537 utilization jobs at 242 companies in Crystal Lake, IL
1w
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Epic Tapestry Utilization Management
Boston or Chicago or New York City or Washington or Nashville
$85-$95/hr RemoteContract, Temporary
Design, configure, implement, and support Epic Tapestry Utilization Management workflows; ensure regulatory compliance; perform testing and documentation; partner with clinical and operational teams.
Epic, Epic Tapestry, Tapestry Care Link, SmartTools, SmartText
2w
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Utilization Reviewer-Full Time On-Site
DeKalb, Illinois, United States
$37-$52/hr OnsiteFull Time
2+ YOEMaster's in Social Work or Psychology or BSN+RN, 2+ years experience, utilization review/chart auditing experience preferred, knowledge of IM+CANS/IATP and Illinois Medicaid rules, strong documentation and analytic skills.
EPIC
2d
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Acquisition Utilization Specialist
Smyrna or Fort Riley or Topeka or Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin or Hot Springs or Waco
$75k-$123k/yr OnsiteFull Time
1+ YOERequires one year of specialized procurement experience at the next lower federal grade, U.S. citizenship, and experience with acquisition strategy, contract compliance, procurement documentation, federal regulations, stakeholder coordination, and presentations.
Defense Travel System (DTS)
1mo
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Utilization Management Coordinator
Forest Park, Illinois, United States
$30-$46/hr OnsiteFull Time
2+ MgmtBachelor's degree required (Master's preferred); 2+ years supervisory experience in mental health; knowledge of reimbursement, UM data and regulatory standards (JC, CMS, Illinois Mental Health Code); strong communication skills.
1mo
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Health - Network Performance / Utilization Manager
Chicago, Illinois, United States
$80k-$294k/yr FieldFull Time
5+ YOEMinimum 5 years in network strategy/utilization analytics or healthcare market analysis; 2 years assessing providers in Medicaid- or financially stressed environments; 2 years converting claims/encounter/provider/market data into recommendations; Bachelor's degree.
Workday
2mo
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ABA Utilization Review (UR) Specialist
Skokie, Illinois, United States
HybridFull Time
3+ YOE3+ years ABA/behavioral health experience preferred, superior communication, attention to detail, insurance/benefits knowledge, strong computer skills (Word, Excel), ability to obtain authorizations and document cases.
Microsoft Word, Microsoft Excel
4w
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Utilization Management and Population Health Nurse
Chicago, Illinois, United States
OnsiteFull Time
Active RN licensure and bachelor\u0002s degree required; must meet health-plan licensure/certification requirements. Skills in care coordination, utilization review, patient outreach, education, and quality improvement.
1w
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Wound Care Utilization Management RN
Indianapolis or Iselin or Tampa or Miami or Wilmington or Cincinnati or St. Louis or Walnut Creek or Las Vegas or Woburn or Grand Prairie or Chicago or California or Illinois or Massachusetts or Nevada or New Jersey
$39-$56/hr RemoteFull Time
3+ YOERequires an associate degree in nursing or equivalent background, 3+ years of healthcare experience, active unrestricted RN license, and wound-care certification such as WOCN or CWS.
medical records
3d
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Business Finance Revenue Cycle Utilization Manager
Chicago or Austin or Atlanta or United States or Denver or Detroit or Philadelphia or Houston or Tampa or Dallas or Charlotte or Raleigh or Louisville
RemoteFull Time
5+ YOE3+ MgmtBachelor's degree or 5+ years relevant experience, prior management experience, 3–5 years managing hourly staff, strong communication and analytical skills, and revenue cycle or healthcare systems experience.
BrainTree, AVATAR, iserve, Salesforce, EMR, SOX 404
1mo
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Utilization Management Registered Nurse (RN) - Remote
Chicago, Illinois, United States
$70k-$75k/yr RemoteFull Time
3+ YOEActive Illinois RN license, 3+ years healthcare experience, knowledge of utilization review/managed care, Microsoft 365 skills, strong clinical judgment and communication, ability to meet CE requirements.
Microsoft 365, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
2d
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Field Services Representative
Milwaukee or Delafield or Racine
$23-$38/hr FieldFull Time
Valid driver's license and compliance with company driving requirements. Must pass electrical aptitude, mechanical comprehension, arithmetic, and structured competency assessments.
Automated Meter Reading
4w
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Wastewater Treatment Operator
Geneva, Illinois, United States
$72k-$97k/yr OnsiteFull Time
Operate and maintain wastewater plant equipment, collect and analyze samples, perform basic lab tests, use Excel for data entry/analysis, and obtain required certifications including wastewater operator class 4 and CDL-A.
Microsoft Excel
3d
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Area Operator Lateral | 1 Chi-North | 1 O'Hare | 2 Maywood | 2 Skokie
Maywood or Chicago or Skokie or Chicago
FieldFull Time
Internal lateral applicants must be Area Operators in specified ComEd classifications. The role requires switching, maintenance, inspection, testing, troubleshooting, and equipment commissioning.
1mo
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Utilization Management Physician Reviewer
Chicago or United States
$174k-$375k/yr RemoteFull Time
3+ YOEMD or DO with an unrestricted U.S. medical license, 3+ years primary care clinical practice, 1+ year UM experience with Medicare/Medicaid, strong communication, managed care knowledge, and US work authorization.
3d
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Administrative Assistant for Utilization Review
Waukegan, Illinois, United States
$19-$26/hr OnsitePart Time
Preferred associate degree in business or related field and at least one year of healthcare administrative experience. Requires 65 wpm typing, Word and Excel knowledge, flexibility, and overtime availability.
Microsoft Word, Microsoft Excel
3mo
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Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yr RemoteFull Time
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
1w
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Director, Utility Partnerships
Redwood City or Texas or Oregon or Washington or Washington or Ohio or Chicago
$185k-$285k/yr HybridFull Time
10+ YOE10+ years in utility business development or senior utility leadership, established utility executive relationships, deep utility industry and regulatory knowledge, startup/commercial experience, bachelor's degree required.
3mo
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Utilities Unit Manager
Bedford Park, Illinois, United States
$124k-$165k/yr OnsiteFull Time
7+ YOE7+ years leading cross-functional plant utilities teams; bachelor’s in engineering preferred; onsite utilities management experience.
PowerBI, SAP, Excel
1w
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Utility Locator
Racine, Wisconsin, United States
$20/hr FieldFull Time
Ability to perform outdoor field locating of underground utilities, operate technology, pass drug screen, valid driver’s license, lift up to 75 lbs, and distinguish utility color codes.
1d
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PHARMACEUTICAL – MECHANICAL UTILITIES ENGINEER
Chicago or Raleigh or North America or Asia
OnsiteFull Time
MMR Consulting: Engineering and validation services for the life sciences industry.
5+ YOERequires 5+ years in pharmaceutical or biotech clean-utility commissioning, qualification, or validation; engineering degree preferred; expertise in pharmaceutical water, HVAC, industrial utilities, cGMP, and project leadership.
HVAC, PFDs, P&IDs, ASTM E-2500, ISPE ICQ, AHUs, DOAS, CRAC