- 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
- CVS Health (Springfield, IL)
- …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team.… more
- Fresenius Medical Center (Cicero, 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)
- Summary The Registered Nurse - Informaticist will support physicians with EHR Modernization (EHRM), and will demonstrate proficiency in core Informatics functions ... Department at the Edward Hines, Jr. VA Hospital. Responsibilities The lnformaticist Registered Nurse (RN) exercises leadership in the assessment, planning,… 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 (North Chicago, IL)
- …The Captain James A. Lovell Federal Health Care Center (FHCC) is seeking a Registered Nurse (RN), Bed Transfer Coordinator for Nursing Services. This position is ... toward a common goal: to serve our nation's Veterans. The Bed Transfer Coordinator Registered Nurse (RN) is responsible and accountable for all elements of the… more
- Fresenius Medical Center (Spring Valley, IL)
- **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) ... from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. + Performs ongoing, systematic collection and analysis of patient data… more
- CVS Health (IL)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more