Medical Device & Diagnostics - CRA 2 - US Remote Fortrea IncMedical Device & Diagnostics - CRA 2 - US RemoteILRemote$105,000–$117,000 / yearResponsibilities: Responsible for all aspects of study site monitoring including routine monitoring and close-out of clinical sites, maintenance of study files, conduct of pre-study and initiation visits; liaise with vendors; and other duties, as assigned -. Ensure the integrity of the data submitted on Case Report Forms (CRFs) or other data collection tools by careful source document Monitor data for missing or implausible data.
Medical Director - ENT CVS Health CorpMedical Director - ENTIL$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Director - Spine CVS Health CorpMedical Director - SpineIL$174,070–$374,920 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
Medical Revenue Cycle - Payment Specialist Paradigm Management Services LLCMedical Revenue Cycle - Payment SpecialistChicago, ILRemoteResponsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management. The Payment Specialist supports Paradigms Revenue Cycle operations by managing provider payment processes, resolving discrepancies, and ensuring financial accuracy.
Medical Stop Loss Underwriting Practice Lead, Accident & Health American International GroupMedical Stop Loss Underwriting Practice Lead, Accident & HealthChicago, ILFor positions based in NYC, NY, the base salary range for this position is $118,000-$178,000, for positions based in New Jersey, the base salary range for this position is $126,000-$171,000, for positions based in Illinois the base salary range for this position is $125,000-$173,000, and the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. Get to know the business: AIG underwriting teams help to find insurance solutions in areas including Financial Lines, Property, Casualty, Specialty Lines, Cyber, Multinational Clients, and High Net Worth individuals.
Regional Medical Lead HeartFlowRegional Medical LeadChicago, IL$195,000–$230,000 / yearHeartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). Internally, this role is the clinical subject matter expert regarding coronary artery disease diagnosis and management and Heartflow products, ensuring product clinical messaging, clinical data development, and physician education activities are aligned to Heartflow's business priorities.
NewMedical Social Consultant - UI Health, Complex Care University of Illinois Hospital & Health Sciences SystemMedical Social Consultant - UI Health, Complex CareChicago, IL$67,330–$118,747 / yearIt also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified health centers.
NewMedical Support Assistant (Advanced) U.S. Department of Veterans AffairsMedical Support Assistant (Advanced)IL$58,187–$75,642 / yearAdvanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and/or care in the community operational activities that affect patient flow, and patient support care administrative functions to include, but not limited to appointment cycles, outside patient referrals, follow-up care, overbooking, provider availability, etc. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position.
Medical Support Assistant (Advance) U.S. Department of Veterans AffairsMedical Support Assistant (Advance)IL$50,428–$65,556 / yearIf selected, to meet the basic requirement of high school education or equivalent and prior to a firm job offer being extended, applicants must provide one of the following as verification of the education requirement if not covered under the grandfathering provision: Copy of high school diploma OR high school transcript (unofficial or official) OR GED Certificate OR homeschooling completion OR proficiency certificate issued by a State or Territorial Board or Department of Education OR college transcript (official). Grade Determinations: In addition to the Basic Requirements, to be qualified you must have one year of creditable experience equivalent to the next lower grade (GS-5).In addition, you must demonstrate the following KSAs: Advanced knowledge of the technical health care process (including, but not limited to, scheduling across interdisciplinary coordinated care delivery and/or care in the community models and patient health care portals) as it relates to access to care.
Care Management - Nurse, Senior Blue Cross and Blue Shield AssociationCare Management - Nurse, SeniorILIn this role you will determine, develop and implement the plan of care based on accurate assessment of the member and current or proposed treatment plan in cases of member inquiry, triage hub, chronic conditions, poly-pharmacy, pre-natal care, and voluntary member health assessment, in addition to indication of multiple monthly ER visits. Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family''s right to make informed choices that may not promote the best outcomes, as determined by the healthcare team.
NewQuality Management Nurse Consultant CVS Health CorpQuality Management Nurse ConsultantIL$60,522–$129,615 / yearContributes to the development, revision, and implementation of policies, procedures, and guidelines that focus on system performance, network provider and community partner performance, and addressing barriers including health disparity and health related social needs, to improve clinical quality, promote best member and provider experience, and ensure patient safety. Collaborates with all POSC stakeholders and participants to ensure cross-functional collaboration, education and participation in establishing, measuring and evaluating best practice interventions aimed to achieve Quality performance goals.
Manager Inpatient Care Management Advocate Aurora Health IncManager Inpatient Care ManagementPark Ridge, IL$47.50–$71.25 / hourIdentifies and discusses overall and individual physician trends related to care management activities with Director of Inpatient Care Management Operations, Physician Advisor and site Medical Staff Leadership as appropriate with a documented improvement plan to include strategies and educational needs identified. Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
RN Case Manager AseraCare Amedisys, Inc.RN Case Manager AseraCareValparaiso, IndianaFull timeOverview: Patient Care Territory-LaPorte County $10,000 Sign on bonus What's in it for you A full benefits package with choice of affordable PPO or HSA medical plans. The opportunity to make a meaningful impact on the lives of patients and their families providing much needed care where they want to be - in their homes.
RN Case Manager Traditions HealthRN Case ManagerCrown Point, INEnvironmental and Working Conditions: Works in patients' homes in various conditions; possible exposure to blood and bodily fluids and infectious diseases; must have the ability to work a flexible schedule and the ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Our exceptional Care Team members are the heart of what we do and include incredible nurses, medical social workers, aides, chaplains, and dedicated volunteers who work together to support both patients and their families.
RN Case Manager Traditions Health, LLCRN Case ManagerCrown Point, INEnvironmental and Working Conditions: Works in patients' homes in various conditions; possible exposure to blood and bodily fluids and infectious diseases; must have the ability to work a flexible schedule and the ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Our exceptional Care Team members are the heart of what we do and include incredible nurses, medical social workers, aides, chaplains, and dedicated volunteers who work together to support both patients and their families.
RN CASE MANAGER, WOUND CARE CENTER Sinai Health System IncRN CASE MANAGER, WOUND CARE CENTERChicago, ILThis entails: Performing the initial nursing assessment, communicating findings with the assigned physician, assessing the wound stage and measurements, documenting care plans, evaluating the patient' status in regards to desired outcomes, and identifying patient care situations that require intervention Participating in quality improvement initiatives, providing education to the patient or caregiver, and serving as a patient advocate in the delivery and coordination of the patient care Performs hyperbaric oxygen therapy (HBO) related duties as assigned, upon completion of the Healogics hyperbaric training May perform hyperbaric safety director duties after completing the required hyperbaric safety director training. Collaborates as needed with other healthcare providers, Wound Care Center Providers, the Program Director and the Medical Director regarding clinic and patient needs Performs other duties as required.
Case Manager needed in Chicago, IL HealthPlus StaffingCase Manager needed in Chicago, ILChicago, IllinoisJob Requirements: Bachelor’s degree with major course work in sociology, social work, social welfare, psychology, gerontology, anthropology, other related social sciences, criminal justice, theology, nursing, healthcare administration, counseling, or education or. The Case Manager will provide help to pregnant women and children in getting the health care and social services needed.
MHJJ/FLYE Case Manager- Southeast Metropolitan Family ServicesMHJJ/FLYE Case Manager- SoutheastChicago, IL$45,000–$49,000 / yearPart timeMetropolitan is Illinois' first comprehensive human services agency and reaches more than 122,970 individuals and families in Chicago, Evanston/Skokie, the southwest suburbs, and DuPage County with services promoting education, economic stability, emotional wellness, and empowerment. While performing the essential duties of this job, the employee is required to sit and stand for sustained periods of time, frequently talk, hear, use hands and fingers to feel, handle and operate objects or controls, and occasionally stand, bend, stretch, stoop, kneel and crouch.
WOUND CARE CENTER - RN Case Manager Sinai Health System IncWOUND CARE CENTER - RN Case ManagerChicago, ILPosition Purpose: Under the direction of the Wound Care Center Clinical Nurse Manager/Clinical Coordinator, the Registered Nurse (RN) primarily provides patient care and handles intake and discharge processes for the Wound Care Center patients as scheduled. This entails: Performing the initial nursing assessment, communicating findings with the assigned physician, assessing the wound stage and measurements, documenting care plans, evaluating the patient' status in regard to desired outcomes, and identifying patient care situations that require intervention.
RN Case Manager Bristol Hospice, LLCRN Case ManagerMerrillville, INAre you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities.