- Cognizant (Springfield, IL)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- US Tech Solutions (Chicago, IL)
- …Do you have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global ... and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + Considers all documented...+ 3+ years of experience as an RN + Registered Nurse in state of residence +… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- CVS Health (Springfield, IL)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Springfield, IL)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient… more
- Fresenius Medical Center (Decatur, IL)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Fresenius Medical Center (Chicago, IL)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …and other formats to build nursing knowledge. Responsibilities The function of the Registered Nurse Evidence Base Practice Coordinator (EBPC) is to serve as ... the context for problem identification, and action by the utilization of EBP. (a) Leading and organizing delivery of...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Trinity Health (Silvis, IL)
- …As One! (http://www.genesishealth.com/) Join the MercyOne Family! We are looking to hire a Registered Nurse ! A dedicated Charge Nurse is a registered ... Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits....+ Bachelor of Science in Nursing (BSN) preferred + Registered Nurse in Illinois, Registered … more
- Veterans Affairs, Veterans Health Administration (Scott AFB, IL)
- Summary The Registered Home Based Primary Care (HBPC) Nurse in Specialty Care is located at the VA Clinic Scott AFB Illinois. The HBPC RN is responsible and ... the ANA Standards of Nursing Practice. 2. Applies advanced clinical knowledge/judgment to lead staff involvement in planning, decision-making,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more