3w
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Supervisor, Utilization Management
Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming or Phoenix
$101k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet, Internet, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System, American Dental codes
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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Utilization Management Specialist (Chicago, IL, US, 60624)
Chicago, Illinois, United States
$51k-$60k/yr HybridFull Time
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.
3d
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Utilization Management Nurse Consultant
Illinois, United States
$32-$69/hr RemoteFull Time
3+ YOEActive RN licensure in state of residence, willingness to obtain additional state licenses, 3+ years inpatient RN experience, strong computer skills, associate degree required (BSN preferred).
2w
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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.
2w
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Utilization Review Nurse
New Lenox, Illinois, United States
$35-$45/hr HybridFull Time
Current RN licensure, current CPR, knowledge of clinical norms, strong communication and critical thinking; experience in utilization review, case management or hospital nursing preferred.
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
3w
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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
9h
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Registered Nurse Utilization Management Specialist
West Des Moines or Iowa or Illinois or Wisconsin
$35-$53/hr RemotePart Time
2+ YOEActive RN license in appropriate state(s), Associate Degree or Diploma (RN) required, 2 years nursing experience, knowledge of utilization review and CMS rules, valid driver's license when driving for work, must reside in IA, IL, or WI for remote eligibility.
1mo
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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/yr RemoteFull Time
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.
Epic, NLP, EHR
2mo
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RN Utilization Review Case Manager
Granite City, Illinois, United States
$32-$48/hr OnsiteFull Time
5+ YOERN with at least 5 years' acute care or community health experience; licensed nurse; full-time with benefits; hourly pay.
3w
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Utilization Management RN III
Arkansas or Arizona or Florida or Georgia or Iowa or Illinois or Kansas or Kentucky or Michigan or Minnesota or Missouri or North Dakota or Nebraska or Oklahoma or South Dakota or Tennessee or Texas or Virginia or Wisconsin
$70k-$105k/yr RemoteFull Time
5+ YOEBachelor's or equivalent and 5 years experience beyond degree; active LPN or RN license required (active unrestricted RN required); clinical assessment, UM and appeals experience preferred.
2mo
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Management Consultant-Energy Providers North
Chicago or New York or United States or Detroit or Arlington or Boston
$68k-$113k/yr HybridFull Time
1+ YOEUS citizen or permanent resident; bachelor’s in business/economics/STEM with 1+ years utilities experience or master’s; multiple seniority levels; strong communication; willingness to travel; onsite or client location.
Microsoft Word, PowerPoint, Excel
2mo
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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.
5d
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Strategy Consultant - Utilization Management and Medical Policy
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$109k-$181k/yr RemoteFull Time
6+ YOEMasters in Business/Healthcare/Economics required (or Bachelor's with experience),6+ years related experience (or 2 years post-grad consulting plus 6 years related),healthcare strategy experience,advanced data modeling and analytics skills.
SQL, Python, R, Power BI, Tableau, Microsoft PowerPoint, Microsoft Excel, EHR, ICD-10
2d
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ComEd Project Management Job Fair
Oakbrook Terrace, Illinois, United States
$98k-$148k/yr OnsiteFull Time
Seeking mid-level and senior project management professionals with utility and construction experience to participate in a recruitment fair.
2d
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ComEd Project Management Job Fair
Oakbrook Terrace, Illinois, United States
$98k-$135k/yr OnsiteFull Time
Seeking mid-level and senior project management professionals with utility, infrastructure, engineering, or construction experience to attend a recruitment fair.
2d
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Case Manager RN-Utilization Review Casual Rotating Shift
Lake Forest, Illinois, United States
$41-$65/hr RemotePart Time
3+ YOEIllinois RN license, BSN required, 3+ years clinical experience, case management certification preferred; strong documentation, care coordination, and clinical judgment skills.
2w
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RN - QUALITY/CARE MANAGEMENT- Days
Robinson, Illinois, United States
$31-$43/hr OnsiteFull Time
Current Illinois RN license and BLS required; experience with case management, utilization review, quality improvement, EMR and Microsoft Office; strong communication and analytical skills.
Microsoft Word, Microsoft Excel, PowerPoint, Outlook, EMR
3w
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Project Manager
Decatur, Illinois, United States
OnsiteFull Time
Prior experience managing contracted work with municipal or investor‑owned utilities; understanding of utility practices, contract management for power projects; proficiency with project controls, earned value management, risk management, and Microsoft programs.
Project Controls, Earned Value Management, Microsoft programs
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