Utilization Review Nurse

Hospitals on Incredible Health are actively hiring and accepting applications in the Chicago, IL area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid...

About the RoleWe are seeking a highly skilled and experienced Clinical Utilization Management Specialist to join our team at Mindlance. In this role, you will be responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in the networks of Client's HMOs.The ideal...

Hospitals on Incredible Health are actively hiring and accepting applications in the Chicago, IL area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and...

About Incredible HealthHospitals partnering with Incredible Health are actively hiring and accepting applications for a Registered Nurse - Utilization Review in the Chicago, IL area.CompensationThe estimated annual salary for this position ranges from $61,300 to $100,980, depending on experience and qualifications.Job SummaryWe are seeking experienced Nurses...

Job SummaryThis Clinical Utilization Review Specialist role is a vital part of our team at Integrated Resources, Inc.About the RoleWe are seeking a highly skilled and experienced Registered Nurse to join our team as a Clinical Utilization Review Specialist. In this role, you will play a crucial part in ensuring compliance with utilization management (UM) and...

About the Job:We are seeking a highly skilled Utilization Review Nurse to join our team at US Tech Solutions. As a key member of our organization, you will be responsible for reviewing documentation and evaluating Potential Quality of Care issues based on clinical policies and benefit determinations. You will work closely with internal/external clinicians to...

Your Opportunity:US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. As a Nurse Utilization Reviewer - Clinical Policy, you will be responsible for reviewing documentation and interpreting data obtained from clinical records or systems to apply appropriate clinical criteria and...

We are seeking a skilled Registered Nurse with experience in utilization review to join our team at Walker HealthForce. As a local contract nurse RN, you will be responsible for reviewing patient cases and ensuring that medical treatments are necessary and effective.About the JobThis is a 52-week contract position with 40 hours of work per week. The shift...

Job OverviewIncredible Health is seeking a skilled Healthcare Utilization Review Professional to join their team in the Chicago, IL area.CompensationThe estimated annual salary for this position ranges from $61,300 to $100,980.Job ResponsibilitiesUtilize clinical knowledge and skills to review patient cases and determine medical necessity.Collaborate with...

Nurse Liaison I UM & QR Contract to hire, $41/hour, 5 days onsite in Chicago or Naperville. BASIC FUNCTION: This position is responsible for ensuring compliance with the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating. Evaluates the need for, designs, and implements educational seminars for...

Anticipated End Date: 2024-12-19 Position Title: Nurse Reviewer Job Description: Be Part of an Extraordinary Team Title: Nurse Reviewer Location: FULLY REMOTE; candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location in Illinois. Shift: Monday - Friday, 9:30-6:00pm CST Build the Possibilities. Make an...

Anticipated End Date: 2025-01-04 Position Title: Nurse Reviewer I Job Description: A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains,...

Job Overview:Elevance Health is seeking a skilled Nurse Reviewer to join our team. As a key member of our healthcare team, you will play a vital role in conducting preauthorization reviews for diagnostic imaging services.Key Responsibilities:Collaborate with healthcare providers and members to ensure the most appropriate use of diagnostic imaging...

Job SummaryWelcome to Guidehealth, a data-powered healthcare company dedicated to operational excellence. We are seeking an experienced Registered Nurse with a passion for utilization review and patient care. As a Nurse Utilization Specialist, you will play a vital role in ensuring that our clients receive high-quality, cost-effective care while maintaining...

Clinical Review Nurse Job DescriptionWe are seeking a highly skilled Clinical Review Nurse to join our team in the Insurance industry in Chicago, Illinois.Job SummaryThis role involves reviewing patient charts to ensure compliance with standards of care. The ideal candidate will have experience with medical record review and be able to apply structured...

Anticipated End Date: 2025-01-04 Position Title: Nurse Reviewer I Job Description: A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains,...

A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. Nurse Reviewer I Location: Although this...

Salary and BenefitsThe estimated salary for this position is $114,000 per year, paid bi-weekly. In addition to a competitive compensation package, we offer comprehensive Medical, Dental, and Vision plans to keep you covered. We also provide Life and Disability insurance for your peace of mind and an Employee Assistance Program (EAP) to support you through...

This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal policies and procedures. Regardles Management, Physician, Patient Services, Clinical, Healthcare

Ascension Illinois offers a competitive salary for this Physician Advisor role, with an estimated annual compensation of $250,000 to $300,000, depending on experience and qualifications. This position is based in Chicago, IL, and requires a hybrid schedule with both on-site and remote work.About the RoleThis Physician Advisor position provides medical...