Nurse Liaison I UM Specialist

Job SummaryWe are seeking a highly skilled Nurse Liaison I UM to join our team at w3r Consulting. This role is responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in our networks.Key ResponsibilitiesReviews and evaluates UM/QR plans for prospective and existing...

Job DescriptionWork Location: 300 E. Randolph Street, Chicago, IL 60601 (on-site)Contract for 1 year - Contract-to-hireBASIC FUNCTION:This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of BCBSIL's HMOs. Evaluates the need...

Job SummaryThis position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of Client's HMOs. The ideal candidate will have a strong background in clinical knowledge, utilization review, quality assurance, and statistical research.Key...

Job SummaryThis position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of Integrated Resources HMOs. The ideal candidate will have a strong clinical background and experience in utilization review, quality assurance, or statistical...

Job SummaryWe are seeking a skilled Healthcare Liaison Specialist to join our team at PSG Global Solutions Careers. As a key member of our team, you will be responsible for reviewing and evaluating Utilization Management (UM) and Quality Review (QR) plans for prospective and existing Medical Groups/IPAs in our HMO networks.Key Responsibilities:Review and...

Job Summary: We are seeking a skilled Nurse Liaison to ensure compliance of Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in our networks.Main Responsibilities:UM/QR Plan Reviews: Evaluate UM/QR plans for prospective and existing Medical Groups/IPAs, prepare reports, and communicate...

Job SummaryWe are seeking a highly skilled Clinical Utilization Management Specialist to join our team at Mindlance. In this role, you will be responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in our networks.As a Clinical Utilization Management Specialist,...

Job DescriptionJob Title: Clinical Utilization SpecialistLocation: OnsitePay rate: $41.00/hrDuration: Contract PositionBASIC FUNCTION:This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of BCBSIL's HMOs. Evaluates the need...

OR RN Job Opportunity in ChicagoWe are seeking a qualified Operating Room Registered Nurse to join our team in Chicago. This 13-week assignment offers a competitive pay rate of $2,921 per week.About the Position:Location: ChicagoShift Details: 8H Evenings (2:30 PM-11:00 PM)Length: 13 weeksAbout Triage Staffing:Triage Staffing is a healthcare staffing agency...

Job SummaryThe Clinical Liaison Specialist will serve as a liaison between managed care organizations and our facility's professional clinical staff. This role requires strong communication and coordination skills to ensure seamless interactions between parties.Key Responsibilities• Conduct reviews of insurance plans and MCOs to ensure compliance with...

Account Specialist I Job DescriptionAon is seeking a highly skilled Account Specialist I to join our team. As an Account Specialist I, you will be responsible for assisting Account Executives and Associate Account Executives on assigned accounts, managing key processes that serve clients, and undertaking client-facing and internal activities related to these...

Are you a skilled Cardiology Intensive Care Registered Nurse looking for a travel nursing opportunity that offers a great work-life balance and competitive pay? Look no further! Travel Nurse Source is working in partnership with Triage Staffing to find a qualified Cardiology Intensive Care Registered Nurse to join their team in Chicago, Illinois.Job...

Job Summary:This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks. The ideal candidate will have a strong clinical background, excellent analytical and communication skills, and the ability to work effectively in a team...

Job Title: Staff Nurse I - Endocrinology SpecialistWe are seeking a highly skilled and compassionate Staff Nurse I to join our Endocrinology team at the University of Illinois Hospital and Health Sciences System. As a Staff Nurse I, you will be responsible for providing high-quality patient care to individuals with endocrine disorders.Key...

Job SummaryThis position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of BCBSIL?s HMOs. The ideal candidate will have a strong clinical background and experience in utilization review, quality assurance, or statistical...

Job SummaryWe are seeking a highly skilled Clinical Liaison to join our team at Mary Free Bed Rehabilitation Hospital. As a Clinical Liaison, you will play a critical role in developing relationships with organizations and individuals that may refer patients to our rehabilitation hospital.Key ResponsibilitiesDevelop strong relationships with discharge...

Job Title: Pediatric Nurse LiaisonAt The University of Chicago Medicine, we are seeking a highly skilled and compassionate Pediatric Nurse Liaison to join our team. As a key member of our healthcare team, you will play a vital role in ensuring seamless patient care and experiences across our network.Key Responsibilities: Act as a liaison for pediatric...

Job SummaryWe are seeking a skilled Clinical Liaison to join our team at Select Medical. As a Clinical Liaison, you will play a critical role in identifying and transitioning patients into the next level of care, working closely with hospital case managers and physicians to ensure seamless patient transfers.Key ResponsibilitiesWork with hospital case...

Job SummaryClinical Liaisons play a vital role in ensuring seamless patient transitions between hospitals and rehabilitation facilities. As a Clinical Liaison, you will work closely with hospital case managers and physicians to identify patients in need of specialized care and facilitate their transfer to our facilities.Key ResponsibilitiesCollaborate with...

Travel Nurse Source is partnering with Trustaff to find a skilled Nurse Anesthetist Specialist for a dynamic opportunity in Chicago, Illinois.**About the Position**As a Nurse Anesthetist Specialist, you will provide high-quality patient care in a fast-paced post-anesthesia care unit (PACU) setting. Your expertise will be essential in monitoring patients'...