Managed Care Jobs in Illinois
1 - 15 of 109
Search Results - Managed Care Jobs in Illinois
Integrated Resources, Inc-Chicago
internal staff, internal departments, and network providers/IPAs to ensure quality performance and results for Client managed care products. Responsible for auditing all aspects of ClientIL clinical quality improvement projects and evaluating PCP/MG/IPA...
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Precision Value & Health-Chicago
medical content with external stakeholders including medical professionals, key opinion leaders, and
managed care customers as required
• Plan and allocate resources based on business needs in conjunction with other internal stakeholders
• Supervise 1...
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Northwestern Memorial Healthcare-Chicago
closely with physicians and technicians to understand treatment plans and determine costs associated with these plans.
Works closely with the staff on managed care and referral related issues and communicates findings to patients.
Coordinates the pre...
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Allendale Association-Lake Villa
Prior experience dealing with insurance and managed care organizations
Allendale’s rich heritage is based upon 125 years of meeting society’s needs by determining new ways to make a lasting difference in the lives of children and families who have...
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America's Best-Homewood (IL)
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
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Managed Care Staffers-Park Ridge (IL)
Registered Nurse
• Experience in the application of Milliman criteria or other evidence-based medical criteria.
• 2 – 4 years utilization review and/or managed care experience is preferred.
• Knowledge of medical problems encountered with Seniors.
• Working...
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Oak Street Health, Inc.-Chicago
Reviewing regular quality dashboards with providers, coaching on tools to improve qualityoutcomes
• Coach providers on appropriate coding and documentation
• Provide managed care experience/teaching to providers
Additionally, the Medical Director...
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USA Vein Clinics, Vascular, Fibroid and Oncology Centers-Northbrook
credentialing process for all providers in 170+ clinics across 30 states.
Responsibilities:
• Processes physician accreditation, managed care, governmental and commercial insurance enrollment and re-credentialing
• Responsible for daily provider data...
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CARLE-Ogden (IL)
for patients. Documents per department guidelines. Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment approval. Participates in covering weekend inpatient evaluations...
96 similar jobs: Ridge Farm, Gifford, Armstrong, White Heath, Ludlow...
UnityPoint Health-Moline (IL)
goals with community agencies, primary care physicians, court system, and managed-care entities.
Develops RYC treatment plan and monitor, its completion and revision.
Prepares special reports as needed on activities, and work group activities.
May...
CARLE-Camargo (IL)
for patients. Documents per department guidelines. Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment approval. Participates in covering weekend inpatient evaluations...
7 similar jobs: Waynesville, Mclean, Arcola, Metcalf, Gibson City...
Illinois Bone and Joint Institute LLC-Glenview (IL)
and professional integrity.
• Experience assisting physicians in surgery
• Experience diagnosing and treating patients
• Working knowledge of managed care basics, and experience working with a managed care and Medicare population
• Knowledge of practice management...
Guidehouse-Chicago
and strategic managed care solutions to help clients unlock their full potential.
Consultants support project teams both on client engagements (on and off- site) and internal projects. Responsibilities will include client and project management, data...
Meridian Illinois-Hull (IL)
acute care, or community setting. Knowledge of healthcare and managed care preferred.For Illinois Youth Care contract: Required Education/Experience – Bachelor’s Degree in nursing and RN licensure required.
One year of clinical experience required...
4 similar jobs: Argenta, Dieterich, Apple River, Sorento
Carolina Health Centers, Inc.-Mccormick
specialist services, adhering to managed care contracts, principles, guidelines, using established and approved provider networks, and maintain responsibility for assuring that those services are required
Participate in practice development, quality assurance...
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