utilization review jobs in Chicago

UI Health - Healthcare Utilization Review Coordinator IIHiring Department: Continuum of CareLocation:  Chicago, IL USARequisition ID: FTE: 0.2 Work Schedule: week days and weekends Shift: Days # of Positions: 2This position requires Illinois residency within 180 days of the hire date.Pay Range: The previously determined range for this position was $42.12-...

UI Health - Extra Help Healthcare Utilization Review Coordinator IIHiring Department: Continuum of CareLocation:  Chicago, IL USARequisition ID: Salary: The previously determined salary range for this position is $62.81-$68.38.  About the University of Illinois ChicagoUIC is among the nation’s preeminent urban public research universities, a Carnegie...

Actalent is seeking a remote Utilization Review Registered Nurse to perform concurrent reviews, validate medical necessity, and ensure appropriate care settings. You will partner with providers and internal teams to support decisions and discharge planning while documenting findings for quality improvement.The role requires an active RN license (compact...

Sr. Consultant - Invoice Review At Epiq, your work contributes to complex, global legal outcomes. You'll join a values-driven community where integrity guides decisions, relentless service sets the bar, and we thrive on big challenges together. We invest in your growth with enterprise-wide learning and mobility. We celebrate who you are, and we respect life...

Utility Scale Development DirectorRWE Americas, LLCTo start as soon as possible, full time, permanentFunctional area: Project DevelopmentRemuneration: ExemptThe Development Director, Utility-Scale Development - Central Region at RWE Americas is a senior individual contributor responsible for initiating, developing, and acquiring utility-scale solar, wind,...

Hmong Chinese Language Document Reviewer  Employment Type: Full Time, Mid-Level Department: Legal As a CGS Hmong Chinese Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio including eDiscovery activities, workflow management, and litigation support. CGS is seeking an experienced Hmong Chinese...

Utility Scale Development DirectorRWE Americas, LLCTo start as soon as possible, full time, permanentFunctional area: Project DevelopmentRemuneration: ExemptThe Development Director, Utility-Scale Development - Central Region at RWE Americas is a senior individual contributor responsible for initiating, developing, and acquiring utility-scale solar, wind,...

A healthcare organization in Chicago seeks a full-time registered nurse to oversee patient transfers and ensure communication among various stakeholders. The role involves evaluating admissions, documenting patient data in Cerner, and facilitating timely resolutions regarding transfers. Candidates must be registered nurses with strong organizational and...

Supplier Consultant You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. The Supplier Consultant is accountable for the...

University of Illinois Chicago seeks a Director for the Clinical Review Team within the Medicaid Advisory Unit to lead strategy, policy interpretation, and operational excellence in statewide Medicaid programs. This senior role partners with health services leadership and state agencies to drive high-impact clinical review initiatives and utilization...

Director, Clinical Review Team - Medicaid Advisory Unit (MAU) Chicago, IL, United States 1041619 Posted on: 9/23/2026 - Application Deadline: 10/9/2026 Hiring Department: Department of Medicine Location: Chicago Requisition ID: 1041619 Posting Close Date: 10/09/2026 Salary: The budgeted salary range for theposition is $129,000 to $141,000.00. About the...

Director, Clinical Review Team - Medicaid Advisory Unit (MAU) Chicago, IL, United States 1041619 Posted on: 9/23/2026 - Application Deadline: 10/9/2026 Hiring Department: Department of Medicine Location: Chicago Requisition ID: 1041619 Posting Close Date: 10/09/2026 Salary: The budgeted salary range for theposition is $129,000 to $141,000.00. About the...

DescriptionSummary: Huntington’s Commercial Portfolio Manager -Power & Utilities will co-manage a growing $4.5 billion book of business in the bank’s Power & Utilities vertical within Huntington’s Corporate Specialty and Government Banking group. In conjunction with Relationship Management and other internal partners, the Director, Portfolio Management...

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely post-discharge follow-ups with completed assessments to help prevent acute care readmissions.In this role, you will also review requests...

Aramco energizes the world economy. Aramco occupies a special position in the global energy industry. We are one of the world’s largest producers of hydrocarbon energy and chemicals, with among the lowest Upstream carbon intensities of any major producer. With our significant investment in technology and infrastructure, we strive to maximize the value of...

Civil Engineer (Drainage & Utilities)Position OverviewWe are seeking a motivated Civil Engineer to design, manage, and deliver civil infrastructure projects with a focus on drainage, water and underground utilities. The role combines technical design using MicroStation and AutoCAD with project management, stakeholder coordination, and on-site oversight to...

Legal Compliance Transformation Consultant - Senior Associate The OpportunityAs a Legal Compliance Transformation Consultant - Senior Associate, you will engage with clients to offer comprehensive legal solutions and advice, maintaining compliance with regulations and minimizing legal risks. Your role within our Risk & Regulatory practice will focus on...

Clarity Clinic, PLLC in Chicago, Illinois, seeks an Utilization Review Clinician to own the clinical utilization review function, including prior authorization, concurrent and continued stay reviews, peer to peer reviews, and first level appeals across all lines of care. This licensed, non-treating role requires applying payor criteria to the treating record...

About AbbVie AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our...

Vice President of Bill Review Operations About the Company Innovative healthcare solutions provider specializing in insurance services Industry Insurance Type Privately Held Founded 2004 Employees 501-1000 Categories Insurance Specialties bill review out-of-network repricing primary ppo and alternative repricing administration edi and...