utilization nurse jobs in Chicago

Utilization Management Nurse ConsultantWe're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do....

Utilization Management Nurse ConsultantWe're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do....

Utilization Management Nurse ConsultantWe're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do....

Norwegian American Hospital seeks a Utilization Management and Population Health Nurse to review inpatient services, coordinate outreach, and develop patient care plans in collaboration with primary care physicians and the care team. The role emphasizes applying clinical criteria, monitoring outcomes, and guiding patients through self-management with...

The University of Illinois Chicago in Chicago, IL is seeking a Health Care Utilization Review Coordinator (HURC) to coordinate patient services across the continuum using Relationship-Based Care. You will support care teams, manage utilization and discharge planning, and help referrals across levels of care. This role requires a nursing degree and an...

**Your future role at a glance** + **Location:** Chicago, IL + **Facility:** Ascension Saint Joseph Hospital + **Department:** Behavioral Health Hospital Administration + **Schedule:** Day shift | PRN **How you'll make an impact in this role** + Manage payer denials and appeals by reviewing technical denials, determining appeal eligibility, preparing...

Utilization Management and Population Health Nurse Job Category : Leadership Requisition Number : UTILI004091 Posted : July 14, 2026 Full-Time Locations Showing 1 location Chicago, IL 60622, USA Description Utilization case review and application of criteria to approve initial and continued inpatient services Identify patients in need of outreach efforts...

Case Manager/Utilization ReviewLoretto Hospital is a safety-net hospital that serves more than 33,000 patients each year from Chicago's Austin and surrounding communities. Established in 1923 as a not-for-profit community-focused healthcare provider, Loretto offers its community a unique patient-centered healthcare delivery system that promotes general...

Utilization Management Coordinator, Inpatient Job Summary: The Utilization Management Coordinator, Inpatient (UMC) serves an important role in supporting Cook County Health (CCH) goals of efficient, effective, patient-centric care. Using the electronic medical record (EMR) and consulting with the treatment team, the UMC determines if the patient is in the...

Medical DirectorAt Quantum Health, the leader in healthcare navigation, we are privileged and humbled to serve an amazing group of clients and members. As our relationships flourish and our business expands, we find ourselves in the fortunate position of adding a Medical Director to our incredible team. This physician will possess relevant experience within...

SUMMARYThe Case Manager/Utilization Review assumes responsibility for assessing and directing the clinical management of patients in specific case groups for an episode of care. The CM/UR is responsible for developing and meeting desired patient care outcomes for his/her caseload based on assessment of patient care needs and on established clinical care...

UIC in Chicago seeks a Health Care Utilization Review Coordinator (HURC) to coordinate patient services across the continuum using Relationship-Based Care. You will join an interdisciplinary team and help optimize discharge planning, utilization management, and referrals to the appropriate level of care. The role requires a BSN, an active Illinois Registered...

Chicago, IL, United States Posted on: 9/24/2026 - Application Deadline: 10/8/2026 Hiring Department : Continuum of Care Location : Chicago, IL USA Requisition ID : 1042977 FTE : 0.2 Work Schedule : week days and weekends Shift : Days # of Positions : 2 This position requires Illinois residency within 180 days of the hire date. Pay Range: The...

Utilization Review / Case Manager (RN)Chicago, Illinois Reports To: Clinical Director, Behavioral Health Services Term: Permanent, Full-timeThe Utilization Review/Case Manager facilitates appropriate use of hospital resources by ensuring that patients meet acute inpatient criteria and anticipates discharge needs in a timely manner. The role acts as a central...

Chicago, IL, United States Posted on: 9/24/2026 - Application Deadline: 10/8/2026 Hiring Department : Continuum of Care Location : Chicago, IL USA Requisition ID : 1042977 FTE : 0.2 Work Schedule : week days and weekends Shift : Days # of Positions : 2 This position requires Illinois residency within 180 days of the hire date. Pay Range: The...

UI Health - Healthcare Utilization Review Coordinator IIHiring Department: Continuum of Care Location: Chicago, IL USA Requisition ID: 1042977 FTE: 0.2 Work Schedule: week days and weekends Shift: Days # of Positions: 2 This position requires Illinois residency within 180 days of the hire date.Pay Range: The previously determined range for this position was...

Remote position, however, candidates must reside in the State of TX or State of IL   This position is a contract for about 9 months.   Pay:  $41/hour   RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For...

Chicago, IL, United States Hiring Department : Continuum of Care Location : Chicago, IL USA Requisition ID : 1042514 Salary: The previously determined salary range for this position is $62.81-$68.38. About the University of Illinois Chicago UIC is among the nation’s preeminent urban public research universities, a Carnegie RU/VH research institution, and...

UI Health - Extra Help Healthcare Utilization Review Coordinator IIHiring Department: Continuum of Care Location: Chicago, IL USA Requisition ID: 1042514 Salary: The previously determined salary range for this position is $62.81-$68.38. About the University of Illinois Chicago UIC is among the nation's preeminent urban public research universities, a...

Job Description Job Description Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by...