Utilization Review Jobs in Illinois
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Search Results - Utilization Review Jobs in Illinois
GQR Healthcare-Mattoon (IL)
week
• Shift: 8 hours, days
• Employment Type: Travel
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Mattoon, Illinois
Start Date: September 28, 2026
Profession: Registered Nurse (RN)
Facility: Hospital
Estimated...
Olympia Fields
Overview:
Director of Case Management RN or LCSW
Employment Status: Full-Time, Days, Exempt
Pay Range: $85,363 – $123,635 annually
The Director of Case Management leads Case Management, Utilization Review, Social Work, Care Coordination...
icims.com -
MedPro Healthcare Staffing-Mattoon (IL)
Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN
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• Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements...
Carle Health-Merna (IL)
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...
Elara Caring-Litchfield (IL)
of current Medicare, Medicaid, and third-party reimbursement regulations and changes. Identifies and reports potential payment/coverage problems.
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• Supervises and coordinates utilization review activities.
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• Participates in strategic development of Key...
Encompass Health Rehabilitation Hospital of Nittany Valley-Zion (IL)
a graduate degree is preferred.
• Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience.
• May be required to work weekdays and/or weekends, evenings and/or night shifts.
• May be required...
Vitas Healthcare-Lombard
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• Performs substantive chart reviews to assure there is evidence that quality care is being delivered.
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• Participates in the Outcomes Management and annual program review.
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• Performs utilization review of continuous care and inpatient levels...
Department of the Army-Springfield
efficiency in maintenance operations and manpower utilization. * Review the effectiveness and efficiency of equipment and maintenance management and needs for improvement of existing practices and the impact on the overall maintenance program.
* Knowledge...
Peoria
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...
carlehealth.org -
Carle Health-Normal
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...
Chicago
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...
icims.com -
Park Ridge (IL)
Consistently monitors the backlog of work and the sharing of resources within the discipline, maximizing staff utilization. Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals.
• Actively involved with business...
colliersengineering.com -
Chicago
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...
icims.com -
East Peoria
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...
carlehealth.org -
Dane Street, LLC-Frankfort (IL)
or decline assignments based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services...
workable.com -
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