Utilization Review SpecialistVirtualVocations • Lincolnwood, Illinois, United States
No se aceptan más aplicaciones
Utilization Review Specialist
VirtualVocations • Lincolnwood, Illinois, United States
Hace más de 30 días
Tipo de contrato
- A tiempo completo
Descripción del trabajo
A company is looking for a Utilization Review Specialist.
Key Responsibilities
Review and process Independent Review (IR) requests for potential conflicts of interest
Request and organize additional medical documentation for Physician Advisors
Ensure all work meets Client, State, Federal, and URAC compliance standards
Qualifications
High school diploma or equivalent required
Minimum of 1 year in a healthcare-related setting required
Knowledge of HIPAA rules and regulations required
Prior experience in utilization review, medical management, or insurance preferred
Crear una alerta de empleo para esta búsqueda
Utilization Review Specialist • Lincolnwood, Illinois, United States
Ofertas relacionadas A company is looking for a Utilization Review Nurse responsible for managing pre-claim prior authorization denials for pharmacy and medical benefits.
Key Responsibilities Review and assess prior a...Mostrar más A company is looking for a Utilization Management RN Reviewer.Key Responsibilities Conduct admission, concurrent, and retrospective reviews of patient charts and clinical systems Collaborate wit...Mostrar más 
Utilization Review Manager (URM).Fully Remote or Remote / In-Office Hybrid.Skyway Behavioral Health is an innovative behavioral health center that goes beyond the treatment of psychiatric symptoms to...Mostrar más
TravelNurseSource is working with Lancesoft Inc to find a qualified ICU / Critical Care RN in Zion, Illinois, 60099!.Note : 1 year REQUIRED.
2 years preferred.Certifications REQUIRED : BLS and ACLS (AH...Mostrar más A company is looking for an RN Utilization Review.Key Responsibilities Perform clinical assessments and evaluate injured employees' treatment utilization and compliance Collaborate with healthca...Mostrar más A company is looking for a Manager, Utilization Management (Remote).Key Responsibilities Manage a team of UM Nurse Analysts, guiding workload and supporting team development Partner with leaders...Mostrar más A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services to ensure medica...Mostrar más A company is looking for an Intake Specialist to manage patient referrals and ensure compliance with healthcare regulations.
Key Responsibilities Accurately enters referrals and communicates with ...Mostrar más A company is looking for a Utilization Review Nurse- RN.Key Responsibilities Conduct assessments and reviews for medical necessity of treatment requests and plans Process appeals for non-certifi...Mostrar más A company is looking for a Director, Utilization Management Support Operations.Key Responsibilities Directs the utilization management team to ensure compliance with policies and procedures for o...Mostrar más A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Perfo...Mostrar más A company is looking for a Utilization Nurse Reviewer (Remote).Key Responsibilities Conduct timely clinical chart reviews and communicate effectively with third-party payers Review admission ser...Mostrar más 
Job Title : Nurse Liaison | UM&QR.Location : Naperville IL | Hybrid.Duration : November 2025 to June 2026 (possible extension).
Position : Clinical Delegation Coordinator.BASIC FUNCTION : This positi...Mostrar más
Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers.Our team has deep industry knowledge, technology, and experience to ensure our client&r...Mostrar más TravelNurseSource is working with Lancesoft Inc to find a qualified ICU / Critical Care RN in Zion, Illinois, 60099!.Night 3x12-Hour (19 : 00 - 07 : 30).
Established in 2000, LanceSoft is a Certified MBE ...Mostrar más 
The hiring range for this role is : .This is the lowest to highest salary we.A candidate's position within the.Note : No amount of pay is considered to be wages or compensation until such amount is ea...Mostrar más
Hartgrove Behavioral Health System is a 160-bed leading psychiatric hospital dedicated to providing quality behavioral health services for its diverse population of children, adolescents and adults...Mostrar más A company is looking for a Senior Utilization Management Assistant for per diem day shifts in Torrance, CA.Key Responsibilities Provide support to the Care Management team in coordinating patient...Mostrar más
Minnesota Licensed Utilization Review Nurse
VirtualVocations • Lincolnwood, Illinois, United States
A tiempo completo
Última actualización: hace 1 día • Oferta promocionada
Ohio Licensed Utilization Management RN
VirtualVocations • Lincolnwood, Illinois, United States
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
Utilization Review Manager
Skyway Behavioral Health • Downers Grove, IL, US
A tiempo completo
Última actualización: hace 7 días • Oferta promocionada
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $2,700 to $2,840 per week in Zion, IL
TravelNurseSource • Zion, IL, US
A tiempo completo +1
Última actualización: hace 4 días • Oferta promocionada
Tennessee RN Utilization Review
VirtualVocations • Naperville, Illinois, United States
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
Registered Nurse Utilization Manager
VirtualVocations • Lincolnwood, Illinois, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Licensed Utilization Review Clinician
VirtualVocations • Naperville, Illinois, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Intake Specialist
VirtualVocations • Naperville, Illinois, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Utilization Review Nurse - RN
VirtualVocations • Lincolnwood, Illinois, United States
A tiempo completo
Última actualización: hace 1 día • Oferta promocionada
RN Licensed Utilization Management Director
VirtualVocations • Lincolnwood, Illinois, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Hawaii Licensed Utilization Review Clinician
VirtualVocations • Naperville, Illinois, United States
A tiempo completo
Última actualización: hace 2 días • Oferta promocionada
DC Licensed Utilization Nurse Reviewer
VirtualVocations • Lincolnwood, Illinois, United States
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
Utilization Review Nurse
Innovative Systems Group • Naperville, IL, US
A tiempo completo
Última actualización: hace 14 días • Oferta promocionada
ABA Utilization Review (UR) Specialist
Spectrum Billing Solutions • Skokie, IL, US
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Travel Registered Nurse (RN) - Intensive Care Unit (ICU) / Critical Care - $2,700 to $2,850 per week in Zion, IL
TravelNurseSource • Zion, IL, US
A tiempo completo +1
Última actualización: hace 4 días • Oferta promocionada
Utilization Senior Program Manager (Registered Nurse)
Blue Cross Blue Shield Association • Chicago, IL, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Utilization Management Coordinator - Full Time
Universal Health Services, Inc. • Chicago, IL, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Senior Utilization Management Assistant
VirtualVocations • Naperville, Illinois, United States
A tiempo completo
Última actualización: hace 23 horas • Oferta promocionada