Utilization Review Jobs in Illinois
1 - 15 of 22
Search Results - Utilization Review Jobs in Illinois
Endeavor Health-Naperville-
Hourly Pay Range:
$38.16 - $59.15 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
• Position: RN Utilization Review
• Location: Naperville, IL
• Full Time...
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AMN Healthcare Nursing-Chicago-
Job Description
AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Chicago, Illinois.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 06...
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GQR Healthcare-Peoria-
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Peoria, Illinois.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 05/11/2026
• Duration: 13...
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GQR Healthcare-Peoria-
Job Description
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Peoria, Illinois.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 05/11/2026...
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GQR Healthcare-Peoria-
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Peoria, Illinois.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 05/11/2026
• Duration: 13...
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Springfield-icims.com-
Min: 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...
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eviCore healthcare-Chicago-
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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Endeavor Health Services-Glenview (IL)-mindmatch.ai-
Clinical certification, such as case management certification, is beneficial
Experience:
2+ years of clinical nursing experience preferred. Minimum of 2 years of utilization review, discharge planning, case management or disease management preferred...
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Elara Caring-Litchfield (IL)-
problems.
• Supervises and coordinates utilization review activities.
• Participates in strategic development of Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed.
• Ensures accuracy of all public information...
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Provident HealthCare Management-Lincolnwood-
solving complex RCM problems, standardizing chaos into clean process, and building teams that consistently deliver results.
You'll own everything from intake and insurance verification through utilization review, authorizations, coding, billing...
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Carle Health-Normal-
of the Aftercare Plan with patient and recommends post-treatment referrals for patients.
• Documents per department guidelines.
• Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain...
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Duly Health and Care-Downers Grove-
experience managing teams and complex operations
• Excellent communication and stakeholder management skills
Preferred Certifications:
• Certified Professional in Utilization Review (CPUR)
• Certified Case Manager (CCM)
The compensation for this role...
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Vitas Healthcare-Lombard-
Participates in the Outcomes Management and annual program review.
• Performs utilization review of continuous care and inpatient levels of care for all patients on team.
Customer Service/Sales/Marketing
• Assures that problems/grievances/service failures...
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Normal-carlehealth.org-
Safety Committee, Infection Prevention Committee, Utilization Review Committee, Ethics Committee, and others.Identify and communicate with key personnel within the Carle organization who interact with the Quality/Regulatory/Patient Safety...
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Rising Medical Solutions-Chicago-workable.com-
strongly preferred)
• Minimum 5 years of clinical, legal, utilization review, or case management experience
• Certifications such as CCMC, CLNC, CMAC, CRRN, CDMS, or COHN (preferred)
• Experience with auto liability, general liability, and/or Workers...
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