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Concurrent Review Nurse jobs - Chicago, IL

Viewing 1 - 10 of 87 jobs

  • Concurrent Review Nurse I

    Centene - Chicago, IL

    Position Purpose: + Perform onsite review of emergent/urgent and continued stay requests for appropriate care and settin ... _IlliniCare Health Plan_ **Title:** _Concurrent Review Nurse I_ **Location:** _IL\-CHICAGO_ **Requisition ID:**...

    30+ days ago from Centene

  • Care Review Clinician III (Registered Nursing license)

    Molina Healthcare - Oak Brook, IL

    procedures providing prior authorizations and/or concurrent review. Mentors and trains new team members. Assesses ... regulations and guidelines. Essential Functions Provides concurrent review and prior authorizations (as needed)...

    30+ days ago from Molina Healthcare

  • Utilization Management Inpatient Review Nurse

    Meridian Health Plan - Chicago, IL

    opportunities. **A Day in the Life of an Inpatient Review Nurse:** Ensure that authorization requests and ... (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the designated State is required.

    30+ days ago from Meridian Health Plan

  • Utilization Review and Care Coordinator

    Advanced Resources - Chicago, IL

    of medical necessity denials, also drafting appeals for concurrent and retrospective denials. The Care Coordinator ... of care. License & Certifications Illinois registered nurse licensure or Illinois licensed social worker Working...

    17 days ago from Advanced Resources

  • Registered Nurse (RN) - Senior Review Coordinator (Telecommute)

    Telligen Health Care - Chicago, IL

    Registered Nurse (RN) Senior Review Coordinator - Position Summary: Our Sr. Review Coordinators are responsible for ... Registered Nurse (RN) Senior Review Coordinator - Essential Functions: Performs prospective, concurrent or retrospective...

    30+ days ago from Telligen Health Care

  • Utilization Review Specialist

    Amita Health - Elk Grove Village, IL

    Utilization Review Specialist AMITA Health Alexian Brothers Medical Center, Elk Grove Village, IL Full-time AMITA / Alex ... Management, The Utilization Review Specialist conducts concurrent medical record review for medical necessity and...

    30+ days ago from AMITA Health

  • Utilization Review and Care Coordinator

    Advanced Resources - Hinsdale, IL

    companies to prevent payor denials. In the event of a concurrent or retrospective denial, initiates and assists ... Education, Hospital, Insurance, Licensed Social Worker, Management, Medicare, Registered Nurse, Team Approach,...

    25 days ago from Advanced Resources

  • Primary Nurse Case Admin I

    Health Care Service Corporation (hcsc) - Chicago, IL

    care. The Primary Nurse Coordinator performs concurrent review, discharge planning and care coordination; identifies ... care for identified members. JOB REQUIREMENTS: Registered Nurse (RN) with current, valid, unrestricted license in...

    3 hours ago from Health Care Service Corporation (HCSC)

  • Primary Nurse Case Admin I

    Blue Cross & Blue Shield of Texas - Chicago, IL

    care. The Primary Nurse Coordinator performs concurrent review, discharge planning and care coordination; identifies ... care for identified members. JOB REQUIREMENTS: *Registered Nurse (RN) with current, valid, unrestricted license in...

    4 hours ago from Blue Cross & Blue Shield of Texas

  • Clinical Documentation Specialist RN

    Advocate Health Care (system) - Chicago, IL

    of clinical documentation through extensive initial and concurrent interaction with physicians and other members of the healthcare team, to support appropriate documentation of the clinical severity and risk of mortality is captured for...

    13 days ago from ADVOCATE HEALTH CARE (SYSTEM)