490 utilization jobs at 231 companies in St. Charles, 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
Northwestern Medicine: Academic health system providing clinical care and medical research.
2+ YOEMaster's in Social Work or Psychology or BSN+RN, 2+ years experience, utilization review/chart auditing experience preferred, knowledge of IM+CANS/IATP and Illinois Medicaid rules, strong documentation and analytic skills.
Atlanta or Chicago or Cincinnati or Cleveland or Denver or Southfield or Indianapolis or Minneapolis or Washington or Washington
OnsiteFull Time
Taft Stettinius & Hollister: Provides comprehensive legal services to corporate and individual clients.
J.D.; experience in innovation, knowledge management, legal operations, or similar; hands-on use of legal generative AI tools; strong training, communication, and client-focused 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.
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.
ExamWorks: Provides independent medical evaluation and clinical review services.
Active registered nurse license required; strong clinical knowledge, medical terminology, group health/criteria familiarity; proficiency with Microsoft Office and Outlook; ability to perform quality reviews, follow procedures, and work independently.
Clay Consulting: Conducts diagnostic medical and audiology exams for military veterans.
Must hold and maintain an active RN license; strong clinical knowledge of group health/criteria sets, medical terminology, and quality standards; proficient with Microsoft Office and Outlook; ability to work independently and maintain confidentiality.
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.
US HealthVest: Operates specialized psychiatric hospitals and outpatient behavioral health centers
1+ YOE1+ year administrative experience in healthcare preferred; associate degree preferred; typing 65 wpm; proficiency with Word and Excel; ability to work flexible hours and overtime.
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.
WEC Energy GroupNYSE: WEC: Provides electricity and natural gas utility services to customers.
1+ YOEHigh school diploma or GED, 1+ year mechanical aptitude and basic Microsoft Office proficiency, valid driver’s license, must pass DOT physical and Physical Capacity Exam.
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.
AbbottNYSE: ABT: Manufactures medical devices, diagnostics, and nutritional health products.
1+ YOEHigh school diploma, at least 1 year as a utility operator, 6+ months safety/QA training, broad utilities knowledge, ability to train others and respond to emergencies.
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+ YOEBachelor's in engineering/architecture/construction management or equivalent; 4+ years permitting/utility coordination; municipal permitting and underground utility knowledge; Microsoft 365 proficiency; ability to lift 50 lbs and operate a vehicle.
Microsoft 365, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project, Microsoft Power BI