Utilization review nurse jobs in Downers Grove, IL

Job Description Job Description Utilization Review Specialist Behavioral Health Substance Abuse FLSA.. Full Time Reports To. The UR Specialist will report to UR Manager. Job Overview. The Utilization Review..

Under minimal supervision and using clinical knowledge, the RN Utilization Review completes utilization.. Current State of Illinois Registered Nurse licensure Preferred Education and or Experience. Bachelor's..

And have experience in various mental health settings and utilization management. review. Position.. Registered Nurse. State Licensure and or Compact State Licensure required. Additional Details..

Job Description Job Description We have an innovative organization looking to add a Lead Utilization.. or MSO settings and quality chart reviews Registered Nurse (RN) with a current and active nursing..

Are you an experienced Registered Nurse (RN) with a passion for ensuring patients receive the highest.. Day 5x8 Hour (08 00. 16 30) Duration. 13 Week Contract Unit. Utilization. Review What You'll Do..

Job Description. Loan Review Manager The Loan Review Manager role provides leadership to our people and.. Individuals in this role have deep specialization in the loan review and all aspects of commercial..

Managed care utilization review experience preferred. Education and Certification Requirements. Licensed.. Licensed independent Behavioral Health clinician in state of service or a Registered Nurse (RN) with..

JOB REQUIREMENTS ? Registered Nurse (RN) with unrestricted license in state.? Clinical experience.? Experience in utilization review, quality assurance, and or medical record and site review..

Identifies opportunities for process and quality improvement based upon analysis and review of current.. Establishes, implements and maintains a formalized compliance review and audit process, including the..

We are seeking a motivated professional responsible for managing peer review for one RSNA journal.. communicating manuscript statuses to Managing Editor and Editor. assigning peer reviewers. corresponding..

Position Summary. As Desk Review Specialist, you will be reviewing incoming auto damage demands from other carriers or entities to determine if amounts claimed are reasonable and consistent with..

Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess.. Managed care experience. UM Certification. MedCompass. 1. year(s) of inpatient utilization experience..

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..

Job Description. The Centralized Estimating Review Manager will work to develop a team and work process to prepare virtual estimates for Assist with Repair Center estimating as neededCustomer..

Overview Utilization Management Specialist, Non RN Full Time, 40 hours per week. Hours. Day Afternoon 75.. Ensures referrals are approved within network as medically appropriate. Reviews referrals not meeting..

DescriptionSummary The SBA Eligibility Review Officer III is responsible for reviewing SBA & USDA.. Reviews use of proceeds, orders SBA Number, prepares SBA Loan Authorization and other SBA forms and is..

Appraiser Review Officer IL ID68064You may be the perfect candidate for this..

Description Analyzes file review activities associated with applicable business segment. Executes file.. understands inherent risk and the materiality of risk. May act as a reviewer in charge. Serves as a..

Medical Review Team POSITION LOCATIONThis position is available to Virginia residents as Richmond or.. What you bringActive Registered Nurse (RN) licensure At least two years experience working in a role..