- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- AdventHealth (Hinsdale, IL)
- …safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the ... medical necessity are core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum,… more
- Fresenius Medical Center (Zion, IL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… 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 operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- AdventHealth (Glendale Heights, IL)
- …+ EKG (based on patient population; see document EKG and Advanced Life Support Requirements) + Registered Nurse ( RN ) Required + Basic Life Support - CPR Cert ... AVE, Glendale Heights, 60139 **The role you'll contribute:** The Registered Professional Nurse ( RN ) is...NURSE (as applicable): Under the supervision of a manager , assumes authority of the daily operations of the… more
- CVS Health (IL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Prime Healthcare (Evanston, IL)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/227652/ registered - nurse - manager ... Francis Hospital * Location:Evanston, IL 60201 The Cardiac Catheterization Nurse Manager is responsible for the clinical,...have a current and valid state license as a Registered Nurse . 2. BLS upon hire and… more
- Select Medical (Chicago, IL)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
- CenterWell (Buffalo Grove, IL)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... on-site at our Buffalo Grove, IL branch location.** The ** RN Clinical Manager ** coordinates and oversees all...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Blessing Hospital (Quincy, IL)
- …+ 24/7 Wellness Center access + Educational assistance opportunities JOB SUMMARY The Registered Nurse C3 acts as principal liaison between emergency services, ... thinking. + Previous experience with coordination of care and care management . License/Certifications/Special Requirements: + Possesses current State RN license.… more
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