Utilization Manager Jobs in Illinois
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Search Results - Utilization Manager Jobs in Illinois
Jackson Physician Search-Chicago
the University of Illinois
Holy Cross Hospital:
• Level II Trauma Center
• 264 licensed bed community hospital
• 45,000+ ED patients per year
Associate Chief Medical Officer position:
• Drives transformational change in utilization management, quality, CDI...
Acentra Health-Chicago
Conduct audits of utilization and case management cases
• Monitor and report on quality indicators to identify opportunities for improvement
• Develop and maintain Quality Improvement Processes (QIPs) in alignment with regulatory requirements
• Evaluate...
workable.com -
Northwestern Medicine-Geneva (IL)
and take appropriate action
• Good communication skills
• Basic computer knowledge
Preferred:
• Utilization Management and Care Coordination experience
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does...
Wexford Health Sources-Swansea (IL)
that control costs while ensuring quality. For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing...
Elevance Health-Chicago
Contributes to the development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical guidelines.
• Provides clinical leadership for Utilization Management, Case Management, Disease Management, and Quality Management...
appcast.io -
Northwestern Memorial Healthcare-Winfield (IL)
Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Utilization Management RN (UM RN), functions as the primary liaison to the payer and all other related parties...
resume-library.com -
Dupage Medical Group-Naperville
for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive case management according to program guidelines. The Case Manager is responsible for managing...
6 similar jobs: Oak Lawn, Woodridge, Joliet, Wheaton, Lisle...
AbbVie-Mettawa
Leading the delivery of brand specific market access analytical insights in response to specific market access issues/ trends. Understanding the impact of utilization management, tiering and medical policy impact on overall demand, line of therapy and co...
resume-library.com -
Elevance Health-Chicago
clinical experience with expertise in medical management required. Board certification is required where applicable to the duties being performed.
Preferred:
• Leadership experience managing teams of physicians in a utilization management clinical...
appcast.io -
US Tech Solutions, Inc.-Mason (IL)
competitive business advantage.
Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and policies.
Utilizes critical thinking and judgment to collaborate...
resume-library.com -
Monogram Health, Inc.-Chicago
care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management...
appcast.io -
Northwestern Memorial Healthcare-Chicago
wide information systems.
Demonstrates knowledge of the utilization management process which includes level of care assignment, communication with payors and benefit authorization for applicable situations.
Actively participates in Clinical...
resume-library.com -
Medrina Completes Fourth Acquisition: Radial Health-Chicago
management, and population management
• Oversee utilization management guidelines and decisions
• Support business development and marketing departments by meeting with key decision-makers, clients and prospects, as needed
• Support corporate General...
appcast.io -
Northwestern Memorial Healthcare-Chicago
wide information systems.
Demonstrates knowledge of the utilization management process which includes level of care assignment, communication with payors and benefit authorization for applicable situations.
Actively participates in Clinical...
resume-library.com -
Swedish American-Rockford
The primary responsibility of the utilization management nurse is to review medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care, length of stay, and authorization denials for hospitalized patients...
healthecareers.com -
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