540 utilization jobs at 244 companies in Oak Lawn, IL
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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.
Boston or Chicago or New York City or Washington or Nashville
$85-$95/hrRemoteContract, Temporary
Chartis: Strategic consulting and data analytics for the healthcare sector.
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
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/yrOnsiteFull Time
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
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.
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 Lead-Utilization Review Full Time Days
Palos Heights, Illinois, United States
$41-$65/hrOnsiteFull Time
Northwestern Medicine: Academic health system providing clinical care and medical research.
3+ YOEBSN from an accredited nursing school and at least 3 years of case management experience in an acute care or healthcare setting. ACM certification and a master's degree are preferred.
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.
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/hrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
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.
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
Sevita: Specialized home and community-based healthcare and rehabilitation provider.
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.
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.
Essential UtilitiesNYSE: WTRG: Provides regulated water, wastewater, and natural gas utility services.
High school diploma or equivalent, valid U.S. driver's license, ability to lift 50 pounds, computer literacy, and ability to obtain an Illinois Class A Public Water Supply Operator license within six months.
ExelonNASDAQ: EXC: Provides electricity and natural gas transmission and distribution services.
Internal lateral applicants must be Area Operators in specified ComEd classifications. The role requires switching, maintenance, inspection, testing, troubleshooting, and equipment commissioning.
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.
US HealthVest: Operates specialized psychiatric hospitals and outpatient behavioral health centers
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.
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.
Powers Health: Non-profit health system offering comprehensive medical and surgical hospital services.
2+ YOEHigh school diploma, 35 words-per-minute typing, proficiency with internet, intranet, email, and online applications, plus time management and interpersonal skills. Healthcare experience and associate degree preferred.
Redwood City or Texas or Oregon or Washington or Washington or Ohio or Chicago
$185k-$285k/yrHybridFull Time
GridCARE: Unlocking electrical grid capacity for AI data center power.
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.