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Utilization review nurse jobs in Des Plaines, IL

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  • Utilization Review Nurse

    Innovative Systems Group 4.0company rating

    Utilization review nurse job in Chicago, IL

    This is a M-F shift 40 hours per week, but mandatory to work holidays (rotating scheduled 3-4 holidays per year) and one weekend every 3rd weekend once training has been completed pay should align to conversion salary 1.Work closely with Full service Unit (FSU), Provider Telecommunication Center (PTC), and Medical Management Department (MMD) to ensure appeal process meets established guidelines. 2.Adhere to accreditation and regulatory requirements to improve customer service and achieve organizational goals related to complaint and appeal resolution. 3.Manage individual inventory through appropriate workflow. 4.Facilitate final resolution of member and provider appeals. 5.Participate in department initiatives related to NCQA and URAC audits, DOI audits, revision project, audits, and correspondence revision projects. 6.Serve on workgroups. 7.Adhere to compliance with external regulatory and accreditation standards. 8.Facilitate access to appeal files by members or member designee under federal guidelines. 9.Provide data for required reporting. 10.Work directly with members and providers to resolve appeals. 11.Support other team members in appeal resolution and in fulfilling other department responsibilities. 12.Assist in maintaining working relationships across organizational lines. 13.Ensure our member/providers requirements are met at all times. 14.Communicate and interact effectively and professionally with co-workers, management, customers, etc. 15.Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. 16.Maintain complete confidentiality of company business. 17.Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested. JOB REQUIREMENTS: Bachelor Degree OR 4 years in health care experience. 5 years utilization management, appeals, claims and mainframe system experience. Experience in health operations. Experience with internal/external customer relations. Knowledge of managed care processes. Knowledge and familiarity of national accreditation standards, specifically NCQA and URAC standards. Knowledge of state and federal health care and health operations regulations. Organizational skills and ability to meet deadlines and manage multiple priorities. Verbal and written communication skills to include interfacing with staff across organizational lines plus interfacing with members and providers. PC proficiency to include Microsoft Word, Access, and Excel. PREFERRED JOB REQUIREMENTS: Registered (R.N.) Appeals and/or Utilization management experience.
    $62k-80k yearly est. 3d ago
  • RN Triage - Gastro

    Endeavor Health 3.9company rating

    Utilization review nurse job in Elmhurst, IL

    Hourly Pay Range: $33.96 - $52.64 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Registered Nurse Triage - Gastroenterology Full Time: 40 hours/week. Shifts can be four -10-hour shifts or five - 8- hour shifts. Office Hours: Hours Vary Monday - Friday 7:00 AM - 7:00 PM depending on shift choice What you will do: Responsible for assisting physician in conducting patient examinations and providing routine treatments. Obtains specimens for testing, conducts select routine laboratory tests, and records results. Performs routine patient procedures such as obtaining throat cultures, preparing for and/or providing vaccines, injections, etc. Contacts appropriate personnel to order routine supplies, obtain patient medical records and order tests. Acts as a resource for LPN's and other clinical staff on more complex patient issues and/or questions and assists them on more complicated patient procedures. Will conduct telephone triage, pre/post op care, patient education, Hands on clinical care. What you will need: Current Illinois RN licensure Current CPR for Healthcare Providers Prior work experience in an Allergy setting, highly preferred Bilingual Spanish preferred Self-starter, able to handle periods of high stress Prolonged periods of standing/walking/sitting/bending/reaching/climbing and repetitive use of hands Able to lift up to 40 lbs. and carry/push up to 20 lbs. Able to effectively communicate in English, both written & verbal Flexible to scheduling changes including overtime, evening and Saturday rotation Ability to travel to the Elmhurst and Naperville clinic locations Benefits (For full time or part time positions): Premium pay for eligible employees Career Pathways to Promote Professional Growth and Development Various Medical, Dental, Pet and Vision options Tuition Reimbursement Free Parking Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit ********************** . When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ********************** ) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
    $34-52.6 hourly 1d ago
  • Regional Nurse Consultant

    Bria Health Services 3.6company rating

    Utilization review nurse job in Skokie, IL

    Join us at the Nexus of care and compassion. Regional Nurse Consultant Benefits: Employee rewards program BCBS healthcare coverage 401k PTO package and paid holidays Team-oriented work environment Regional Nurse Consultant Responsibilities: As a Regional Nurse Consultant, you will responsible for regulatory requirements, programs, processes, and outcomes in your facilities. You will develop and implement nursing policies, standards, and practices. You will responsible for nursing strategic planning. You will oversee proper nursing department budgeting across facilities. You will review facility level master schedules. You will oversee survey management. Compensation details: 140000-150000 Yearly Salary PIba7a10129669-37***********9
    $58k-72k yearly est. 10d ago
  • Appeals Nurse Reviewer I

    Carebridge 3.8company rating

    Utilization review nurse job in Chicago, IL

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday through Friday: 11:30 AM - 8:00 PM, CST or PST (local time). Alternating weekends: 8:00am - 12:00pm, CST/PST (local time) and some holidays included. A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. The Appeals Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. How you will make an impact: * Validating appeal requests. * Manage Appeal requests that come via email, fax, mailed in letters, or live live. * Opening and closing appeal requests following established appeal processes to maintain quality, turnaround time, and compliance requirements. * Outreach to providers with appeal process instructions. * Clinical review for the RBM and Surgical solution on a client specific basis. * Notifying providers and/or members of appeal decisions. * Maintain personal log all appeal requests assigned to ensure completion, as needed. * Other duties as assigned. Minimum Requirements: * Requires AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background. * A current unrestricted RN license in applicable state(s) required. Preferred Experience, Skills, and Capabilities: * Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PPO and POS plans strongly preferred. * BA/BS degree preferred. * Previous utilization and/or quality management and/or call center experience preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $34.69 to $54.41. Locations: California, Illinois. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $34.7-54.4 hourly Auto-Apply 60d+ ago
  • Utilization Management Nurse

    Integrated Resources 4.5company rating

    Utilization review nurse job in Downers Grove, IL

    Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description Job Title: Utilization Management Nurse Consultant Duration: 6 months (Possible ext) Location: Downers Grove, IL Responsibilities: · Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. · Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. · Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. · Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN (consideration for LCSW) with unrestricted active license. · Fundamental Components & Physical Requirements include but are not limited to · (* denotes essential functions) · Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members · Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care · Communicates with providers and other parties to facilitate care/treatment · Identifies members for referral opportunities to integrate with other products, services and/or programs · Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization · Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function · Background/Experience Desired · Managed Care experience preferred · 3-5 years of clinical experience required · Education and Certification Requirements · RN consideration for LCSW) with current unrestricted state license required. · Additional Information (situational competencies, skills, work location requirements, etc.) · Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding · Effective communication skills, both verbal and written. · Ability to multitask, prioritize and effectively adapt to a fast paced changing environment · Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. · Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. · Typical office working environment with productivity and quality expectations · Additional for Behavioral Health: · Experience in Behavioral Health required · Managed Care experience preferred. · Onsite location will be Downers Grove. · Work hours from 8:00 am until 5:00 pm with weekend rotation among the team of clinicians (approximated to rotate once every 1 & ½ to 2 months). · The ability to create and process clinical for Behavioral Health cases on a live phone queue, create and process clinical to of a determination to the provider. Additional Job Details: · Required to have computer skills. · Work with-toggle between up to 5-6 applications/systems at a time. · Travel Required: No Qualifications n/a Additional Information Kind Regards Sumit Agarwal 732-902-2125
    $66k-81k yearly est. 60d+ ago
  • Utilization Review Nurse

    Us Tech Solutions 4.4company rating

    Utilization review nurse job in Chicago, IL

    + Participates in the development and ongoing implementation of QM Work Plan activities. + Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet QM objectives **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation. + Data gathering requires navigation through multiple system applications. + Staff may be required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. + Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets data obtained form clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. + Works Potential Quality of Care cases across all lines of business (Commercial and Medicare). + Independently coordinates the clinical resolution with internal/external clinician support as required. + Processes and evaluates complex data and information sets -Converts the results of data analysis into meaningful business information and reaches conclusions about the data + Prepares and completes QM documents based on interpretation and application of business requirements + Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements + Assists in the development and implementation of QM projects and activities + Accountable for completing and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior authorization utilization experience + Experience with Medcompass **Skills:** + MUST HAVE MEDCOMPASS or ASSURECARE exp. + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + Active and unrestricted RN licensure in state of residence **Questionnaire:** + Do you have experience with Medcompass? + Do you have experience with Prior Authorization? + Do you have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit *********************** (********************************** . US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $62k-76k yearly est. 60d+ ago
  • Utilization Coordinator, Next Steps Day Treatment

    LSSI

    Utilization review nurse job in Elgin, IL

    Benefits and Perks: LSSI is growing! Come be a part of this rewarding environment, and enjoy the knowledge that you're helping make a positive difference in the lives of others, as well as these career advantages: On Demand Flexible Paydays for earned wages through an app called Dayforce Wallet. Competitive salary based upon relevant education, experience, and licensure. Salary $25-$26.50/Hourly. Opportunity for advancement. Comprehensive benefits package for Full-time employees includes healthcare insurance, up to 26 days of paid time off per calendar year, 11 paid holidays, sick time, 403(b) plan, Employee Assistance Program, and flexible hours. The paid training you need to learn, grow, and succeed! Essential Functions: Manage authorizations for Residential Programs, including but not limited to submitting required documentation, completing initial and concurrent review in collaboration with treatment staff, and coordinating appeals. Run daily and weekly reports to monitor for failed activities and failed claims specifically related to "No authorization" and "No Active Treatment Plan." Communicate information to program staff and supervisors. Coordinate with Front Desk, Billing, Clinical, and Program staff to maintain efficiency in obtaining authorizations. Maintain familiarity with LSSI requirements and LSSI funding source requirements as they relate to authorization responsibilities. Respond to inquiries from external partners and communicate with external partners regarding authorizations. Maintain familiarity with Electronic Health Record and the ensure all documentation is competed in a timely manner and in compliance with the standards for LSSI and other regulatory bodies. Ensure adherence to ethical standards of treatment, including NASW Code of Ethics. Maintain familiarity with emergency procedures. Demonstrate professional, positive behavior and carry out responsibilities with integrity, treating clients, families, other LSSI workforce members, and collaborative organizations and/or individual in a dignified, respectful, honest, and fair manner. Position Qualifications: High school diploma or equivalent required. Associates, bachelors, or master's degree preferred. Background check clearance required. Annual TB test required. One (1) to three (3) years' experience in substance use field preferred. Demonstrated proficiency with Electronic Healthcare Record documentation and review required. Familiarity with accreditation and licensure standards preferred. Demonstrated ability to communicate in a clear, comprehensible manner, both verbally and in writing. Excellent organization, presentation, and pc/computer skills, including experience using Microsoft Office (Outlook, Teams, Word, Excel, PowerPoint) along with other related software.
    $25-26.5 hourly 35d ago
  • Telephonic Nurse Case Manager I

    Elevance Health

    Utilization review nurse job in Chicago, IL

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday to Friday from 9:00 AM to 5:30 PM EST, with 2-4 late evening shifts per month from 11:30 AM to 8:00 PM EST. * This position will service members in different states; therefore, Multi-State Licensure will be required. * The Telephonic Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Perform duties telephonically. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implement care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiate rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. Minimum Requirements: * Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current unrestricted RN license in applicable state(s) required. * Multi-state licensure is required if this individual provides services in multiple states. Preferred Capabilities, Skills and Experiences: * Certification as a Case Manager. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $68,880 to $108,240. Locations: Colorado; New York; Illinois In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $68.9k-108.2k yearly 6d ago
  • Transitional Nurse Liaison - Hospice

    Celtic Health Care

    Utilization review nurse job in Northbrook, IL

    Job Title Transitional Nurse Liaison - Hospice Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job Description ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned as necessary. * Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). * Responsible for obtaining complete/accurate demographic information, medical history including diagnosis for care and primary care physician information. * Responsible for introducing Residential Hospice to the patient/caregiver, explaining scope of our services, skilled services requested and coordinating start of care visit. * Other duties include ordering requested DME, infusion services, and coordination of medications upon discharge from acute care setting. * Patient education at bedside, arranging post discharge physician follow up appointments, sharing important discharge information with the primary care physician. * Attending discharge planning meeting as requested, working with the facility team to provide a safe and successful discharge home. * Determining appropriateness of hospice customer. * Communication with the Clinical team on all complex, chronically ill patients, assisting staff, referral sources in preventing re-hospitalizations. * Use Liaison Coordination note to communicate information. * Assist in obtaining regulatory documentation as required. * Provides professional nursing care by utilizing all elements of nursing process. * Assesses and evaluates patient's status by: * Writing and initiating plan of care * Regularly re-evaluating patient and family/caregiver needs * Participating in revising the plan of care as necessary * Initiates the plan of care and makes necessary revisions as patient status and needs change. * Uses health assessment data to determine nursing diagnosis. * Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. * Counsels the patient and family in meeting nursing and related needs. * Provides health care instructions to the patient as appropriate per assessment and plan. * Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate. * Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required. * Communicates with community health related persons to coordinate the care plan. * Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. * Provides and maintains a safe environment for the patient. * Assists the patient and family/caregiver and other team members in providing continuity of care. * Participates in on-call duties as defined by the on-call policy. * Supervises ancillary personnel and delegates responsibilities when required. * Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. * Actively participates in quality assessment performance improvement teams and activities. * Prepares and maintains clinical documentation according to Agency policies and acceptable nursing standards. * Acts as a Customer Service Liaison between Residential Hospice and GIP facilities * All other duties as assigned by supervisor. SOC (Start of Care) Responsibilities * Responsible for promoting the delivery of coordinated, comprehensive care to patients through the activities of assessment, planning documentation, and provision of direct nursing care within the policies and standards of the Agency. * Responsible for accurately completing assessments, administering skilled nursing care to patients requiring intermittent professional nursing services, and determining what additional disciplines and/or programs are required for the care of the patient. RN Case Manager Responsibilities * The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. NOTICE: * Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. * By supplying your phone number, you agree to receive communication via phone or text. * By submitting your application, you are confirming that you are legally authorized to work in the United States. Residential Home Health and Residential Hospice is an Equal Opportunity Employer
    $62k-78k yearly est. Auto-Apply 60d+ ago
  • Transitional Nurse Liaison - Hospice

    Graham Healthcare Group

    Utilization review nurse job in Northbrook, IL

    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned as necessary. • Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). • Responsible for obtaining complete/accurate demographic information, medical history including diagnosis for care and primary care physician information. • Responsible for introducing Residential Hospice to the patient/caregiver, explaining scope of our services, skilled services requested and coordinating start of care visit. • Other duties include ordering requested DME, infusion services, and coordination of medications upon discharge from acute care setting. • Patient education at bedside, arranging post discharge physician follow up appointments, sharing important discharge information with the primary care physician. • Attending discharge planning meeting as requested, working with the facility team to provide a safe and successful discharge home. • Determining appropriateness of hospice customer. • Communication with the Clinical team on all complex, chronically ill patients, assisting staff, referral sources in preventing re-hospitalizations. • Use Liaison Coordination note to communicate information. • Assist in obtaining regulatory documentation as required. • Provides professional nursing care by utilizing all elements of nursing process. • Assesses and evaluates patient's status by: • Writing and initiating plan of care • Regularly re-evaluating patient and family/caregiver needs • Participating in revising the plan of care as necessary • Initiates the plan of care and makes necessary revisions as patient status and needs change. • Uses health assessment data to determine nursing diagnosis. • Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. • Counsels the patient and family in meeting nursing and related needs. • Provides health care instructions to the patient as appropriate per assessment and plan. • Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate. • Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required. • Communicates with community health related persons to coordinate the care plan. • Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. • Provides and maintains a safe environment for the patient. • Assists the patient and family/caregiver and other team members in providing continuity of care. • Participates in on-call duties as defined by the on-call policy. • Supervises ancillary personnel and delegates responsibilities when required. • Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. • Actively participates in quality assessment performance improvement teams and activities. • Prepares and maintains clinical documentation according to Agency policies and acceptable nursing standards. • Acts as a Customer Service Liaison between Residential Hospice and GIP facilities • All other duties as assigned by supervisor. SOC (Start of Care) Responsibilities • Responsible for promoting the delivery of coordinated, comprehensive care to patients through the activities of assessment, planning documentation, and provision of direct nursing care within the policies and standards of the Agency. • Responsible for accurately completing assessments, administering skilled nursing care to patients requiring intermittent professional nursing services, and determining what additional disciplines and/or programs are required for the care of the patient. RN Case Manager Responsibilities • The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. Residential Home Health and Residential Hospice is an Equal Opportunity Employer
    $62k-78k yearly est. Auto-Apply 52d ago
  • Hospice Nurse- Case manager- Full-time dayshift- Lake Zurich, Barrington and surrounding areas

    Advocate Health and Hospitals Corporation 4.6company rating

    Utilization review nurse job in Lake Zurich, IL

    Department: 39109 Hospice Lake Zurich - Hospice Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday-Friday- 8a-5p no evenings or weekends with Holiday on-call rotation- 1 winter and 1 summer holiday Pay Range $37.50 - $56.25 Major Responsibilities: Responsible for identifying and coordinating patient/family care to support terminally ill patients and families in all hospice settings. Frequency of patient / family contacts will be at the discretion of the Case Manager and his/her assessment of need, but will be a minimum of every 15 days. The Case Manager utilizes teaching, assessment, and intervention skills to provide comfort care at end of life and maximize the quality of life for the patients and families. Educates patients and families regarding disease processes and trajectory, disease management, hospice philosophies, signs and symptoms of decline and end of life. Updates the primary physician as indicated and according to agency, accreditation, state and federal requirements. Responsible for continuous review of all aspects of every patient of her/his caseload to include appropriate utilization of services and the appropriate hospice level of care criteria are met. Makes referrals to other team members as appropriate. Administers medication and treatments as prescribed by the physician. Leads the interdisciplinary care group (IDG) specific to each patient and family on their caseload. Working within the IDG to develop, revise, and implement the patient's Plan of Care. Coordinates all services and collaborates with members of the interdisciplinary team to provide consistent patient care. Arranges for and/or recommends equipment, medical supplies and other necessary items and services as indicated. Enters, completes and updates documentation in the electronic health record as required according to agency/department standards and policies, accreditation, state and federal guidelines. Documentation accurately records the patient's experience with a combination of assessments and narrative . Provides on-going assessment of patient response to treatments, medications and teaching while making appropriate changes in interventions and follow-up to meet patient needs. Updates and revises POC as indicated with supportive documentation to changes. Communicates problems and changes in condition to physicians, supervisor and other members of the IDG. Enters verbal orders from the physician or APN into the Electronic Health Record. Supervises and performs Home Health Aide and licensed practical nurse supervisory visits according to agency standards. Instructs paraprofessional staff on a timely basis and in accordance with agency, state and federal regulations. Facilitates the discharge planning process according to agency standards and utilizes interagency/system and community resources to assure continuity of care after discharge. WI ONLY: May conduct OASIS assessments for Palliative Care patient and establish and update the plan of care. May conduct hospice initial and comprehensive assessments and establish and update the plan of care. Ensures continued skilled nursing/home bound criteria are met. Initiates appropriate preventive and rehabilitative nursing procedures. Utilizes proper body mechanics, assistive devices and safety techniques when performing various patient positioning/repositioning and transporting duties, which require lifting, and pushing/pulling. Orients and mentors new staff as requested. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration and/or Certification Required: Registered Nurse license issued by the state in which the team member practices, and Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained upon hire unless department leader has determined it is not required, and A valid driver's license issued by the Division of Motor Vehicles. Education Required: Completion of an accredited or approved program in Nursing. Experience Required: Typically requires 1-2 years of experience in nursing that includes experiences in home health, hospice, medical/surgical, long term care, emergency care/ICU or oncology or similar related experience. Knowledge, Skills & Abilities Required: Competent in the principles of deformity prevention, normal range of motion, body mechanics and body alignment; and fundamental principles of human behavior and an understanding of the effects of stress upon individuals and groups. Excellent awareness and perception skills, for the purpose of assessing a patient's needs, concerns and to recognize changes in their health condition. Excellent communication and interpersonal skills. Excellent decision making and critical thinking skills, with the ability to work independently and make sound judgments. Excellent prioritization and organizational skills. Physical Requirements and Working Conditions: Must be able to: - Lift up to 50 lbs. from floor to waist. - Lift up to 20 lbs. over the head. - Carry up to 40 lbs. a reasonable distance. Must be able to: - Push/pull with 30 lbs. of force. Perform a sliding transfer of 150 lbs. with a second person present. Must be able to work safely with people of various sizes and weight, with diverse and complex medical conditions and physical limitations. Must have the physical agility and stamina to move about in confined spaces, including bending, kneeling, squatting and occasionally reaching one or both arms over the head for long periods of time. Will be exposed to the following hazards on a frequent basis: mechanical, electrical, chemical, blood and body fluids. Will be required to wear protective clothing and equipment as needed. Must have functional speech, vision, hearing, and touch with ability to use fine-hand manipulation skills. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $37.5-56.3 hourly Auto-Apply 46d ago
  • Nurse Case Manager - Chicago

    Triune Health Group

    Utilization review nurse job in Chicago, IL

    About TRIUNE Health Group TRIUNE Health Group is a nationally recognized managed healthcare company with over 35 years of experience. As a mission-driven, second-generation family-owned business, we are dedicated to improving lives by reducing the impact of injuries, enhancing health and wellness, and lowering healthcare and workers' compensation costs. At TRIUNE, we believe that every team member is essential to our success. We foster a supportive and collaborative environment where employees are valued, empowered, and provided with the tools they need to thrive-both professionally and personally. Why Join TRIUNE Health Group as a Nurse Case Manager? Be part of a well-established, family-owned company that prioritizes people over profits. Experience our culture of People Helping People , where every team member is treated with dignity and respect. Enjoy the stability, support, and resources needed to succeed while maintaining a healthy work-life balance. Perks & Benefits: Generous Time Off: 20 days of vacation plus 8.5 paid holidays Retirement Savings: 401(k) match to help you plan for the future Comprehensive Insurance: Medical, dental, and vision coverage Disability Coverage: Short-Term (STD) and Long-Term Disability (LTD) insurance Employee Support: Employee Assistance and Referral Program Work-from-Home Essentials: Home office equipment, including a laptop and desktop monitor Travel Perks: Mileage and travel reimbursement TRIUNE Health Group is an equal opportunity employer and a values-driven organization. Compensation is competitive and commensurate with experience. I. Summary of Position: The Nurse Case Manager coordinates resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals to facilitate quality, individualized, holistic treatment goals, including timely return to work when appropriate. II. Essential Duties and Responsibilities: Provide medical case management to individuals through coordination with the patient, physicians, other health care providers, the employer, and the referral source. Utilize the steps of Case Management to provide assessment, planning, implementation, evaluation, and outcome of an individual's progress. Evaluate individual treatment plans for appropriateness, medical necessity, and cost-effectiveness. Facilitate care, such as negotiating and coordinating the delivery of durable medical equipment and home health services, ensuring clear communication. Assess rehabilitation facilities for appropriateness of care, facilitate transportation, and coordinate architectural assessments of patients' homes when required. Communicate medical information clearly and compassionately to patients and families. Stay current with medical terminology and the federal and state laws related to health care, Workers' Compensation, ADA, HIPAA, FMLA, STD, LTD, SSDI, and SSA. Utilize technology (computer, cell phone, fax, and scanning machine) to prepare organized, timely reports while complying with safety rules and regulations in conjunction with HIPAA. Research medical and community resources for individuals with catastrophic or chronic diagnoses, such as but not limited to AIDS, cancer, spinal cord injuries, diabetes, head injuries, back injuries, hand injuries, and burns, ensuring accessibility for individuals. Possess a valid driver's license with the ability to travel 90% of the time. Perform other duties as assigned. III. Job Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Skills and Abilities: Proven leadership skills. Excellent verbal and written communication skills, including the ability to interact effectively with patients, customers, and fellow employees via phone, email, in-person, and formal presentations. Methodical in accomplishing job-related goals. Strong analytical and organizational skills, including the ability to multitask with attention to detail. In-depth knowledge of multi-software packages, notably Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and the Internet. Maintain a friendly, professional attitude at all times. Exercise initiative and be solution-oriented, while keeping management up-to-date on current situations or opportunities. Dependability and adaptability. Education and Experience: Graduate of an accredited school of nursing. Current RN licensure in the state of operation. Fluency in English (speaking, reading, and writing). Three or more years of recent clinical experience, preferably in trauma, psychology, emergency, orthopedics, rehabilitation, occupational health, and neurology. CCM preferred. Certificates, Licenses, Registrations: While not mandatory, individuals with one or a combination of the following certifications are preferred: COHN, COHN-S, and CDMS. IV. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The base salary range/hourly rate listed is dependent on job-related, non-discriminatory factors such as experience, education, and skills. This position is also eligible for incentive compensation awards. You may be eligible for the following competitive benefits: medical, dental, vision, life, accident & disability, short and long-term disability, paid holidays, paid time off and 401 (k). The salary range for this position is $80,000 - $90,000 annually, based on experience and qualifications.
    $80k-90k yearly 33d ago
  • Pediatrics Nurse Case Manager needed in Chicago, IL

    Healthplus Staffing 4.6company rating

    Utilization review nurse job in Chicago, IL

    HealthPlus Staffing is seeking a Nurse Case Manager in Chicago, IL. The Nurse Case Manager will provide help to high risk infants and children getting health care and developmental services. Nurse Case Manager will be responsible for maintaining a caseload of approximately 100 active clients by conducting outreach activities and utilizing the referral system from High Risk Infant follow Up Program from the State of Illinois. Job Requirements: Bachelor Degree in Nursing from an Accredited College or University Minimum of 2 years' experience working in Community Health or Maternal Child and Health nursing Must have Active nurse License in the state of Illinois Compensation: Commensurate on experience Benefits: Full Benefits Pediatrics Schedule: Monday to Friday Location: Chicago, IL Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Preferred) Experience: Nursing: 1 year (Preferred) For more info please reach out to us at Recruitment@HealthPlusStaffing.com or call at 561-291-7787
    $68k-85k yearly est. 60d+ ago
  • Business Development Liaison Nephrology & Nursing Homes

    Shifa Global Solutions LLC

    Utilization review nurse job in Chicago, IL

    Job DescriptionBenefits: 401(k) matching Bonus based on performance Health insurance Paid time off About us: Shifa Nephrology Associates LLC is a growing, patient-focused nephrology practice dedicated to delivering high-quality, proactive, and preventive kidney care to patients across our community. As part of our mission to serve vulnerable and underserved populations, we are expanding our services to nursing homes and post-acute care facilities. We are seeking an experienced, motivated professional to join our team as a Business Development Liaison Position Overview The Business Development Liaison will represent Shifa Nephrology Associates LLC in developing and maintaining strong relationships with skilled nursing facilities (SNFs), long-term care centers, and assisted living communities. This role focuses on supporting facility staff, enhancing communication, and ensuring patients have timely access to high-quality nephrology care. The Liaison will also identify opportunities for practice growth by engaging new facilities and expanding partnerships, while upholding the mission of providing compassionate, accessible kidney care to underserved populations. Key Responsibilities: Develop and maintain relationships with leadership and staff at nursing homes and related facilities. Promote the practices nephrology services and educate partners on the value of timely kidney care. Manage existing referral sources to ensure continued satisfaction and communication. Monitor market trends and recommend strategies to expand the practices footprint. Identify and establish relationships with new nursing home and post-acute care partners to grow the network. Conduct regular on-site visits, meetings, and presentations with facility staff. Monitor referral patterns and report progress to practice leadership. Collaborate with the clinical team to ensure smooth onboarding and ongoing coordination of care. Qualifications: Previous experience in healthcare marketing, business development, or account management (preferably in nursing home or post-acute care settings). Strong interpersonal and communication skills; able to build trust and rapport quickly. Self-motivated, goal-oriented, and comfortable working independently. Knowledge of the healthcare industry and referral processes; experience in nephrology or specialty medicine is a plus. Valid drivers license and reliable transportation for local travel. What We Offer: Competitive salary and performance incentives. Comprehensive benefits package (health, dental, retirement, etc.). Supportive and collaborative team environment. Opportunity to directly contribute to the growth of a specialty medical practice and make a meaningful impact on patient care.
    $62k-78k yearly est. 24d ago
  • NURSE COORDINATOR II - Pediatric ICU (PICU)

    Cook County, Il 4.4company rating

    Utilization review nurse job in Chicago, IL

    The final salary and offer components are subject to additional approvals based on Cook County Health (CCH) policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at CCH. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. Job Title: Nurse Coordinator II Department: Pediatric ICU (PICU)/Pediatrics General Job Summary The Nurse Coordinator II oversees all aspects of patient care within the Pediatric Intensive Care Unit (PICU) and General Pediatrics Unit (General Peds) on a 24-hour basis, by evaluating, directing, and supervising all activities of the nursing staff. This position has first line responsibility for clinical and personnel management, patient care, budgeting, and quality service delivery for the unit. General Administrative Responsibilities Collective Bargaining * Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals. * Participate in collective bargaining negotiations, caucus discussions and working meetings. Discipline * Document, recommend and effectuate discipline at all levels. * Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements * Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements. Supervision * Direct and effectuate CCH management policies practices. * Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements. Management * Contribute to the management of CCH staff and CCH' systemic development and success * Discuss and develop CCH system policy and procedure * Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire. transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements * Work with Labor Relations to discern past practice when necessary Typical Duties * Collaborates with Nursing Divisional Director to develop nursing care standards ensuring patient care in unit is delivered within hospital established service standards, regulatory and professional standards of care. * Develops and implements an effective operating plan for the delivery of nursing care within the designated nursing unit. The requirements for delivery of care in such a unit call for extreme attention and responsiveness in all areas of patient care including patient assessment, delivery of life saving medication, and the operation of life sustaining equipment. * Identifies opportunities for process improvement and initiates improvement efforts within the unit to increase and exceed unit performance measures. Conducts patient observations, reviews verbal reports and written documentation, and establishes immediate and long-term corrective action plans. Areas of unit performance include compliance with standards of care, length of stay (LOS), agency and overtime costs, position vacancies and turnover rates. * Develops long-term unit staffing schedules to ensure adequate daily coverage in accordance with staffing needs. * Holds primary responsibility for hiring, training, and disciplinary actions of unit nursing staff. * Drives employee performance by setting clear performance expectations for unit nursing staff and providing necessary information and tools to achieve desired performance. * Provides daily guidance to staff regarding patient care delivery problems. * Identifies staff development needs and works with nursing education department or outside sources to provide nurses with continuous education and opportunity for growth and development. * Ensures all nursing staff meets requisite credential and licensure requirements. * Partners with nursing team to proactively assess the quality of patient care delivered by nursing staff and to evaluate overall unit effectiveness in meeting care treatment goals. * Ensures nursing staff follows accurate and complete documentation procedures at all times. * Completes required quality assessment and performance improvement reports for the unit. * Develops and implements corrective action plans. * Maintains a safe, culturally sensitive, and caring patient environment that is reflective of John H. Stroger, Jr. Hospital standards, as well as patient and family expectations. * Demonstrates and promotes awareness of patient care rights; serves as patient advocate. * Coordinates efforts of ancillary health services to ensure continuity of patient care and positive communication with all hospital staff. * Works with appropriate departments to ensure proper maintenance of unit medical equipment including life sustaining equipment. * Prepares and monitors unit personnel, supply, and equipment budgets to ensure expenses are maintained within budgetary guidelines. * Performs other related duties as required. Minimum Qualifications * Bachelor's of Science in Nursing (BSN) from a school of nursing (must provide official transcripts at time of interview) * Licensed as a Registered Professional Nurse in the State of Illinois * Five (5) years of nursing experience within a Pediatric Intensive Care Unit (PICU) and/or General Pediatrics Unit * · Two (2) years of experience in nursing supervision or experience as a charge nurse * · Current Basic Life Support (BLS) certification (must provide proof at time of interview) * Current Pediatric Advanced Life Support (PALS) certification (must provide proof at time of interview) Preferred Qualifications * Master's or higher-level degree in Nursing, Business or Healthcare Administration from an accredited college or university * Bi-lingual Knowledge, Skills, Abilities and Other Characteristics * Demonstrates skill in staffing and the management of nursing personnel * Demonstrates good judgment in the selection of new staff members using appropriate interview techniques * Thorough knowledge of the job description and key requirements for each position on the unit; holds subordinates accountable for responsibilities inherent in their position, at all times * Demonstrates skill in the coordination and the management of patient care unit * Thorough knowledge of the Hospital and Nursing Department's mission, philosophy, goals, objectives, policies, and procedures * Demonstrates understanding of the current requirements of accrediting agencies [Illinois Department of Public Health (IDPH), Joint Commission on Accreditation of Healthcare Organizations (JACHO)] * Thorough knowledge of safety policies and procedures * Ability to maintain all unit equipment in proper working condition * Thorough knowledge of expected staff response in hospital emergency, fire, and demonstrates the ability to direct the activities of the nursing unit in the event of an emergency situation of patient evacuation * Strong interpersonal skills to interact with staff, patients, hospital staff, patient families * Excellent oral, verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups * Strong leadership and project management skills * Ability to articulate in a clear and professional manner when presenting and demonstrating techniques * Analytical, organizational, problem-solving, critical thinking, and resolution skills * Ability to prioritize, plan, and organize projects and tasks * Ability to multi-task and meet deadlines in a fast paced and stressful environment * Ability to adhere to department policies and standards utilizing best practices * Ability to maintain a professional demeanor and composure when challenged * Ability to function autonomously and as a team member in a multidisciplinary team for long periods of time * Demonstrates attention to detail, accuracy and precision VETERAN PREFERENCE PLEASE READ When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service. To take advantage of this preference a Veteran must: * Meet the minimum qualifications for the position. * Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?" * Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable. OR A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing. If items are not attached, you will not be eligible for Veteran Preference. VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION * Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview. * Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen. * CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor. COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
    $69k-86k yearly est. 1d ago
  • Residential Nurse - WRS

    Lake County Il 4.5company rating

    Utilization review nurse job in Vernon Hills, IL

    The Residential Nurse of the Women's Resident Services program is responsible for administering medications, direct care of clients, including crisis intervention and triage on admission, participates in developing treatment plans with clients, provides emergency assessment for hospitalizations, and reports supply needs to Nursing Coordinator, if applicable to the program. Through education, individual/group counseling, case management, psychiatric care, medical services, and family/peer support, clients are empowered and achieve skills to recover. This is a residential program for women with substance use disorders. Scheduled hours: 20 hours a week * Monday (8:00am-3:30pm) * Wednesday (4:30pm-10:00pm) * Thursday (5:00pm-10:00pm) * Every other Friday (4:30pm-9:30pm) * $5.00 shift differential for working hours deemed eligible for shift and weekend premium * Acts as triage person for admissions to the program. * Provides professional nursing care, including administering medications, according to physician's orders in conformance with recognized nursing techniques and procedures, established standards and administrative policies of the department. * Recognizes and interprets symptoms of clients' conditions, reports to appropriate personnel and assists with remedial measures for adverse developments. * Monitors the collection of urine specimens according to Standard precautions, if SAP. * Maintains clinical charts including documentation of observations, medications treatments; reports on the condition of clients; observes and corrects, if possible, environmental factors dealing with comfort and safety. * Is responsible for arranging clinic appointments, chest x-rays, laboratory work and other medication appointments, if ATP/CCP or WRS. * Makes arrangements for medical transfer of patients to other treatment facilities, as necessary, if ATP/CCP or WRS. * Responds to inquiries, gives appropriate information and referrals, and documents, if necessary. * Facilitates with clients and collaborates with the treatment team to develop, review and update treatment goals and referrals both internally and externally. * Organizes and participates in treatment-related clinical conferences and staffing's on assigned clients. * Provides education and direction to clients, family members and/or significant others. * Takes responsibility for training in and documenting clinical chart requirements to meet program and state standards. * Assists in facilitating transportation of clients. * Associate's degree, two years in general nursing care is required, plus one year of experience in chemical dependency is preferred - OR - * Bachelor's degree or diploma, one year of experience in general nursing care required, plus one year of experience in the chemical dependency/behavioral health field is preferred. * Illinois Licensure as an (RN) Registered Professional Nurse. As the largest human service provider in Lake County, we believe that services must be available without barriers. No residents are turned away due to the inability to pay. We believe in providing services in an environment of mutual respect, free of discrimination or bias. Whether assuring accessible and effective care, impacting policy, or assessing and monitoring risks, the Lake County Health Department and Community Health Center has been an essential part of the public health system in Lake County for 60 years. We are looking for passionate, qualified team members who can help make a difference in our agency and, most importantly, in our community. Additional information about the Lake County Health Department, our culture, and why you should join our team can be found at ********************************************************** At this time, you must live in Illinois or Wisconsin to be eligible to work at Lake County Health Department. You can find our salary grades at ************************************************ For unionized positions, a list of our collective bargaining agreements can be found here: ******************************************************************* Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam. The Lake County Health Department and Community Health Center is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status, and other protected characteristics.
    $55k-75k yearly est. 1d ago
  • ER Nurse

    Aura Staffing Partners Chicago

    Utilization review nurse job in Chicago, IL

    Benefits: Competitive salary Opportunity for advancement Training & development Emergency Room Nurse We are seeking an ER Nurse to work in our ER department in Naperville, IL. Pay: $68 per hour *** Duties: - Provide direct and individualized nursing care to patients in the emergency room - Assess, plan, implement, and evaluate patient care plans - Perform triage assessments and prioritize patient needs based on acuity level - Administer medications and treatments as ordered by physicians - Monitor and document patient vital signs and symptoms - Collaborate with the interdisciplinary healthcare team to develop and implement patient care plans - Educate patients and their families on disease processes, treatment options, and self-care techniques - Maintain accurate and up-to-date medical documentation and records - Adhere to HIPAA regulations to ensure patient confidentiality ```Experience``` - Minimum of 2 years of experience as a Registered Nurse in an emergency room setting - Proficient in medical documentation and record keeping - Strong knowledge of anatomy, physiology, and medical terminology - Familiarity with HIPAA regulations and guidelines - Ability to provide compassionate and comprehensive patient care in a fast-paced environment Skills: - Strong clinical assessment skills - Excellent communication and interpersonal skills - Ability to remain calm under pressure and make quick decisions - Attention to detail and strong organizational skills - Ability to work effectively as part of a multidisciplinary team This position offers competitive pay, comprehensive benefits package including medical, dental, vision, retirement plans, paid time off, and opportunities for professional development. If you are a dedicated Registered Nurse with experience in the emergency room setting and possess the necessary skills to provide high-quality patient care, we encourage you to apply. Compensation: $68.00 per hour Great jobs. Great company. Great community of caregivers. At Aura Staffing Partners, we know that partnering with you to find the right opportunity in healthcare is just the beginning. We don't leave you high and dry, instead we help you grow even brighter with quarterly reviews, continued training and plenty of communication.
    $68 hourly Auto-Apply 60d+ ago
  • Midwest Float Flight Nurse

    Air Methods 4.7company rating

    Utilization review nurse job in Cary, IL

    The Midwest Float Flight Nurse provides high-quality critical care transport across Air Methods Community Base Services (CBS) locations throughout the Midwest region. This position offers flexibility and variety, supporting multiple bases based on operational needs while maintaining the highest standards of safety, clinical excellence, and teamwork. Candidates must possess a minimum of three (3) years of recent critical care or emergency nursing experience within the last five (5) years, along with at least one (1) year of full-time flight experience. Pre-hospital experience is preferred. A current Registered Nurse (RN) license is required for states within Air Methods' Midwest CBS footprint, and an Illinois RN license is mandatory. A multistate/compact license is strongly preferred. As a key member of the flight crew, the Midwest Float Flight Nurse delivers expert-level patient care from initial contact through transfer to the receiving facility, ensuring operational readiness, safety, and compassionate service across all assigned bases. Responsibilities Job Summary Responsible for providing high quality care including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Base Services (CBS) Medical Director(s). You'll assess the nature and extent of illness or injury to establish and prioritize the care needed for safe transport of the critical patient to the appropriate facility and are responsible for carrying out the mission and goals of Air Methods CBS assuring that safety remains the highest priority throughout the transport continuum. This position supports multiple Clinical Flight Teams at bases in all regions where currently licensed Essential Functions and Responsibilities include the following: Provides nursing care within his/her scope of practice from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation. Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Clinical Education Team. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures and attends continuing education programs pertinent to his/her area of practice. Knowledgeable in use and routine maintenance of all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to insure repair of equipment as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to insure rapid response to all transport requests. Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completing necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure safety of self, medical personnel, patient, and equipment and conducts aircraft safety briefings as needed. Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter and performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s). Participates in patient and referring institution follow-up and in planned outreach marketing and education activities. Acts as a preceptor and/or participates in orientation of new employees and students as assigned and communicates program goals and objectives Participates regularly in Air Methods CBS meetings, activities, projects and committees (to include research and publishing opportunities). Other Duties as assigned Additional Job Requirements Maintains a high level of flexibility and availability to be scheduled for a minimum of two 24 hour shifts per week at any CBS base where currently licensed. Schedules are provided by the Centralized Scheduling team 4 - 8 weeks in advance. Self-scheduling is not permitted. Inability to be scheduled for two shifts per week as a result of providing limited availability (less than 5 consecutive days per week), in the absence of requested benefit time, will result in a written warning for the first occurrence. A second occurrence will result in a final written warning. A third occurrence will result in removal from the float position. If failure to meet the expectation for shift coverage is due to removal from a shift by Centralized Scheduling as a result of other coverage found, no disciplinary action will occur. Indicate the percentage of time spent traveling - 85% Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies. Qualifications Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position Education & Experience Graduate of an accredited School of Nursing Bachelor's degree in health-related field preferred Minimum three (3) years recent critical care/emergancy nursing experience within the last 5 years or as required by state/local EMS regulations Pre-hospital experience preferred Flight experience 1 year full-time required Operation and Safety Requirements: As a member of the Clinical Flight Crew, any person employed in this position shall maintain a weight not to exceed 225 pounds including empty flight suit and boots. Skills Skills as required to practice nursing as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director (s) and Medical Standards Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals and the public while executing strong interpersonal skills and a high degree of collaboration at all levels Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast paced environment that requires ability to prioritize and multi-task Ability to work a flexible schrdule including 24 hour shifts, overtime and an on-call rotation Dependable and self-motivated while working in a frequently changing environment Excellent communication and presentation skills, both written and verbal Computer Skills Proficient with Microsoft Office Suite, including Word, Excel, PowerPoint and Outlook Certificates, Licenses, Registrations Current RN License(s) for states of practice where Air Methods maintains CBS locations. Nurse compact license preferred. EMS or MICN certification/licensure as required by state regulations Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA courses if state or county required) and TNCC/ITLS/PHTLS advanced provider (if state or county required) Specialty certification (CFRN, CCRN, or CEN) are required Advanced Trauma Course requirement: One (1) of the following certifications are acceptable: TNCC, ATLS/ATCN, TPATC or CAMTS approved advanced trauma course (Please note, advanced skills lab may be required for some of the above mentioned advanced trauma courses). A second trauma course may be required based on state requirements Current NRP certification NIMS Training IS 100, 200, 700, 800 and HazMat Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Minimum pay USD $89,406.72/Yr. Maximum Pay USD $109,274.88/Yr. Benefits For more information on our industry-leading benefits, please visit our benefits page here. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $89.4k-109.3k yearly Auto-Apply 3d ago
  • Bone Marrow Transplant (BMT) Nurse Navigator

    Rush University Medical Center

    Utilization review nurse job in Chicago, IL

    Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Bone Marrow Transplant Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 10 Hr (7:00:00 AM - 5:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (***************************************************** Pay Range: $37.50 - $62.21 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: The Bone Marrow Transplant (BMT) Oncology Nurse Navigator 2 is a registered nurse (RN) who works collaboratively with physician practices and multi-disciplinary teams as to promote the effective utilization of services and coordination of care for patients within the Section of Bone Marrow Transplant and Cellular Therapy within the Cancer Center service line. The BMT Oncology Nurse Navigator 2 assesses patients' psychosocial, financial, and clinical needs throughout the continuum of care ensuring high quality care while supporting quality metrics of the BMT Program, Cancer Center, and Rush University Medical Center. The BMT Oncology Nurse Navigator 2 functions as a liaison between patients, physician practices, the hospital, and the community performing functions that meet the core competencies of oncology navigation; Care Coordination, Communication, Education, and Professional Role/Care as well as the domains of the Profession Practice Model; Relationships and Caring, Evidence Based Practice, Technical Expertise, Critical Thinking and Leadership. The focus of this position is coordination of patient care from the initial bone marrow transplant referral to the transplant. In this role, the RN interacts with patients, families, and a wide variety of personnel both within and outside the institution. The RN must have excellent communication and interpersonal skills and the ability to take initiative, problem solve, and function collaboratively or autonomously when needed. This RN exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures. Other information: Requirements: * Current State of Illinois Registered Nurse licensure required * At least one year of nursing experience. * Earned nursing degree of baccalaureate level of education or higher. * Oncology nursing experience preferred * Oncology nursing certification preferred Physical Demands: * Ability to travel throughout the Medical Center and some roles may require travel to other sites of care. Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. Responsibilities: Relationships and Caring 1. Establishes a caring therapeutic relationship with patients and families utilizing effective communication while managing a defined patient caseload. 2. Assesses patients for social determinants of health; utilizing findings to develop a plan of care and mutual goal setting. 3. Serves as liaison for the patient, becoming an expert on the patient and their needs throughout the trajectory of their care from diagnosis to end of life or survivorship 4. Advocates for patient and their families to ensure timely access to treatment and equal access to health care 5. Collaborates with all members of the health care team in a positive, professional manner to ensure coordination of patient care. 6. Serves as a reference regarding clinical trials and coordinates care with The clinical trial office 7. Provides psycho-social support and facilitates referrals and transitions of care ensuring effective utilization of internal and community resources Evidence-Based Practice 1. Provides symptom managements utilizing guidelines/evidence based practice from oncology resources in collaboration with providers 2. Performs role utilizing EBP within specialty established by nationally recognized oncology nursing associations, cancer societies and networks as well as published research and quality documents. Technical Expertise 1. Responds to patient questions and needs via various technology: "My Chart," staff messages, telephone contact, etc. 2. Coordinates/Schedules admissions, surgeries, laboratory testing, radiographic exam, and infusion for patients and donors. 3. Evaluates pre-transplant testing for patients and donors, noting discrepancies between test results and stem cell transplant eligibility criteria. Addresses test results with physicians 4. Performs related and unrelated donor search/evaluation. 5. Interacts with National Marrow Donor Program to initiate donor searches, confirmatory typing, scheduling of donation etc. 6. Completes necessary transplant forms to ensure compliance with National Marrow Donor Program. 7. Provides continual communication with the Bone Marrow Transplant and Cellular Therapy Medical Director, Physicians, and Advance Practice Providers to ensure comprehensive management of patient care. 8. Interacts with Reimbursement Specialists to ensure timely financial review and approval. 9. Ensures compliance with RUMC Bone Marrow Transplant policies. 10. Ensures compliance with the Foundation of Accreditation of Cellular Therapy (FACT). 11. Performs basic administrative tasks related to role 12. Establishes plan for venous access via assessment of peripheral veins. 13. Performs nursing procedures per policy. 14. Assists providers with procedures utilizing appropriate technique. 15. Assesses patient and family learning style to provide ongoing education regarding diagnosis, staging, treatment, side effects and self-care. 16. Provides detailed documentation in the electronic medical record to support assessment and interventions Critical Thinking 1. Reviews medical records to ensure completeness as applicable for patient diagnosis and staging. Requests additional medical records as needed 2. Ensures new patients are scheduled for appropriate providers based upon assessment of patient and collaborates to alter plan as needed 3. Assesses patients in person or remotely to evaluate current status and needs 4. Provides telephone triage as defined by guidelines and in collaboration with provider coordinating care with infusion room, home health, urgent care or emergency department as required 5. Recognizes changes in patient status and responds in a timely manner to optimize patient outcomes 6. Prioritizes complex patient care based upon knowledge and clinical experience. 7. Assesses patient compliance with treatment plan Leadership 1. Demonstrates accountability for professional practice, continuing education and progress toward achievement of goals 3. Establishes and maintains expertise regarding disease, staging, current treatment options, donor/recipient HLA typing and eligibility, and management of adverse events for patients and donors. 4. Serves as a liaison between practice and referral sources 5. Participates in quality metric initiatives supporting optimal outcomes, value based metrics, and FACT requirements. 6. Assists in patient identification for tumor board, coordinates weekly BMT multidisciplinary meeting, and participates in patient presentation and care plan development. 7. Participates in the orientation and education of health care team members 8. Serves as key member of multi-disciplinary team supporting patient cohesiveness, efficiency, and patient focused care. Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
    $37.5-62.2 hourly 23d ago
  • Rapid Response Nurse (RN) 3PM - 11PM

    Scionhealth

    Utilization review nurse job in Chicago, IL

    * What makes Kindred Healthcare a great place to work? Our people, of course! Our Registered Nurses answer this special calling because they have a fundamental, internal drive to directly help people. In return, we serve, develop and respect our employees in environments created to optimize their job effectiveness, experience, and satisfaction. This is who we are. Who are you? To succeed in our high-energy, high reward environment, our nurses provide compassionate critical care and deliver exceptional patient experiences, meaningful outcomes, and bonds for life. As the most acute level of care in Kindred's continuum, our transitional care hospitals offer the same critical care patients receive in a traditional hospital or intensive care unit, but for an extended recovery period. Our Registered Nurses play a vital role in the recovery process for chronic, critically ill and medically complex patients. As a Registered Nurse / RN you will: * Provide planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. * Develop nursing care plan in coordination with patient, family, and interdisciplinary staff as necessary. * Communicate changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. * Participate in discharge planning process * Salary Range: $40.00 - $60.00/Hour 3PM-11PM 2- 8 hour shifts per week, alternating weekends ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications As a Registered Nurse / RN you will have: * Graduated from an accredited Bachelors of Science in Nursing as Registered Nurse / RN or Associate Degree in Nursing or Nursing Diploma program as a Registered Nurse / RN. * Current state licensure as Registered Nurse / RN. * BCLS certification is required. ACLS preferred. * Minimum six months as a Registered nurse / RN with Medical/Surgical experience in an acute care setting preferred.
    $40-60 hourly 20d ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in Des Plaines, IL?

The average utilization review nurse in Des Plaines, IL earns between $51,000 and $85,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in Des Plaines, IL

$66,000

What are the biggest employers of Utilization Review Nurses in Des Plaines, IL?

The biggest employers of Utilization Review Nurses in Des Plaines, IL are:
  1. Zurich
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