16 utilization review case manager jobs at 12 companies in Illinois
1mo
Save
Mark Applied
Hide
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.
3mo
Save
Mark Applied
Hide
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.
1w
Save
Mark Applied
Hide
RN - Utilization Review Case Manage Nurse FT
Gibson City, Illinois, United States
$32-$48/hr HybridFull Time
2+ YOERegistered nurse with BLS certification and preferred two years of clinical experience; requires utilization review knowledge, strong communication, assessment, decision-making, documentation, and computer skills.
IntraQual, MCG Criteria
2w
Save
Mark Applied
Hide
Utilization Review RN-Casual Rotating Shift
Lake Forest, Illinois, United States
$41-$65/hr RemotePart Time
3+ YOEIllinois RN license, Bachelor of Science in Nursing, and 3+ years of related clinical experience required; master's degree and case management certification preferred.
Artificial Intelligence (AI)
1mo
Save
Mark Applied
Hide
Supervisor, Utilization Management
Phoenix or 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
$91k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtCurrent 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, ICD, DSM, CPT, HCPCS, American Dental codes, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet
1mo
Save
Mark Applied
Hide
Supervisor, Utilization Management
Phoenix or 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
$91k-$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; CCM/HCQM preferred.
Microsoft Office, Microsoft Word, Microsoft Outlook, InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System
2mo
Save
Mark Applied
Hide
Case Manager
Moline, Illinois, United States
OnsiteFull Time
Coordinate interdisciplinary care and discharge planning, manage utilization review and documentation, meet licensure for discipline, obtain CCM or ACM certification within two years, rehabilitation experience preferred.
1w
Save
Mark Applied
Hide
MANAGER CASE MANAGEMENT
Morris, Illinois, United States
$94k-$140k/yr OnsiteFull Time
5+ YOE3+ MgmtRequires a nursing bachelor's degree with Illinois RN licensure or a master's in social work, 5 years of healthcare or business experience, 3 years managing, 2 years in case management or utilization review, and mandated reporter certification.
RAC
3d
Save
Mark Applied
Hide
Case Manager Care Coordination Full time Days
Winfield, Illinois, United States
$41-$65/hr OnsiteFull Time
1+ YOERequires a BSN, Illinois RN license, and one year of acute hospital case management experience. Utilization review, case management certification, insurance experience, and bilingual skills are preferred.
Milliman
1mo
Save
Mark Applied
Hide
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
1mo
Save
Mark Applied
Hide
Remote Behavioral Medical Director, Central Region
Missouri or Nebraska or Kansas or Iowa or Texas or Illinois or Oklahoma
$237k-$449k/yr RemoteFull Time
MD or DO with active unrestricted state license, ABPN board certification (psychiatry), utilization management experience, clinical leadership, and ability to review complex cases and lead quality initiatives.
1w
Save
Mark Applied
Hide
Clinical Admission Nurse Part time Days
Geneva, Illinois, United States
$39-$62/hr OnsitePart Time
2+ YOERequires 2–5 years of hospital patient care experience, BSN, and Illinois RN license. Preferred experience includes admissions, utilization review, discharge planning, or case management.
1w
Save
Mark Applied
Hide
RN - Clinical Transitions Specialist
Peoria, Illinois, United States
$36-$58/hr OnsiteFull Time
Requires an Illinois registered nurse license and bachelor's degree. Coordinates hospital transitions, discharge planning, case management, utilization review, referrals, post-acute services, and readmission prevention.
case management/utilization review software, DME, Medicare
1w
Save
Mark Applied
Hide
Clinical Admission Nurse Full time Nights
Geneva, Illinois, United States
$39-$62/hr OnsiteFull Time
2+ YOERequires 2–5 years of hospital patient-care experience, Illinois RN licensure, and a BSN for applicable new hires; admissions, utilization review, discharge planning, or case management preferred.
1mo
Save
Mark Applied
Hide
Transition of Care RN
Washington or California or Connecticut or Florida or Georgia or Illinois or Indiana or Maryland or Missouri or New Jersey or New York or North Carolina or Pennsylvania or South Carolina or Tennessee or Virginia
FieldFull Time
1+ YOEActive multi-state RN license, bachelor’s in nursing, case management certification preferred, ≥1 year clinical/utilization review experience, EMR/Medent and Microsoft Office proficiency, strong communication and judgment.
EMR, Medent, Microsoft Excel, Microsoft Word
2mo
Save
Mark Applied
Hide
Clinical Document Integrity Specialist - Part Time - Remote (Mooresville, NC, US, 28117)
Mooresville or Alabama or Arizona or California or Colorado or Connecticut or Delaware or Florida or Georgia or Hawaii or Illinois or Indiana or Iowa or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Missouri or Montana or New Hampshire or New Jersey or New York or North Carolina or Ohio or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Washington or District of Columbia
RemotePart Time
3+ YOEBSN/PA/NP/Doctorate in a medically related field required; 3+ years progressive acute care experience; prior case management/utilization review preferred; licensed as RN/PA/NP/MD preferred; CCDS/CCS/CDIP preferred; strong communication, critical thinking, and computer skills.
ICD-9, ICD-10, PCS, DRG, SOI/ROM, CDI database, AHIMA Practice Brief
Explore Jobs
Expand Your Job Search
Top Cities in Illinois for Utilization Review Case Manager
- Utilization Review Case Manager jobs in Chicago, IL
- Utilization Review Case Manager jobs in Aurora, IL
- Utilization Review Case Manager jobs in Rockford, IL
- Utilization Review Case Manager jobs in Joliet, IL
- Utilization Review Case Manager jobs in Naperville, IL
- Utilization Review Case Manager jobs in Springfield, IL
- Utilization Review Case Manager jobs in Peoria, IL
- Utilization Review Case Manager jobs in Elgin, IL
- Utilization Review Case Manager jobs in Waukegan, IL
- Utilization Review Case Manager jobs in Champaign, IL
- Utilization Review Case Manager jobs in Cicero, IL
- Utilization Review Case Manager jobs in Bloomington, IL
- Utilization Review Case Manager jobs in Arlington Heights, IL
- Utilization Review Case Manager jobs in Evanston, IL
- Utilization Review Case Manager jobs in Schaumburg, IL
- Utilization Review Case Manager jobs in Bolingbrook, IL
- Utilization Review Case Manager jobs in Decatur, IL
- Utilization Review Case Manager jobs in Palatine, IL
- Utilization Review Case Manager jobs in Skokie, IL
- Utilization Review Case Manager jobs in Des Plaines, IL