Healthcare Clinical Reviewer

4 days ago


Rockford, Illinois, United States Hines and Associates Full time

**Job Title:** Clinical Utilization Review Specialist

Job Description:

This Clinical Utilization Review Specialist role involves utilizing clinical knowledge and communication skills to obtain patient-specific information regarding patient condition and proposed treatments and procedures.

Responsibilities and Performance Metrics:

  1. Complete first-level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review.
  2. Demonstrate ability to assess a patient's current medical status, including complications and untoward events, which may require additional intervention.
  3. Provide certification of medical, disability, and workers' compensation cases.

Requirements and Qualifications:

  • Licensed Practical Nurse with a valid, unrestricted, current nursing license in the state or territory of the United States where employed.
  • Successful completion of UR nurse orientation program.
  • Minimum of 3 years recent acute clinical practice required; 5 years preferred.

Benefits Package:

  • We offer a competitive salary of $68,000 - $82,000 per year, based on experience.
  • A comprehensive benefits package, including medical, dental, vision, long-term care, short-term disability, long-term disability, and company-paid life insurance.
  • A 401(k) plan with a company match, fully vested after 1 year.


  • Rockford, Illinois, United States Hines and Associates Full time

    **About Us:** Hines and Associates is a nationwide, independent leader in personalized managed health care, focused on delivering exceptional services with unparalleled program excellence and cost containment. Our reputation as an industry leader is founded on over three decades of innovative and professional health care expertise. We serve all aspects of...


  • Rockford, Illinois, United States Hines and Associates Full time

    **Company Overview:**Hines and Associates is a nationwide, independent leader in personalized managed health care. We are committed to conserving health care dollars while ensuring quality care through effective programs and personalized service.About Our Benefits:We offer a competitive salary of $68,000 - $82,000 per year, based on experience.A...


  • Rockford, Illinois, United States Hines & Associates Inc Full time

    Job OverviewHines & Associates Inc is a nationwide leader in personalized managed health care, focusing on comprehensive services with program excellence and cost containment. We are seeking a skilled Utilization Review Clinical Nurse Specialist to join our team.Compensation and BenefitsThe salary for this position is estimated at $85,000 - $110,000 per...


  • Rockford, Illinois, United States Hines & Associates Inc Full time

    About Us:Hines & Associates Inc. is a nationwide leader in personalized managed health care.We offer competitive salaries, benefits and a remote/hybrid work setting for our team members.Job Description:As a Clinical Utilization Review Specialist LPN, you will utilize your clinical knowledge and communication skills to obtain patient information and determine...


  • Rockford, Illinois, United States OSF Healthcare Full time

    Job SummaryThe OSF Healthcare team is seeking a dedicated and compassionate Registered Nurse to join our Clinic Float Pool. As a key member of our healthcare team, you will have the opportunity to make a positive impact on the lives of our patients and families. Salary InformationThe estimated annual salary for this position is $59,408 - $88,569 based on a...


  • Rockford, Illinois, United States OSF HealthCare Full time

    About OSF HealthCareAt OSF HealthCare, we're dedicated to delivering exceptional patient care and improving the health of our communities.We're seeking a highly skilled Registered Nurse to join our team in the Clinical Decision Unit. This is an exciting opportunity to work in a dynamic environment where you'll have the chance to make a meaningful impact on...


  • Rockford, Illinois, United States OSF Healthcare Full time

    About the RoleThe Patient Care Technician/Certified Nursing Assistant provides essential support to patients, ensuring their safety and comfort throughout their stay. This involves taking vital signs, assisting with daily activities, collecting specimens, and monitoring patients for any changes in their physical or emotional...


  • Rockford, Illinois, United States Hines & Associates Inc Full time

    We are seeking a skilled Medical Utilization Review Professional to join our team at Hines & Associates Inc.About UsHines & Associates Inc is a nationwide, independent leader in personalized managed health care. Our reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. We serve all aspects of...


  • Rockford, Illinois, United States Hines & Associates Inc Full time

    We are seeking a skilled and detail-oriented Healthcare Certification Coordinator to join our team at Hines & Associates Inc. In this role, you will play a crucial part in the certification process by acquiring non-clinical and structured clinical data, reviewing service requirements, and maintaining files.As a key member of our team, your responsibilities...


  • Rockford, Illinois, United States beBee Professionals Full time $60,000 - $80,000

    In our healthcare network, beBee Professionals is seeking a skilled Clinical Traveler to provide exceptional patient care across various facilities in Rockford, United States.Job OverviewThis position offers the flexibility to travel and work in different hospitals while delivering top-notch patient care.Key Responsibilities:Deliver direct patient care,...


  • Rockford, Illinois, United States Mercy Health Full time

    We are seeking a highly skilled Clinical Healthcare Specialist - Neurosurgery to join our team at Mercyhealth in Rockford, IL. Job Summary:This role will involve providing high-quality healthcare services to patients in the clinic and hospital setting under the supervision of neurosurgeons. The ideal candidate will have strong clinical skills, excellent...


  • Rockford, Illinois, United States Planet Healthcare Full time

    We are seeking a highly skilled Respiratory Therapist to join our team as a travel professional. This is a 12-week assignment in Rockford, Illinois, with the possibility of extension.About Planet HealthcarePlanet Healthcare is a global leader in clinical staffing. We pride ourselves on a consultative approach and help create the right opportunity for each...


  • Rockford, Illinois, United States Planet Healthcare Full time

    Job Opportunity: We are seeking a skilled Travel Healthcare Professional to join our team at Planet Healthcare. This role involves providing high-quality patient care in an Orthopedics setting as a Registered Nurse (RN).The ideal candidate will have experience working in travel nursing and be comfortable with 12-hour night shifts. Our client is looking for...


  • Rockford, Illinois, United States Planet Healthcare Full time

    Job OpportunityWe are seeking a skilled Travel Cath Lab Technologist to join our team in Rockford, Illinois.About the RoleThis is a 12-week travel assignment with a start date of December 2024.The candidate will work 40 hours per week, with shifts ranging from 10 hours, days.The employment type is travel, and the pay package is based on 10 hour shifts and 40...


  • Rockford, Illinois, United States OSF HealthCare Full time

    **Clinical Nursing Educator RoleOSF HealthCare seeks an accomplished nursing educator to fill the Clinical Nursing Educator Role. As a member of our team, you will have the opportunity to shape the future of nursing education.Estimated Salary: The annual salary range for this position is approximately $77,600 - $113,100.About the Position:In this role, you...


  • Rockford, Illinois, United States Host Healthcare Full time

    Job OverviewHost Healthcare, a leading travel healthcare company, seeks an experienced Registered Nurse (RN) for a 13-week assignment in Rockford, Illinois. This role offers the opportunity to work in a dynamic and rewarding environment while exploring new locations.As a valued member of our team, you will have access to comprehensive benefits, including Day...


  • Rockford, Illinois, United States Planet Healthcare Full time

    **About Planet Healthcare**At Planet Healthcare, we pride ourselves on taking a candidate-first approach to clinical staffing. Our consultative method helps us create the right opportunity at the right time for each healthcare professional.We understand the market demands and trends within your specialty, which is why our recruitment engine is driven by...

  • MRI Technologist

    4 weeks ago


    Rockford, Illinois, United States Planet Healthcare Full time

    Planet Healthcare is seeking a travel MRI Technologist to fill a position in Rockford, Illinois.Job DetailsSpecialty: MRI TechnologistDiscipline: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelThe pay package is based on 8 hour shifts and 40 hours per week, with a tax-free stipend amount to be...


  • Rockford, Illinois, United States Go Healthcare Full time

    Are you a dedicated and compassionate Clinical Care Specialist looking to make a difference in the lives of patients? Go Healthcare is seeking an experienced Respiratory Therapist to join their team on a travel assignment in Illinois. About the RoleWe are seeking a skilled Respiratory Therapist to work with our team, providing high-quality patient care and...


  • Rockford, Illinois, United States Planet Healthcare Full time

    About the Job:We are seeking a dedicated and skilled Travel Nurse RN to join our team at Planet Healthcare.Job Summary:This is a 12-week travel nursing opportunity for a Registered Nurse (RN) specializing in Neurology. The successful candidate will work 36 hours per week, with 12-hour shifts, and provide exceptional patient care in a dynamic and supportive...