Nurse
Utilization review nurse job in Chicago, IL
Pay: $39-$45 an hour Shift differentials up to $6! $5000 Sign on Bonus for Full-time! New Graduates Welcome! Join our Nursing Team of Excellence at Wyndemere Senior Living in Wheaton! Are you interested in working for a first-class employer who values you and all that you do each day? Do you have a passion for nursing and helping others? If you are a compassionate, high-energy individual with a heart for working with seniors, then this position is for you!
We are looking for an RN to join our amazing team in our Skilled Nursing Facility to provide assistance and care for our wonderful residents. You will administer & document medications, assist in admission & discharge procedures, communicate residents' conditions to physicians and family members, and more.
We offer you excellent pay and benefits, work/life balance and an all-around supportive team and community! Our employees are our heroes and we truly value and care about each and every one!
Shift: Part-time and PRN; availability every other weekend
Some of the perks if you join our team include:
401(k) matching
Comprehensive Benefits Package (Health, Dental & Vision)
Benefits start first of the month following date of hire
Paid time off
Pet insurance
Tuition reimbursement
Great work culture
Alternating Weekends
Shift Differentials up to $6/hr!
Responsibilities:
Administer medication to residents
Respond to resident's emergency calls in a timely manner
Assure residents are being cared for per established guidelines
Responsible for following up on concerns reported by non-licensed staff
What you bring to the table:
Active RN License in Illinois required
A desire to provide a high level of care and customer service is required
Excellent organizations skills
#clinical
Utilization Review Nurse
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.
RN Triage - Urology
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 - Urology
Part Time: 20 hours / week
Office Hours: Monday - Friday 8:30 AM - 5:00 PM. No On Call, Weekends, or Holidays (Eves not included).
Required Travel: Naperville and Plainfield offices
What you will do:
Under the direction of the Supervisor, the Triage Nurse is a Registered Nurse (RN) responsible for patient care needs through the use of inbound and outbound telephone practice. The Triage Nurse continuously demonstrates positive customer relationship skills by assessing caller needs through active listening, clinical assessment, education and advanced problem-solving abilities. The Triage Nurse will actively manage patient's immediate and ongoing needs with attention to acute and preventative intervention. Duties include: phone triage, patient education and Continuous Glucose Monitor placement, testing, insurance pre-authorization and referrals, clean and stock exam rooms.
What you will need:
Current Illinois RN licensure
Current CPR for Healthcare Providers
Office RN and BSN preferred
Prior work experience in a Nephrology setting, highly 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
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.
Regional Nurse Consultant
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
Nurse Paralegal
Utilization review nurse job in Chicago, IL
About the Job
A full-service business law firm is seeking an experienced Nurse Paralegal to join its busy healthcare legal team.
Duties and Responsibilities
Review and summarize medical records for attorneys
Create medical chronologies of a patient's medical events, procedures, and treatments
Apply nursing judgment and clinical knowledge to all types of medical cases
Conduct medical subject and expert witness research
Provide opinions on medical care and assist in developing case strategy
Organize electronic and physical files and support various litigation functions
Must be highly organized, able to juggle multiple deadlines and priorities, familiar with billing entry, and proficient in Microsoft Office/Word and Excel
2-4 years of experience in a healthcare-focused practice group in a litigation firm is strongly preferred
Nursing experience in emergency room, medical-surgical, neuro, telemetry/cardiac, oncology, or surgery/ICU is required
Insurance defense experience preferred
A full-service business law firm comprised of 240 attorneys headquartered in Chicago. As one of the fastest-growing law firms in the Midwest, the firm understands the entrepreneurial thinking that drives business decisions for its clients. This insight allows the team to respond to client needs creatively, expediently, and pragmatically. The firm handles transactional, labor and employment, and litigation needs of companies across the U.S. Offices are located in: Chicago, Crystal Lake, St. Charles, and Rockford, IL; Columbus, OH; Milwaukee, Appleton, Brookfield, Green Bay, and Madison, WI; St. Louis, MO; and Indianapolis, IN.
This employer is an Equal Opportunity Employer. They support and encourage workforce diversity. They do not discriminate based on race, color, religion, gender, national origin, sexual orientation, gender identity or expression, ancestry, citizenship, creed, marital status, veteran status, age, family caregiving responsibilities, genetic profile or predisposition, pregnancy, or disability with respect to hiring, promotion, firing, compensation, or other terms, conditions, or privileges of employment.
Labor and Delivery - LD RN - Travel Nurse
Utilization review nurse job in Hoffman Estates, IL
We're looking for Labor and Delivery RNs for an immediate travel nurse opening in Hoffman Estates, IL. The right RN should have 3 years' recent acute care experience. Read below for more requirements. L&D Travel Nurses provide care and support for women before, during and after delivery of a baby. L&D RNs must ensure that the medical as well as emotional needs of their patients are met at all times throughout the birthing process. As an L&D RN, you'll be responsible for assisting physicians when epidurals or pain medications are administered, episiotomies are performed, or when the patient requires preparation for a cesarean delivery.
As an L&D Travel Nurse, you should be prepared to perform the following tasks:
Stay with and monitor patient throughout labor.
Monitor contractions and help patients with breathing techniques.
Check cervix periodically to monitor progression/lack of dilation.
Ensure beds are kept clean and dry; clean up bodily fluids expelled before and after birthing process.
Aid physician with drapes, gloves, gowns, delivery instruments, etc.
Immediate care of newborn.
L&D Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, L&D RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds.
Requirements*: ACLS, BLS, NRP, 3 Years
* Additional certifications may be required before beginning an assignment.
Appeals Nurse Reviewer I
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.
Auto-ApplyUtilization Management Nurse
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
Utilization Review Nurse
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.
Utility Coordinator - Road - Indiana
Utilization review nurse job in Merrillville, IN
When you join American Structurepoint, you gain more than a career. You become part of a family of talented, passionate, good-hearted people who take pride in going the extra mile for our clients. At American Structurepoint, we are known for making the impossible happen for clients across the world who want help building and bettering their communities. We live by our values-excellence, respect, integrity, innovation, and social responsibility. We encourage our experts to try new things and explore new ideas that turn our client's dreams into reality, even if those ideas are unconventional. We invest in our people by offering excellent benefits and training, development, and mentorship opportunities that lead to a rewarding career path. If you are ready for more than a career, we invite you to explore opportunities to join our team and help us improve the quality of life for the communities we serve.
Group: Road
Position: Utility Coordinator
Location: Indianapolis, IN; Merrillville, IN; Fort Wayne, IN; Evansville, IN
Our Road group is looking for a qualified professional to join a growing and diverse team that plays an integral role in identification of utility conflicts through a thorough examination and understanding of existing utility infrastructure and proposed project scope of work.
Responsibilities
Performs plans reading and acts as liaison between designers, utility agencies and owner on behalf of clients.
Identification of utility conflicts through a thorough examination and understanding of existing utility infrastructure and proposed project scope of work.
Creation and maintenance of a Utility Conflict Matrix, Relocation Matrix, and utility relocation schedules.
Conducts utility coordination meetings, documents meeting minutes and maintains files of all activities for each utility agency.
Performs follow-up of meeting action items to assure effective coordination results.
Communicates verbally and formally the status of coordination activities so as to keep project team informed regarding utilities.
Qualifications
2+ years of construction, utility, engineering or utility coordination experience.
Indiana Department of Transportation (INDOT) utility coordination experience is recommended. INDOT UC certification a bonus.
Candidates must be sufficient in Microsoft Outlook, Excel, Word, PowerPoint and Teams. The candidate must possess good presentation skills, and most importantly an outgoing personality and strong desire to succeed.
Valid driver's license and a reliable vehicle is required, as travel to meetings is often required.
Normal office environment with occasional field site visits for progress review and quality control or estimating new work.
Other duties/responsibilities as required.
Auto-ApplyTelephonic Nurse Case Manager I
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.
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.
Transitional Nurse Liaison - Hospice
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
Auto-ApplyTransitional Nurse Liaison - Hospice
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
Auto-ApplyNurse Case Manager - Chicago
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.
Hospice Nurse- Case manager- Full-time dayshift- Lake Zurich, Barrington and surrounding areas
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.
Auto-ApplyPediatrics Nurse Case Manager needed in Chicago, IL
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
Business Development Liaison Nephrology & Nursing Homes
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.
NURSE COORDINATOR II - Pediatric ICU (PICU)
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
Residential Nurse - WRS
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.
ER Nurse
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.
Auto-Apply