Utilization Review Jobs in Illinois
1 - 15 of 45
Search Results - Utilization Review Jobs in Illinois
Meadowview Behavioral Hospital-Peoria-
Director of Utilization Review (UR)
đź“Ť Peoria, IL | Meadowview Behavioral Hospital
đź’Ľ Full-Time | On-site
💰 $80,000–$110,000 + Annual Performance Bonus
About the Opportunity
Meadowview Behavioral Hospital — a brand-new, state-of-the-art...
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Dane Street-Chicago-mindmatch.ai-
necessity and utilization review/management expertise
 •  Expanded credentials as an expert in Independent Medical Exams and physician advisor services
 •  Fully prepped cases, streamlined case flow, and user-friendly work portal
Dane Street supports all...
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Meadowview Behavioral Hospital-Peoria-
Job Description
Director of Utilization Review (UR)
đź“Ť Peoria, IL | Meadowview Behavioral Hospital
đź’Ľ Full-Time | On-site
💰 $80,000–$110,000 + Annual Performance Bonus
About the Opportunity
Meadowview Behavioral Hospital — a brand-new, state...
Read more
Carle Health-Urbana (IL)-
but not limited to: case management/utilization review software and the multidisciplinary plan of care document on all assigned patients.Evaluates effectiveness of plan of care to ensure the progression toward desired patient outcomes.Initiates intervention, both...
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Elara Caring-Country Club Hills (IL)-
at branch locations to meet patient needs.
 •  Ensures compliance of current Medicare, Medicaid, and third-party reimbursement regulations and changes. Identifies and reports potential payment/coverage problems.
 •  Supervises and coordinates utilization...
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Carle Health-Urbana (IL)-
but not limited to: case management/utilization review software and the multidisciplinary plan of care document on all assigned patients.Evaluates effectiveness of plan of care to ensure the progression toward desired patient outcomes.Initiates intervention, both...
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Encompass Health Rehabilitation Hospital of Nittany Valley-Zion (IL)-
documentation to post discharge providers/physician
 •  Ensure accuracy of discharge and payor-related information in the patient record
 •  Participate in utilization review process: data collection, trend review, and resolution actions.
 •  Participate in case...
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Silver Cross Hospital-New Lenox-
want to be treated.
Position Summary: Responsible for regulatory compliance, utilization review, chart audits, performance improvement, and educational development of staff.
Essential Duties and Responsibilities:
 •  Develops performance improvement...
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Elara Caring-Oak Forest (IL)-
at branch locations to meet patient needs.
 •  Ensures compliance of current Medicare, Medicaid, and third-party reimbursement regulations and changes. Identifies and reports potential payment/coverage problems.
 •  Supervises and coordinates utilization...
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Aurora (IL)-icims.com-
Qualifications:
EDUCATION, EXPERIENCE, TRAINING
  1.  Two (2) years clinical experience as a Case Manager in an acute care, post-acute, or payer setting within the last 5 years.
  2.  Utilization review and denial management experience required.
  3.  Current state...
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Peoria-carlehealth.org-
but not limited to: case management/utilization review software and the multidisciplinary plan of care document on all assigned patients.
Evaluates effectiveness of plan of care and collaborates with physicians to ensure the progression toward desired patient...
Read more
Rising Medical Solutions-Chicago-workable.com-
We are looking for a Utilization Review Specialist to join our team! The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams.
The full UR function can be performed...
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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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Elara Caring-Hazel Crest-
at branch locations to meet patient needs.
 •  Ensures compliance of current Medicare, Medicaid, and third-party reimbursement regulations and changes. Identifies and reports potential payment/coverage problems.
 •  Supervises and coordinates utilization...
Read more
Peoria-carlehealth.org-
but not limited to: case management/utilization review software and the multidisciplinary plan of care document on all assigned patients.
Evaluates effectiveness of plan of care and collaborates with physicians to ensure the progression toward desired patient...
Read more
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