor Staffing

    Chicago, IL
    3 days ago
  • 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 income
    Contract work
    For contractors
    Remote work

    Dane Street

    Chicago, IL
    4 days ago
  • $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 office
    Local area

    US Customs and Border Protection

    Addison, IL
    16 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 work
    Internship
    Local area
    Relocation
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Walgreens

    Addison, IL
    4 days ago
  • $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 employment
    Temporary work
    Work experience placement
    Work at office
    Flexible hours

    UPS

    Addison, IL
    2 days ago
  • $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 pay
    Casual work
    Flexible hours

    Parts Town

    Addison, IL
    2 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 time
    Local area
    Monday to Friday
    Night shift
    Weekend work
    Day shift

    Addisonparks

    Addison, IL
    5 days ago
  • $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 work
    Local area
    Flexible hours

    Michael Page

    Addison, IL
    1 day ago
  •  ...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 time
    Work at office
    Flexible hours

    Contact Government Services, LLC

    Chicago, IL
    14 days ago
  •  ...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... 

    Motivated Learners LLC

    Addison, IL
    a month ago
  •  ...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, IL
    6 days ago