- Cognizant (Springfield, IL)
- …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...by performing advanced level work related to clinical denial management and managing clinical denials from Providers… more
- Datavant (Springfield, IL)
- …Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. ... by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing… more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Manager, Revenue Integrity RN will use collaboration, assessments, training skills, and clinical knowledge to ... and educates clinical departments about charging while promoting revenue integrity. This nurse manager exemplifies the Rush mission, vision and values and acts in… more
- Carle Health (Urbana, IL)
- …assists the team for timely planning and collaboration. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) - Illinois Department of ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during...swing bed patients, maintain the work ques, and address denials . RMH: make follow up appointments with primary care… more
- Carle Health (Champaign, IL)
- …Administrator (RHIA) - American Health Information Management Association (AHIMA); Licensed Registered Professional Nurse ( RN ) - Illinois Department of ... nurses, ancillary staff, and the coders in Health Information Management to identify and record principal and secondary diagnoses,...peers and providers we needed or requested. Reviews DRG denials and provides information to the denials … more
- Huron Consulting Group (Chicago, IL)
- …you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and directing implementation of the ... Utilization Review Plan and the overall operation of the Utilization Management Department in accordance with federal, state and local guidelines, regulatory… more
- AdventHealth (Hinsdale, IL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care ... The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital… more
- Ascension Health (Schaumburg, IL)
- …Join an experienced and well-respected Geriatric Medicine Team of Physicians and Nurse Practitioners in the Northwest Suburbs of Chicago + **EMR System:** Athena ... day on average in clinic + 60/40 clinic nursing homes/assisted living + MA and RN support in clinic + Monday-Friday 8:00-5:00pm clinic hours + 1 Saturday per month… more