- Carle Health (Urbana, IL)
- … issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of care document ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for… more
- Carle Health (Peoria, IL)
- …Heart Association (AHA)American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation ... for coordination of the surgical schedule to assure the most efficient utilization of the operating rooms. Monitor case progression to identify potential schedule… more
- Carle Health (Urbana, IL)
- Overview The staff Registered Nurse (RN) is a professional caregiver who assumes responsibility for a group of patients for a designated time frame and provides care ... to these patients via the utilization of the nursing process, nursing trends, technology, financial and human resources within the philosophy of the institution.… more
- Carle Health (Urbana, IL)
- Overview The staff Registered Nurse (RN) is a professional caregiver who assumes responsibility for a group of patients for a designated time frame and provides care ... to these patients via the utilization of the nursing process, nursing trends, technology, financial and human resources within the philosophy of the institution.… more
- Carle Health (Champaign, IL)
- …Or Master's Degree Social Work Licenses/Certifications Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation ... clinical processes. Strong human relations, influencer, leadership, teamwork, process management , interpersonal, and communication skills. Ability to facilitate diverse… more
- Unknown (Chicago, IL)
- Vice President of Sales, Strategic Accounts About the Company Tech-enabled utilization management company specializing in expert clinical reviews Industry ... health pharmacy and workers compensation claims. state and federal level external review nurse review and precert medical director review About the Role The Company… more
- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** The ** Utilization Management Clinical Nurse Consultant** utilizes clinical skills to ... Arizona Time Zone. **Preferred Qualifications** : + Previous experience with utilization management . + Previous clinical experience in Emergency Department,… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …and proper utilization of resources and care coordination. Responsibilities The Utilization Management (UM) Consultant Registered Nurse (RN) demonstrates ... Summary The Hines VA Utilization Management (UM) RN reports to...month). VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- CVS Health (Springfield, IL)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in CST zones **Education**… more
- CenterWell (Springfield, IL)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
