🌟 We're Hiring: Utilization Review Nurse! 🌟
We are seeking a dedicated and detail-oriented Utilization Review Nurse to evaluate medical necessity and appropriateness of healthcare services. The ideal candidate will have strong clinical knowledge, analytical skills, and experience in healthcare quality assurance to ensure optimal patient care while managing healthcare costs effectively.
📍 Location: Chicago, United States
⏰ Work Mode: Work From Office
💼 Role: Utilization Review Nurse
What You'll Do:
🎯 Review medical records and treatment plans for appropriateness
📊 Assess medical necessity using established criteria and guidelines
🤝 Collaborate with physicians and healthcare teams on care decisions
📋 Document review findings and recommendations accurately
📞 Communicate with providers regarding authorization decisions
⚖️ Ensure compliance with regulatory standards and policies
What We're Looking For:
✅ Active RN license and clinical experience
✅ Knowledge of medical terminology and treatment protocols
✅ Strong analytical and critical thinking skills
✅ Experience with utilization review or case management
✅ Excellent written and verbal communication abilities
✅ Proficiency in healthcare documentation systems
Ready to make an impact? 🚀 Apply now and let's grow together!
...the Hubs and Gateways Team, within the Customer Experience Division. Responsible for... ...You'll Do Oversees day to day customer service operations including oversight of the ticket... ...unionized team members Experience in airport customer service operations...
...Job Description **LOCATED IN SIOUX FALLS, SD** Experienced concrete flatwork finishers wanted. $35+ per hour with healthcare and pension benefits. We have work in Sioux Falls and potentially several locations surrounding Sioux Falls. Willingness to travel is a plus....
...a successful language training company working with freelance teachers of 70 different languages in hundreds of towns and cities across... ...Reference number: 1090434 We might have a job for you as a French teacher. One of our clients in Reston would like to have two...
...Requisition No:867087 Agency: Department of Corrections Working Title: CORRECTIONAL PROBATION OFFICER STATEWIDE 1Pay Plan:... ...preferred work location in the Security Background Questionnaire. No experience necessary; all training is provided. ABOUT FDC: The...
...health, wellness, lifestyle and virtual health products and services designed to deliver cost savings across a spectrum of life needs. Through... ..., Experience, And Skills Strong knowledge of HTML5, CSS3, web standards, and best practices. Experience implementing HTML...