• Utilization Review Specialist

    Blessing Hospital (Quincy, IL)
    …patient throughput and length of stay performance of the organization. The Utilization Review RN exhibits excellence in organizational skills when managing ... ON RELEVANT EXPERIENCE COMPETITIVE BENEFITS Click here (https://www.blessinghealth.org/sites/default/files/users/user15/HR\_2023\_Total\_Rewards\_Guide.pdf) to review our complete Total Rewards Guide. + 403b +… more
    Blessing Hospital (08/16/25)
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  • Clinical Consulting Specialist , Psych RN…

    Rush University Medical Center (Chicago, IL)
    …may vary depending on the circumstances of each case. **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of ... best practices, policies, strategic goals and RUSHICARE values. The Clinical Consulting Specialist role is a member of the nursing leadership team and demonstrates… more
    Rush University Medical Center (07/22/25)
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  • Clinical Documentation Specialist RN

    Trinity Health (Maywood, IL)
    …through a thorough understanding of Milliman and InterQual criteria, conducts concurrent utilization review . Interacts with insurers, third party payors, and ... Day Shift **Description:** **Great opportunity for a Clinical Documentation Specialist RN to work in an organization that focuses...a lasting impact. Full Time - 8-5pm (days), Registered Nurse (RN) and 3 - 5 years of experience… more
    Trinity Health (07/23/25)
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  • Clinical Nurse Leader RN, Emergency…

    Rush University Medical Center (Chicago, IL)
    …The CNL provides insight regarding the microsystem for collaboration with the Clinical Nurse Specialist (CNS) on macrosystem processes and outcomes. The CNL and ... may vary depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and managing care… more
    Rush University Medical Center (08/22/25)
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  • Registered Nurse RN Care Manager

    AdventHealth (Hinsdale, IL)
    …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes… more
    AdventHealth (08/07/25)
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  • Senior On-Site Care Manager (RN)

    Centene Corporation (Chicago, IL)
    … (RN) with active Illinois license** . **Experience in case management and/or utilization review ** . **Previous work in an inpatient hospital environment is ... **Are you a passionate RN with a strong background in case management or utilization management within an inpatient setting? Join our dedicated team at our Illinois… more
    Centene Corporation (08/23/25)
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