Utilization Review Jobs in Chicago
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Search Results - Utilization Review Jobs in Chicago
Community First Medical Center-Chicago-
Job Description
Job Description
Description:
Under the general direction of the Director of Behavioral Health, the Case Manager – Utilization Review RN provides clinically based case management and utilization review services to support...
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Chicago-icims.com-
to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians.
Assesses needs...
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Loretto Hospital-Chicago-
Job Description
Job Description
SUMMARY
The Case Manager/Utilization Review assumes responsibility for assessing and directing the clinical management of patients in specific case groups for an episode of care. The CM/UR is responsible...
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MagnaCare-United, 438 mi from Chicago-
Job Description
About The Role
The Medical Director performs utilization review and medical necessity determinations for BHPS-administered self-funded commercial plans, and supports the Chief Medical Officer in maintaining the quality, consistency...
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YO AI Labs-Chicago-
Experience with medical coding, utilization review, or physician audit processes.
• Experience developing or reviewing clinical quality standards.
• Familiarity with hospital quality metrics and inpatient quality initiatives.
• Previous experience mentoring...
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Rising Medical Solutions-Chicago-workable.com-
the cost of healthcare claims through bill review, case management, and utilization review. Our mission is "We make lives better" and everyone here at Rising works hard to achieve this goal. So take a look at the job, let us know what you think, and let's...
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YO AI Labs-Chicago-
CDI).
• Experience with utilization review, medical coding, or healthcare quality assurance.
• Familiarity with electronic health records and structured clinical data.
• Experience working across multiple inpatient services or specialties.
• Previous...
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ExamWorks UM Strategies-United, 438 mi from Chicago-
will be made to your Monday through Friday schedule that week.)
The Utilization Management Physician will be responsible for providing thorough and accurate reviews of utilization management cases to ensure the appropriate use of medical resources while...
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GRO Community-Chicago-
and utilization review readiness.
• Collaborate with leadership and quality improvement teams to identify trends and implement corrective or improvement strategies.
• Participate in audits, site reviews, and quality assurance activities as needed.
Regional Growth...
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Chicago-icims.com-
Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review, chart reviews...
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Humboldt Park Health-Chicago-
organizational and time management skills
• Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems
• Desire to work collaboratively and proactively with healthcare teams and other hospital...
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Chicago-icims.com-
facilities. Key areas of responsibility include scheduling, registration, insurance verification, financial counseling, patient financial services, and coordination with HIM, Coding, Utilization Review, Charge Master, and Clinical Documentation.
Partners...
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Community First Medical Center-Chicago-
HIM professionals must have a minimum of 3 years of recent in-patient, acute care coding experience.
• RN, RHIT or RHIA with 2 yrs. experience in a clinical documentation specialist role or Utilization Review.
• Registered Health Information...
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