Clinical Utilization Review Specialist

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 DescriptionThe Utilization Management Specialist is a critical role at w3r Consulting, responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in our networks. This position requires a Registered Nurse (RN) with 3 years of clinical experience, including 2 years...

Northwestern Memorial Healthcare offers a rewarding career opportunity for a Clinical Utilization Management Specialist to join our team. This role is responsible for leading the Quality Utilization Specialist (QU) team in the Emergency Department, providing expert guidance on utilization management and level of care guidelines.About the RoleWe are seeking...

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...

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...

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...

Job Title: Orthopedic Physician Review SpecialistDescriptionAre you a Board Certified Orthopedic Surgeon seeking a flexible and experienced telecommute opportunity? We are seeking accomplished physicians for our medical review division, providing the ability to customize your schedule and caseload within a Monday - Friday work week.Reviews health claims...

Job Description:This position plays a vital role in ensuring compliance of Utilization Management and Quality Review functions within w3r Consulting's HMO networks. The successful candidate will be responsible for evaluating educational needs, assisting in benefit determinations, and providing support on transplant requests and benefit terminations.Key...

Rush University Medical Center is seeking a skilled Clinical Care Specialist to provide high-quality patient care as part of our Primary Care team in the Rush Primary Virtual First Clinic. Work collaboratively with our healthcare team to deliver exceptional patient care and outcomesUtilize cutting-edge technology to enhance staff workflow and provide...

Job OverviewAvinger, Inc is seeking a highly skilled Clinical Specialist to drive the utilization of Lumivascular therapy in various territories.

R1 RCM Inc. is a leading provider of innovative technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. Our team combines deep expertise with an advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.As a...

About the Role:We are seeking a skilled Clinical Application Support Specialist to join our team at Medix Technology. This is an exciting opportunity for a motivated and experienced professional to provide clinical application configuration support, system upgrades, and maintenance.Responsibilities:Analyze and review requests for current and new clinical...

About the RoleThe Clinical Support Specialist provides direct patient care in a clinical setting, working under the direction of registered nurses to ensure safe and appropriate patient care. This role involves performing phlebotomy and EKGs, utilizing the hospital information system to order diagnostic tests and therapies, and obtaining patient information...

Job Title: Clinical Specialist - Reproductive EndocrinologyCompany OverviewNorthwestern Memorial Healthcare is a renowned healthcare organization dedicated to providing exceptional patient care. With a commitment to excellence, we strive to deliver innovative treatments and cutting-edge technologies.Estimated Salary$85,000 - $110,000 per year, depending on...

A challenging opportunity has arisen for a skilled Medical Laboratory Specialist to join the team at Clinical Magnet. As a key member of our team, you will be responsible for performing and evaluating diagnostic procedures, working closely with other scientists to provide accurate results.Key Responsibilities:Apply principles and techniques of medical...

About the RoleWe are seeking a skilled Healthcare Compliance Specialist to join our team at Integrated Resources, Inc. 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.Key ResponsibilitiesEvaluate UM/QR plans for...

At Decypher, we are committed to delivering innovative solutions and services to our clients. As a leading integrator of professional, technology, and management solutions, we strive to provide exceptional results through collaboration and dedication.Estimated Salary: $85,000 - $110,000 per yearWe are currently seeking a Healthcare Utilization Specialist -...

Insight Hospital and Medical Center in Chicago, IL is seeking a highly skilled Regulatory Compliance Specialist to join our clinical research division. With a rapidly growing non-profit organization, we require an experienced professional who can spearhead operations in a fast-paced environment while representing our core values. Job Summary: Our Regulatory...

Job SummaryInpatient Clinical Care Specialist with Humboldt Park Health provides comprehensive primary care for patients admitted to the hospitalist service. The ideal candidate will have a strong background in adult internal medicine and experience working with multidisciplinary teams.About UsHumboldt Park Health is committed to delivering high-quality...

Job Title: Clinical Nursing SpecialistWe are seeking a highly skilled and dedicated Clinical Nursing Specialist to join our team at the University of Chicago Medicine.