524 utilization jobs at 232 companies in Hammond, IN
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Utilization Review Nurse
New Lenox, Illinois, United States
$35-$45/hrHybridFull Time
Silver Cross Hospital: General hospital providing acute and outpatient healthcare services.
Current RN licensure, current CPR, knowledge of clinical norms, strong communication and critical thinking; experience in utilization review, case management or hospital nursing preferred.
GRO Community: Provides trauma-informed mental health services for males of color.
3+ YOEMaster's degree required, 3+ years utilization review/case management/clinical documentation experience, active LCSW or LCPC preferred, proficiency in EHR and Google Office Suite, strong knowledge of payer authorization and regulatory compliance.
Riverside Healthcare: Provides comprehensive hospital and clinical healthcare services.
3+ YOEActive Illinois RN license, Associates Degree in Nursing required, minimum 3 years ED clinical experience, proficiency with EHR and utilization review tools (InterQual/MCG), strong clinical assessment and communication skills.
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
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.
Utilization Management Specialist (Chicago, IL, US, 60624)
Chicago, Illinois, United States
$51k-$60k/yrHybridFull Time
Gateway Foundation: Provides substance use and mental health disorder treatment services.
1+ YOEBachelor's in counseling, nursing, or related; 1+ year utilization management experience in healthcare; strong proofreading and VDT skills; ability to travel to assigned sites; daytime, hybrid schedule.
Health - Network Performance / Utilization Manager
Chicago, Illinois, United States
$80k-$294k/yrFieldFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
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.
Spectrum Billing Solutions: Provides revenue cycle management services for behavioral health providers.
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.
Utilization Management and Population Health Nurse
Chicago, Illinois, United States
OnsiteFull Time
Humboldt Park Health: A community-focused hospital providing healthcare services in Chicago.
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.
NiSourceNYSE: NI: Provides regulated natural gas and electric utility services.
1+ YOEDesigns and manages customer-requested gas and electric services; 1+ years utility distribution work management; strong communication, problem-solving, and Microsoft 365 skills; travel for local site visits may be required.
Guidehealth: AI platforms and managed services for value-based healthcare providers.
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
City of Geneva: Municipal government providing public services to the Geneva community.
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.
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
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.
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/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
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.
Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation
Boston or Chicago or New York City or Washington or Nashville or United States
$250k-$350k/yrRemoteFull Time
Chartis: Strategic consulting and data analytics for the healthcare sector.
10+ YOEBachelor's required (advanced preferred), 10+ years in CDI/care management/utilization management or healthcare consulting, deep knowledge of DRGs/denial prevention, EHR workflows, AI-enabled solutions, and strong executive communication.
Fine Tune: Manages complex indirect expenses for large enterprises.
3+ YOEBachelor's degree required, 3+ years in utility bill management or energy services, client-facing and project management experience, familiarity with utility billing processes (EDI, interval data), and proficiency with Microsoft Office.
AbbottNYSE: ABT: Provides medical devices, diagnostics, and science-based nutritional products.
1+ YOEHigh School Diploma; minimum 1 year as a utility operator; ability to train others; emergency response ability; 6 months training in safety/tests; strong utilities knowledge.
Boilers, Pumps, Air Compressors, Water Treatment, Soot Blowers
Chicago or Cook County or DuPage County or Will County or Lake County or Kane County or McHenry County
$81k-$121k/yrHybridFull Time
Metra: Operates regional commuter rail services in the Chicago area.
4+ YOE4+ years permitting and utility coordination or related experience, working knowledge of municipal permitting and underground utility coordination, Microsoft 365 proficiency, ability to lift 50 lbs, valid driver license, flexible hours.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project, Microsoft Power BI