Average salary: $188,711 /yearly
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- ...regulatory timelines Collaborate with multidisciplinary teams Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing clients' members with...SuggestedContract workRemote work
Integrated Resources
Springfield, IL1 day ago $73k - $75k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To provide timely, evidence-based utilization review services to maximize quality care and cost-effective...SuggestedWork at officeFlexible hoursSedgwick
Springfield, IL1 day ago$32.95 per hour
...USD $32.95/Hr. Max: USD $52.73/Hr. Overview Shift: 12pm - 12am or 8:00-4:30pm Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital...SuggestedShift workDecatur Memorial Hospital
Springfield, IL27 days ago- ...A healthcare organization is seeking a Physician Clinical Reviewer in Dermatology to provide medical reviews and interact with medical staff. Responsibilities include reviewing clinical cases, discussing determinations with physicians, and ensuring compliance with medical...SuggestedRemote work
Prime Therapeutics
Springfield, IL15 hours ago - A health care recruitment agency is seeking a Recruitment Manager to assess and analyze clinical service requests, verify member benefits, and process prior authorizations. Candidates must have an Illinois state RN license and 1-3 years of experience in hospital or medical...SuggestedRemote work
Integrated Resources
Springfield, IL1 day ago $223.8k - $313.1k
...company is seeking a Medical Director to provide expert clinical reviews and advance patient outcomes. This remote position emphasizes... ...abilities. Join a dedicated team focused on effective utilization management while enjoying a competitive compensation range of...SuggestedRemote workHumana
Springfield, IL15 hours ago$223.8k - $313.1k
...A leading healthcare company is seeking a remote Medical Director for inpatient review. This position requires expertise in assessing medical necessity and involves conducting complex case analyses. Candidates should have an MD or DO, a minimum of 5 years of clinical...SuggestedRemote workHumana
Springfield, IL1 day ago- ...Job Description The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-... ...rebilling charges not paid and processing adjustments as needed utilizing websites or telephone as necessary. Process all secondary...SuggestedWork at officeImmediate start
Springfield Clinic
Springfield, IL1 day ago $223.8k - $313.1k
...community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve... ..., Critical Care, Emergency Medicine, or those experienced in Utilization Review are encouraged to apply. Role Overview Perform...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend workHumana
Springfield, IL3 days ago$95 - $100 per hour
...Doing: As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference... ...What You Will Be Doing: Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable...SuggestedPart timeWork at officeImmediate startEvolent
Springfield, IL3 days ago- ...executive leadership to Humana. The Chief Medical Officer, Utilization Management (UM) will serve as the clinical strategist, operator... ..., clinical contracting, vendor management, and UM dental review. • Ensure the clinician’s perspective is central to organizational...SuggestedApprenticeshipRemote work
Humana
Springfield, IL1 day ago $86.4k
...proposition of our behavioral health and wellness products within the Utilization Management function. This role encompasses developing the... ...engaging with the Delivery team during sprint and milestone reviews to ensure successful execution. This role can be hybrid or...SuggestedFor contractorsWork at officeLocal areaRemote work3 days per weekHighmark Health
Springfield, IL1 day ago$90.87 - $154.33 per hour
...-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Dermatology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet...SuggestedWork at officeLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
Springfield, IL15 hours ago$90.87 - $154.33 per hour
...A premier healthcare management company is seeking a Physician Clinical Reviewer specializing in endocrinology to provide timely medical reviews and assist in utilization management. The ideal candidate will hold an MD or equivalent, have clinical review experience, and...SuggestedRemote workPrime Therapeutics
Springfield, IL10 days ago- DESCRIPTION Primary Responsibilities ~ Maintains kitchen work areas, equipment, plateware and utensils in a clean, sanitary and orderly condition. Assists in food preparation procedures. Specific Functions and Duties Scrapes and pre-rinses food from...SuggestedFlexible hours
Applebee's
Springfield, IL2 days ago $27.52 per hour
...independent judgment, perform radiographic and fluoroscopic procedures utilizing a variety of Radiology equipment in applying prescribed... ...and treatment. Schedule Part Time, Variable shift To review Memorial's Benefits click here: Benefits - Memorial HR Qualifications...Part timeShift workMemorial Health
Springfield, IL17 minutes agonew$31.51 per hour
...Using independent judgment, perform a variety of procedures utilizing computerized tomographic equipment, CT related interventional equipment... ...of the department; report problems to proper authority. Review and recommend equipment / supply purchases. # Ensure the integrity...16 hoursPart timeRelocation packageFlexible hoursShift workMemorial Health
Springfield, IL21 minutes agonew$37.43 per hour
...Memorial Recruiter to discuss the position using my calendar: To review Memorial's Benefits click here: Benefits - Memorial HR... ...ultrasound. # Adheres to behavioral standards. # Utilize proper infection control procedures according to department and...Full timeRelocation packageDay shiftMemorial Health
Springfield, IL17 minutes agonew$37.43 per hour
...and Information handling skills. Responsibilities # Obtain, review and bring together pertinent patient history, physical... ...values. # Maintain certification in CPR. # Utilize proper Infection Control procedures according to department and...ReliefMemorial Health
Springfield, IL24 minutes agonew$31.51 per hour
...0pm-11:30pm Weekend Rotation $20,000 Sign-on Bonus! To review Memorial's Benefits click here: Benefits - Memorial HR Qualifications... ...under the supervision of the Radiologist. # Utilize proper infection control practices per the department procedure...Full timeRelocation packageFlexible hoursWeekend workAfternoon shiftMemorial Health
Springfield, IL19 minutes agonew$34.34 per hour
...Maintains technical skills relating to imaging factors. # Reviews scout films and subtraction films for quality and completion.... ...or changes. # Practices proper aseptic technique and utilize proper infection control practices. # Follows...Full timeRelocation packageNight shiftDay shiftMemorial Health
Springfield, IL21 minutes agonew$37.43 per hour
...Stewardship that support our mission and vision Schedule PRN To review Memorial's Benefits click here: Benefits - Memorial HR... .... # Adheres to behavioral standards. # Utilize proper infection control procedures according to department and...ReliefMemorial Health
Springfield, IL16 minutes agonew$37.43 per hour
...Time, Day Shift 7:00AM-3:30PM Rotating Weekends To review Memorial's Benefits click here: Benefits - Memorial HR... ...Essential Functions and Job Duties ~ Performs tests that utilize radionuclides for the diagnosis and therapy of disease....Full timeDay shiftMemorial Health
Springfield, IL21 minutes agonew$27.52 per hour
...in the Main Operating Room, and assists with the draping and utilization of instruments for a particular surgery and age of the patient... ...Talent Acquisition Partner ****@*****.*** To review Memorial's Benefits click here: Benefits - Memorial HR Qualifications...Permanent employmentImmediate startRelocationRelocation packageMemorial Health
Springfield, IL18 minutes agonew$49k - $64k
...our website, please only use or . Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other... ...status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official...Full timeLocal areaRelocation packageLifeStance Health
Springfield, IL4 days ago$25.72 per hour
...Full Time, Mid Shift 10:00am-8:00pm Rotating Weekends To review Memorial's Benefits click here: Benefits - Memorial HR... ...pathology and medical terminology Knowledge of technical factors, utilizing kVp and mAs per anatomical exposure Knowledge of patient position...Full timeWork at officeFlexible hoursShift workMemorial Health
Springfield, IL18 minutes agonew$37.43 per hour
...Using independent judgment, perform a variety of procedures utilizing sonography equipment. Schedule PRN Highlights & Benefits... ...procedure regarding employee / patient incident reports. # Review and recommend equipment / supply purchases. # Participate...ReliefMemorial Health
Springfield, IL21 minutes agonew$37.43 per hour
...Using independent judgment, perform a variety of procedures utilizing nuclear medicine equipment and Hybrid PET/CT scanner. Schedule... ...AM-3:30PM - Tuesday, Wednesday, and Friday No Weekends To review Memorial's Benefits click here: Benefits - Memorial HR Qualifications...Full timeFlexible hoursDay shiftMemorial Health
Springfield, IL18 minutes agonew$29.44 per hour
...Shift 36 hours 7:00am-5:30pm Rotating Weekends To review Memorial's Benefits click here: Benefits - Memorial HR... ...pathology, and medical terminology. Knowledge of technical factors utilizing kVp, and mAs per anatomical exposure. Knowledge of patient...Full timeDay shiftMemorial Health
Springfield, IL23 minutes agonew$27.52 per hour
...supplies. Recruiter: Sandy Dunn ****@*****.*** To review Memorial's Benefits click here: Benefits - Memorial HR... ...lab pickup area. Transports surgery patients as needed. Utilizes supplies and equipment in cost-effective manner. Maintains adequate...Full timeLocal areaRelocation packageFlexible hoursAfternoon shiftMemorial Health
Springfield, IL24 minutes agonew
