24 utilization review jobs at 21 companies in Chicago, IL
1mo
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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.
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
1w
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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)
3w
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Medical Review Coordinator
Aurora, Illinois, United States
$32-$46/hr OnsiteFull Time
Medical/Dental/PA or Nursing graduate required; ECFMG or US bachelor’s preferred; utilization review and acute care clinical experience preferred; strong communication, critical thinking, and ability to work independently.
3w
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Medical Review Coordinator
Aurora, Illinois, United States
$32-$46/hr OnsiteFull Time
Medical, dental, PA, or nursing graduate required; ECFMG and US bachelor's preferred. Utilization review and acute care clinical experience preferred. Strong written/verbal communication, critical thinking, interpersonal skills, and ability to work independently.
4d
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Clinical Review Nurse II (US)
Indianapolis or Atlanta or Denison or East Syracuse or Louisville or Denver or Las Vegas or Seattle or South Portland or Chicago
$76k-$131k/yr RemoteFull Time
3+ YOERequires an associate degree in nursing and 3 years of clinical experience or equivalent; current unrestricted RN license required. Medical management or utilization review experience preferred.
Medical policy, Utilization Review
1mo
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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.
4d
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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
2mo
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UR COORDINATOR
Kouts or Valparaiso
OnsitePart Time, Temporary
2+ YOEMaster's in social work/mental health or Nursing degree required; 2+ years clinical psychiatric experience; RN, LSW, or LCSW required; experience with patient assessment, treatment planning, and insurer communication.
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
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.
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.
1mo
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Associate Interconnection Engineer
Asbury Park or Chicago or Baltimore or New York City
$70k-$80k/yr HybridFull Time
Bachelor's in electrical engineering or related field, internship or related experience preferred, knowledge of utility interconnection process, ability to prepare applications and review site plans.
1w
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Clinical Pharmacist - Managed Care PharmD
Albuquerque or Helena or Chicago or Richardson
$102k-$184k/yr HybridFull Time
3+ YOEActive pharmacist license in operating states; clinical review, utilization management, MTM experience preferred; strong communication, drug information, and data analysis skills.
1mo
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Senior Structural Engineer – Substation
Denver or New York City or Los Angeles or Chicago or Houston or Philadelphia or San Antonio or Chattanooga
$114k-$150k/yr HybridFull Time
10+ YOEBachelor's in civil/structural engineering, PE preferred, 10+ years structural engineering experience for utility/substation projects, proficiency with structural analysis tools, experience leading technical design and reviews.
Mathcad, RISA, STAAD, STAAD Foundation, RISA3D, RISA Foundation, LPile
2d
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Financial Clearance I
Chicago, Illinois, United States
$20-$30/hr OnsiteFull Time
2+ YOEHigh school diploma required; bachelor's degree preferred. Requires excellent communication, utilization management knowledge, medical chart review, clinical data abstraction, and 2 years of pre-certification experience.
1w
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Engineering Specialist
Oak Brook or Geneva or Chicago
$70k-$90k/yr OnsiteFull Time
4+ YOERequires 4+ years of relevant experience, utility or roadway design experience, US driver's license and work authorization, strong communication skills, CADD expertise, and ability to lead teams and review engineering designs.
AutoCAD, MicroStation, GIS, Microsoft Office 365, remote communication software, enterprise asset management platforms
3mo
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CASE MANAGER- RN required
Merrillville, Indiana, United States
OnsitePart Time
3+ YOELicensed RN with chart-review and utilization management skills; knowledge of levels of care, discharge planning, payer regulations; CPR required; bachelor\u0002s in nursing required; ~3 years RN case management experience.
1mo
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Clinical Documentation Specialist
Chicago, Illinois, United States
$70k-$85k/yr OnsiteFull Time
2+ YOERequires RN (Illinois) or HIM credentials (RHIT/RHIA). Clinical documentation or utilization review experience (2+ yrs) with acute care/coding background; knowledge of MS-DRG, EMR, Epic, and Microsoft Office; strong writing and critical-thinking skills.
Electronic Medical Record (EMR), Microsoft Word, Microsoft Outlook, EPIC
1mo
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Facility Electrical Assessment Consultant 1
Overland Park or Cary or Houston or Orlando or Charlotte or Dallas or Tualatin or Atlanta or Austin or Phoenix or Tampa or Gaithersburg or Bloomington or Chicago or Denver or Kansas City or Walnut Creek or Olathe
HybridFull Time
4+ YOEDevelop and perform electrical asset assessments and inspections for water, wastewater, power and utility facilities; review test results and prepare technical reports; 4+ years consulting experience preferred; bachelor’s in electrical engineering preferred; knowledge of FERC, IEEE, NEC.
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