Home My Resume Saved Jobs Matches Feedback

1145 Utilization Management Rn jobs in Chicago,IL

New, Posted 1 day ago

Apply Directly

NURSING QUALITY & REGULATORY COMPLIANCE MANAGER

Mount Sinai Health System

Chicago, IL 60629

OnsiteUrgently HiringHealth InsurancePaid Time OffRetirement Benefit

Intermediate computer skills with the ability to become proficient in Microsoft Office and electronic medical record systems with on-the-job training
Knowledge of and experience working in Magnet recognized facilities
Bachelor of Science in Nursing (BSN) required
Strong data and systems analysis skills
Ability to lead staff development initiatives to successful outcomes, and effectively utilize data, particularly with respect to evidence-based practices
Knowledge of NDNQI platform experience preferred
Excellent interpersonal skills with the ability to establish strong and effective collaborative relationships
Experience in EPIC and MEDITECH software systems preferred
RN licensed in the state of Illinois
Five (5) years of clinical or leadership experience as a Registered Nurse
Excellent interpersonal skills and demeanor that promote effective interaction with multi- disciplinary health care providers, academic departments, vendors, and others
Three (3) years of Nursing leadership experience
Excellent communication skills to prepare written materials and correspond with administrative personnel and the general public
Two (2) years of Nursing quality and/or regulatory compliance experience

SmartExplore AI is experimental.

New, Posted 1 day ago

Apply Directly

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Chicago, IL 60695

$63,435-$123,699/yr

Remote

Bachelor's Degree or equivalent combination of education and work experience
3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment
3-5 years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data
3-5 years of experience in working with complex data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics
1-3 years of experience with Microsoft Azure, AWS, or Hadoop
3-5 years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design
3-5 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI

SmartExplore AI is experimental.

New, Posted 1 day ago

Easy Apply

Registered Nurse

Lifespace Communities

Chicago, IL 60638

$43.10-$59.22/hr

Onsite

Certifications and Registered Nurse license and other licensure required by state regulations.
Registered Nurse

SmartExplore AI is experimental.

New, Posted 1 day ago

Apply Directly

Operations and Data Quality Control, Associate / Chicago, IL

Blackrock

Chicago, IL 60290

HybridEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Experience in QA/QC, project management, or consulting-style environments
Proactive learner with the ability to self-teach technical tools and business processes
Strong Excel skills; experience with data visualization tools (e.g., QuickSight, Tableau, Power BI)
Familiarity with SQL or other relational databases; Python exposure is a plus
Exposure to CRM systems; Salesforce is a plus
Bachelor's degree in Business, Engineering, or related discipline.

SmartExplore AI is experimental.

New, Posted 1 day ago

Apply Directly

Operations Manager (Food Distribution)

E. A. Sween Company

Chicago, IL 60695

$84,613.60-$105,000/yr

Onsite

Ability to pass background checks, drug screens, and skills assessments.
5+ years of warehouse, distribution, or supply chain management experience.
Ability to manage multiple priorities independently.
Strong communication and collaboration skills.
Valid driver's license; DOT certification if applicable.
Availability to work nights, weekends, holidays, be on call, and support a 24/7 operation.
5+ years of people leadership experience with responsibility for budgets, labor, and productivity.
Strong proficiency in Microsoft Office (Excel, Word, PowerPoint).
Proven experience managing customer relationships and reporting to senior leaders.
Strong analytical, organizational, and problem-solving skills.

SmartExplore AI is experimental.

Easy Apply

RN Case Manager, Inpatient

LOYOLA UNIVERSITY HEALTH SYSTEM

Maywood, IL 60153

$35.89-$62.91/hr

~ 18 min OnsiteUrgently Hiring

Minimum Experience: Required: 3-5 years of previous job-related hospital experience
Minimum Education: Required: Bachelor's Degree
Recent clinical experience in medicine, surgery, critical care, telemetry, or ED is required

SmartExplore AI is experimental.

Apply Directly

RN - Clinical Care Coordinator HUB - Per Diem

Endeavor Health

Arlington Heights, IL 60005

~ 36 min OnsiteHealth InsuranceRetirement Benefit

Previous leadership experience required.
Two years of experience in an acute care setting required, specialty requirements vary by unit.
Bachelor's of Science in Nursing required.
Current licensure to practice nursing in the State of Illinois.
Case management certification required or obtained within one year of eligibility

SmartExplore AI is experimental.

Apply Directly

Travel Nurse RN - Manager - $3,367 per week

Prime Staffing

Chicago, IL 60290

$3,367/wk

Urgently HiringBilingual Preferred

Apply Directly

Community Liaison

Crossbridge Hospice

Chicago, IL 60290

Onsite

Knowledge of customer referral source [CRM] management systems for activity tracking
Valid driver's license and reliable transportation required
Referral volume targets
Timely follow-up and documentation standards
Demonstrated ability to meet or exceed performance goals and key performance indicators (KPIs). This includes:
Patient admission and conversion rates
Proven experience in healthcare marketing, sales, or community outreach—preferably in home health, hospice, or a related field.
Relationship development with referral sources
Community engagement metrics

SmartExplore AI is experimental.

Apply Directly