Utilization review nurse jobs in Skokie, 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.

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.

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. The low end of the range includes compensation related to salary and first year success bonus. The high end of the range is inclusive of productivity bonuses and additional shift work that is paid at a premium (i.e., after hours, weekends, on-call). *Compensation potential varies by market. JR# JR250472

About Sinai Health System: The member institutions of Sinai Health System collectively deliver a full range of high-quality outpatient and inpatient services, as well as a large number of innovative community-based health, research, and social service programs. We focus our collective depth of expertise and passion to improve the health of the 1.5 million people who live in our diverse service area. Sinai Health System, with our team of dedicated caregivers, is uniquely committed to building stronger, healthier communities. Visit ************* for more information about our organization. Sinai Health System - Level 1 Trauma Center, is a Chicago-based not-for-profit organization comprised of Sinai's teams of nurses, surgeons, and anesthesiologists working together in surgical services such as vascular, hand, neuro, orthopedics, gynecological, reconstructive, urological & general surgery. General Summary: The OR Nurse provides direct and indirect patient care under the direction of the Patient Care Coordinators. Render confidential, technical, perioperative care to assigned patients according to AORN competency standards Provide direct and indirect patient care under the direction of the Patient Care Coordinator Collaborate with other members of the surgical team to ensure the highest standard of care Anticipate needs of assigned patient, case and surgeon Maintain vigilant for maintenance of the sterile field Assist with maintaining equipment, instrumentation, surgeon preference cards and supply inventory Acts in a professional manner outlined by Mount Sinai Hospital's core values or patient care and customer service Benefits: Tuition Reimbursement Certification Differential 403 b with Matching Contributions PTO Medical / Dental / Vision Continuing Education

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.

About Sinai Chicago Located on Chicago's West and Southwest Side, Sinai Chicago is comprised of Mount Sinai Hospital, Holy Cross Hospital, Schwab Rehabilitation Hospital, Sinai Children's Hospital, Sinai Community Institute, Sinai Medical Group, and Sinai Urban Health Institute. The entities of Sinai Chicago collectively deliver a full range of quality inpatient and outpatient services, as well as a large number of innovative, community-based health, research and social service programs. We focus our collective depth of expertise and passion to improve the health of the 1.5 million people who live in our diverse service area. With our team of dedicated caregivers, Sinai Chicago is committed to building stronger, healthier communities. A partner with the Jewish United Fund in serving our community Job Summary Perform nursing duties in support of patient care within the department necessary for the diagnosis and subsequent treatment of inpatients and/or outpatients undergoing diagnostic and invasive procedures. Delivers basic to advanced nursing care to patients in Interventional Radiology (IR), Cardiology, Nuclear Medicine, Cardiac Cath Lab, and EP Lab. Administers medications, provides conscious sedation, and intra-procedural monitoring of patients status while undergoing procedures in IR, non-invasive Cardiology and Nuclear Medicine, Cath Lab, and EP Lab. Actively involved with assessment, planning, care, and education of patients and staff who undergo diagnostic, interventional, and therapeutic procedures within the department; willing to learn and/or expand skills in the insertion and management of advanced vascular access. Services are provided in accordance with industry standards, departmental protocols, and hospital policies and procedures. Education and Work Experience: Graduation of an accredited nursing program required; Bachelor's degree in nursing preferred. Six months of clinical experience in one of the following areas is required, preferably in CCU, ED, Adult Critical Care, or Telemetry. Knowledge and Skills: Experience Preferred in EPIC and MEDITECH software systems. Certifications/Licenses: Licensed Professional Nurse by the Illinois Department of Professional Regulation. Basic Life Support (BLS) certification. Advanced Cardiovascular Life Support (ACLS) certification required within 90 days of employment Benefits: Sinai Health System's goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a healthcare program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems. Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as-needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai's benefit programs with the exception of Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match-eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan. Living the Values: Additional Information Experienced and new grad RNs Certified Nursing Assistants (CNAs) Surgical Techs Imaging/Allied Health Techs Respiratory Therapists Ready to Make Your Career Merry and Bright? Join us any Wednesday to chat with recruiters about the positions we are hiring for, take a tour of the unit you're interested in, and a guaranteed interview with one of our leaders. You might even receive an on-the-spot offer! The RN role is eligible for TN sponsorship. Holders of F1 status are also eligible upon receiving their OPT. Sponsorship will require IL RN licensure and Visa Screen. Every Wednesday 1 - 4pm Mount Sinai Hospital 1500 S. Fairfield Avenue Chicago, IL 60608 We are committed to creating a welcoming and collaborative work environment that encourages professional development and growth across all our ancillary and procedural departments. Here you will find a dedicated team of supportive staff members, visionary leaders, and experienced physicians who are passionate about helping you succeed in your career. We embrace the chance to offer both seasoned caregivers and recent graduates, to expand your skill set and experience various modalities in healthcare. Become part of a dynamic and progressive healthcare community where your career can thrive and flourish throughout all seasons. Sinai Chicago At Sinai Chicago, we do more than serve patients. We serve a community that reflects the real Chicago, bringing real-life struggles as well as unbelievable triumphs through our doors. When you join the team at Sinai Chicago you get more than just a job, you get real life, real experience and real Chicago. RSVP Walk-in Wednesday Interview Events | Sinai Chicago | Mount Sinai Hospital | Chicago, I

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.

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

+ 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.

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. Regional Nurse Consultant Qualifications: Registered Nurse in the State of Illinois in good standing Master's degree in nursing, preferred 5 years of nursing leadership experience at the corporate level Minimum of 10 years as a Registered Nurse Experience overseeing large nursing teams At least 5 years in LTC and knowledge of LTC regulations keywords: chief of nursing services, skilled nursing finance, registered nurse, rn Compensation details: 140000-150000 Yearly Salary PIb1b0ed2bc695-26***********9

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.

Nurse Case Manager I Hours: 9am-5:30pm EST with 2 -3 evening shifts a month 11:30am-8pm EST 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. The Nurse Case Manager I is responsible for 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. Performs duties telephonically or on-site such as at hospitals for discharge planning 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. * Implements 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. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. * Assists with development of utilization/care management policies and procedures 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 is providing services in multiple states. Preferred Skills, Capabilities and Experiences: * Certification as a Case Manager is preferred. * BS in a health or human services related field preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $68,880- $108,240 Locations: Illinois, New York 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.

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

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

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.

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

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.

Job Description Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility's diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment. For more information, visit *************** Work Location: Department: Clinical Your Schedule: Monday - Friday; 8:00am - 4:30pm; Possible evening, weekend, and holiday rotations. What We Offer Our Team Members: Generous Paid time-off (PTO) and paid holidays Medical, Dental, and Vision Insurance Health benefits eligible the first day of the month following your start date. 401(k) Plan with Company Match (first of the month following 2 months of service) Basic & Supplement Life Insurance Employee Assistance Program (EAP) Short-Term Disability Flexible spending including Dependent Care and Commuter benefits. Health Savings Account CCRM Paid Family Medical Leave (eligible after 1 year) Supplemental Options (Critical Illness, Hospital Indemnity, Accident) Professional Development, Job Training, and Cross Training Opportunities Bonus Potential Potential for Over-time Pay (Time and a half) Holiday Differential Pay (Time and a half) Weekend Shift Differential Pay ($4.00 per hour) How You Will Make an Impact: The IVF Nurse Coordinator (RN) plays a crucial role in the fertility treatment process and will make a significant impact through patient care, support, assessment, education, and counseling. The IVF Nurse Coordinator (RN) provides comprehensive care, support, and coordination throughout the IVF journey. Their role is pivotal in helping patients navigate the complexities of fertility treatments while striving for the best possible outcomes. What You Will Do: The IVF Nurse Coordinator (RN) is responsible for providing individualized nursing care to CCRM's fertility patients through treatment coordination, medication management, patient advocacy, and outcome monitoring. This position collaborates closely with the physicians to coordinate patient care and treatment and consult with patients regarding treatment protocols, medications, and/or required testing procedures. The IVF Nurse Coordinator is expected to function independently in the role as well as in a team environment. The IVF Nurse Coordinator reports to the IVF Nurse Supervisor. Assess patients' medical histories, reproductive health, and any underlying conditions that may impact fertility and ensure appropriate data is entered in EMR. Collaborate with physicians to determine suitable treatment plans for individual patients. Educate patients on the IVF process (procedures, infertility testing, insemination, in vitro (IVF) fertilization, FET, and egg vitrification, etc.), medications, potential side effects, and lifestyle factors that may affect treatment success. Provide emotional support and counseling to each patient throughout their CCRM Journey. Guide patients on how to self-administer medications and monitor progress; adjust medication dosages based on patients' responses and communicate any concerns to the medical team. Coordinate and schedule surgery and ART appointments, diagnostic tests, and procedures, and ensure all consents are signed and patients adhere to the treatment timeline. Monitor established pregnancies via ultrasonography and lab tests, through the first 8-12 weeks of pregnancy (annotated in EMR). Serve as a liaison between patients and the medical team, relaying vital information, test results, and treatment instructions; answering any questions or concerns promptly. Advocate for patients, ensuring their needs and preferences are taken into consideration and help patients make informed decisions about their care. Maintain accurate and up-to-date patient records, documenting all aspects of the IVF treatment in the EMR (i.e., medication administration, test results, progress notes, physician orders, etc.). Ensure patients understand results, discuss potential reasons for failure, and explore alternative treatment options or modifications to the treatment plan. Perform intrauterine inseminations, as directed. Verify all communicable disease testing is complete, accurate, and appropriate. Other duties as assigned. What You Bring: Associate Degree or higher in Nursing, from an accredited school of nursing required. Current State Registered Nurse (RN) license (without limitations) required. Active BCLS/ACLS certification required. 3+ years RN experience preferred. 2+ years of previous experience in women's health, fertility, OB/GYN, preferred. Working Conditions: The physical demands described here are representative of those which should be met, with or without reasonable accommodation (IAW ADA Guidelines), by an employee to successfully perform the essential functions of this job. This job operates in a professional office and clinical setting. This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets. While performing the duties of this job, the employee is regularly required to communicate with others. The employee is frequently required to sit; will occasionally stand and/or walk; use hands and fingers to grasp, pick, pinch, type; and reach with hands and arms. Employees should have the visual acuity to perform an activity such as: preparing and analyzing data and figures, viewing a computer terminal, extensive reading, and operation of standard office machines and equipment. CCRM's Compensation: The salary range represents the national average compensation for this position. The base salary offered will vary based on location, experience, skills, and knowledge. The pay range does not reflect the total compensation package. Our rewards may include an annual bonus, flexible work arrangements, and many other region-specific benefits. Pre-Employment Requirements: All offers of employment are conditional upon the successful completion of the CCRM Fertility onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees. Equal Employment/Anti-Discrimination: We are an equal-opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

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