Clinical Nurse Educator - ASU/PACU - Days Endeavor HealthClinical Nurse Educator - ASU/PACU - DaysEvanston, ILOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. Directly responsible for ensuring that the integrity of the established Clinical Training Programs for Operating Room staff are delivered in their entirety without deviation; provides educational programs to develop clinical staff skills and competencies needed to meet all applicable regulatory agency requirements.
NewPharmacist - Clinical Anticoagulation Management Services Carle HealthPharmacist - Clinical Anticoagulation Management ServicesChampaign, ILResponsibilities Anticoagulation Pharmacist (or Specialist) Clinical Practice & Patient Care Comprehensive Management: Manage warfarin including implementation, monitoring, and peri-procedural bridging protocols. At Carle Health, we‘re committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities.
NewManaged Care Clinical Pharmacist Carle HealthManaged Care Clinical PharmacistChampaign, ILDoctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy with at least 3 years of experience Registered Pharmacist (RPh) | Illinois Department of Financial and Professional Regulation (IDFPR) Anticoagulation management experience is preferred Anticoagulation Pharmacist (or Specialist) Comprehensive Management: Manage warfarin including implementation, monitoring, and peri-procedural bridging protocols. | The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.
NewLead Therapist (PT/OT/SLP) - Home Health Carle HealthLead Therapist (PT/OT/SLP) - Home HealthChampaign, ILEducates and documents discharge planning prior to discharge, including communication with physician, insurance source, outpatient visits and community resources are planned and arranged if applicable. Problem Identification: Be capable of identifying problems that may adversely affect test performance or reporting of test results and either must correct the problems or immediately notify the technical consultant, clinical consultant or director.
MedTech Part Time Clinical Nurse Consultant â Peoria/Quad Cities IQVIA Holdings IncMedTech Part Time Clinical Nurse Consultant â Peoria/Quad CitiesIL3+ years' experience with a strong clinical background in the Cardiac ICU (CICU), Cardiovascular ICU (CVICU), Cardiovascular OR (CVOR), or Catheterization Lab (Cath Lab) required; CVICU experience highly preferred. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
UI Health - Clinical Nurse Consultant II - Perianesthesia University of Illinois at ChicagoUI Health - Clinical Nurse Consultant II - PerianesthesiaChicago, ILAssists the nursing staff in a clinical service to develop effective nursing care plans by conducting studies of existing patient care programs, identifying deficiencies, and developing appropriate remedial educational programs. Through therapeutic relationships with patients, families, self, and colleagues, the Clinical Nurse Consultant II participates in monitoring, developing, and evaluating nursing practice while fulfilling unit and organizational goals.
NewMedTech Part Time Clinical Consultant âSouth Chicago, IL IQVIA Holdings IncMedTech Part Time Clinical Consultant âSouth Chicago, ILChicago Heights, IL3+ years' experience with a strong clinical background in the Cardiac ICU (CICU), Cardiovascular ICU (CVICU), Cardiovascular OR (CVOR), or Catheterization Lab (Cath Lab) required; CVICU experience highly preferred. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
UI Health - Clinical Nurse Consultant II - Perianesthesia University of Illinois Hospital & Health Sciences SystemUI Health - Clinical Nurse Consultant II - PerianesthesiaChicago, ILAssists the nursing staff in a clinical service to develop effective nursing care plans by conducting studies of existing patient care programs, identifying deficiencies, and developing appropriate remedial educational programs. Through therapeutic relationships with patients, families, self, and colleagues, the Clinical Nurse Consultant II participates in monitoring, developing, and evaluating nursing practice while fulfilling unit and organizational goals.
NewUI Health - Clinical Nurse Consultant II - 6E Neuroscience ICU & 6E Neuro Stepdown University of Illinois Hospital & Health Sciences SystemUI Health - Clinical Nurse Consultant II - 6E Neuroscience ICU & 6E Neuro StepdownChicago, ILProvides guidance to professional nursing staff in establishing continuity of care for patients cared for by students during a portion of the patient care sequence, develops nursing programs designed to complement and supplement nursing student assignments. Assists the nursing staff in a clinical service to develop effective nursing care plans by conducting studies of existing patient care programs, identifying deficiencies, and developing appropriate remedial educational programs.
Extra Help Clinical Nurse Consultant II (Transplant Liver) University of Illinois Hospital & Health Sciences SystemExtra Help Clinical Nurse Consultant II (Transplant Liver)Chicago, ILPracticing under the supervision of transplant surgeons and physicians, the transplant Nurse Coordinator ensures coordination of the clinical aspects of transplant patient and living donor care throughout the pre-transplant phase. The Clinical Nurse Consultant II provides patient care and consultation, coordinates the educational development of staff members and acts as a role model in clinical practice.
Payer STARS/Quality Clinical Consultant, Senior Manager PricewaterhouseCoopers LLPPayer STARS/Quality Clinical Consultant, Senior ManagerChicago, IL$124,000–$280,000 / yearAs a Payer STARS/Quality Clinical Consultant, Senior Manager, you will engage with clients in the health services sector, providing strategic guidance and operational consulting to enhance their clinical quality and performance metrics. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Clinical Nurse Consultant, Chicago Bristol-Myers Squibb CoClinical Nurse Consultant, ChicagoChicago, ILRemote$142,710–$172,927 / yearAs part of the commercial organization, the Clinical Nurse Consultant (CNC) is a trusted clinical expert responsible for developing professional relationships and educating key Health Care Professionals (HCP) involved in the care of patients receiving BMS hematology products in a defined geography. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
Clinical Learning Consultant (RN) Taylorville Memorial HospitalClinical Learning Consultant (RN)Decatur, ILThe Clinical Learning Consultant partners with clinical leaders, educators, and stakeholders across the health system to analyze, design, develop, implement, and evaluate clinical learning solutions that strengthen workforce competence, organizational performance and safe, high-quality patient care. This role applies clinical expertise, instructional design, adult learning principles, and consulting to close skills gaps, advance regulatory readiness, support strategic initiatives, and foster a culture of continuous learning.
Senior Consultant - Healthcare Financial Transformation - Clinical Integrity (Surgical Coding, CDI) Guidehouse IncSenior Consultant - Healthcare Financial Transformation - Clinical Integrity (Surgical Coding, CDI)Chicago, IL$89,000–$148,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.
Clinical Learning Consultant (RN) Memorial HealthClinical Learning Consultant (RN)Decatur, IllinoisFull timeOverview: The Clinical Learning Consultant partners with clinical leaders, educators, and stakeholders across the health system to analyze, design, develop, implement, and evaluate clinical learning solutions that strengthen workforce competence, organizational performance and safe, high-quality patient care. This role applies clinical expertise, instructional design, adult learning principles, and consulting to close skills gaps, advance regulatory readiness, support strategic initiatives, and foster a culture of continuous learning.
Senior Consultant - Healthcare Financial Transformation - Clinical Integrity (Surgical Coding, CDI) GuidehouseSenior Consultant - Healthcare Financial Transformation - Clinical Integrity (Surgical Coding, CDI)Chicago, IllinoisCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. In this visible role, you will lead team meetings, and guide, manage, and coach consultants and senior consultants, providing constructive feedback on project participation and overall career development.
Managing Consultant – Clinical Documentation Integrity (CDI) – Healthcare Berkeley Research GroupManaging Consultant – Clinical Documentation Integrity (CDI) – HealthcareIllinoisCQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.
Clinical Sales Consultant - Midwest ICU Medical IncClinical Sales Consultant - MidwestILCommitted to obtain and update thorough knowledge of ICU Medical's IV infusion and EMR Integration platforms; Desire to actively act as Infusion SME with current and potential clients to create clinical future vision to advance new infusion business in competitive health systems and hospitals; Effective, experienced communicator and collaborator with stakeholders (internal and external) to drive alignment on enterprise technology adoption; Dynamic speaking and presentation skills and strong business writing skills required. Experience with implementing, using/managing infusion systems with safety software/dose error reduction software preferred; Strong ability to prioritize activities and travel, Requires excellent critical thinking, problem resolution abilities and strong technical skills, with team selling preference.
Senior Clinical Content Consultant - Pharmacist (Surveillance & Customer Support) Wolters Kluwer N.V.Senior Clinical Content Consultant - Pharmacist (Surveillance & Customer Support)Chicago, IL$144,500–$258,300 / yearMeets the expectations and requirements of internal and external customers; gets first-hand customer feedback and uses it to improve products and services; balances customer needs and business priorities as potential projects are requested. The pharmacist in this role will be working within the referential drug database team and alongside the current surveillance-customer support pharmacist to handle expanding surveillance and customer support activities.
Consultant – Clinical Documentation Integrity (CDI) – Healthcare Berkeley Research GroupConsultant – Clinical Documentation Integrity (CDI) – HealthcareIllinoisCQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.
Provider Clinical Operations Consultant, Senior Associate PricewaterhouseCoopers LLPProvider Clinical Operations Consultant, Senior AssociateChicago, IL$77,000–$202,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Associate Director/Managing Consultant - Clinical Operations - Workforce Guidehouse IncAssociate Director/Managing Consultant - Clinical Operations - WorkforceChicago, IL$135,000–$225,000 / year7-10+ years of project or program management leadership experience delivering complex initiatives for healthcare providers, including at least 5 years working with large, complex health systems. 5-7 years of project or program management leadership experience delivering complex initiatives for healthcare providers, including at least 5 years working with large, complex health systems.
NewClinical Pharmacy Consultant Marsh & McLennan Companies IncClinical Pharmacy ConsultantChicago, IL$132,500–$265,000 / yearAs a Clinical Pharmacy Consultant you will work as part of the clinical team responsible for assisting in the management of complex clinical cases that often result in evaluation of high- cost claimants and will serve as the pharmacy subject matter expert for internal and external clinical partners collaborating on cases and providing education on specialty medication management. Support wellness consulting projects by providing pharmacy subject matter expertise to cross-functional teams working in areas such as chronic conditions management, ensuring pharmacy insights meaningfully shape clinical and financial outcomes for our clients.
Provider Clinical Operations Consultant, Manager PricewaterhouseCoopers LLPProvider Clinical Operations Consultant, ManagerChicago, IL$99,000–$232,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Bilingual Guidance Consultant (Clinical EAP Intake and Triage) ComPsych CorpBilingual Guidance Consultant (Clinical EAP Intake and Triage)ILOur GuidanceResources? and AbsenceResources? solutions deliver end-to-end mental health, well-being, work-life, health navigation, and absence support to more than 75,000 customers worldwide, touching more than 160 million lives across 200 countries. As the world's largest provider of EAP and managed care, this is an exceptional growth opportunity to use your clinical expertise to help clients navigate their resources and provide in the moment support.
Senior Managing Consultant – Clinical Quality Improvement – Healthcare Berkeley Research GroupSenior Managing Consultant – Clinical Quality Improvement – HealthcareIllinois$125,000–$200,000 / yearCQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. Led by seasoned healthcare executives, operators, physicians, nurses, and other clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment. .
Managing Consultant – Clinical Quality Improvement – Healthcare Berkeley Research GroupManaging Consultant – Clinical Quality Improvement – HealthcareIllinoisCQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. Led by seasoned healthcare executives, operators, physicians, nurses, and other clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment. .
Associate Director/Managing Consultant - Clinical Operations - Workforce GuidehouseAssociate Director/Managing Consultant - Clinical Operations - WorkforceChicago, Illinois7–10+ years of project or program management leadership experience delivering complex initiatives for healthcare providers, including at least 5 years working with large, complex health systems. 5-7 years of project or program management leadership experience delivering complex initiatives for healthcare providers, including at least 5 years working with large, complex health systems.
Senior Clinical Content Consultant - Pharmacist (autoimmune and inflammatory diseases) Wolters Kluwer N.V.Senior Clinical Content Consultant - Pharmacist (autoimmune and inflammatory diseases)Chicago, ILRemote$144,500–$258,300 / yearYou are responsible for creating and revising high quality drug information (referential/embedded) consistent with the format and structure of the databases as well as expected behavior of the data when coupled with software logic in Wolters Kluwer Health products. Expertise in rheumatology/dermatology and partners with other therapeutic area subject matter experts) to ensure disease-specific accuracy, while contributing across multiple therapeutic areas where treatments overlap.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistIL$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
NewManaging Consultant, Clinical and Operational Improvement Guidehouse IncManaging Consultant, Clinical and Operational ImprovementChicago, IL$102,000–$170,000 / yearAssists in delivering Statements of Work, Project Plans, Writes Proposals, Presents to Client Executive in certain situations; Actively works to expand consulting skills and professional development through training courses, mentoring, and interaction with clients. He/she will work on the Guidehouse Commercial Healthcare Advisory team driving financial, clinical and operational improvement at client provider organizations through a combination of data and business process analysis, project management, and deliverable creation.
National Accounts Lead Director, Clinical Program Consultant (CPC) CVS Health CorpNational Accounts Lead Director, Clinical Program Consultant (CPC)IL$100,000–$231,540 / yearThe National Accounts Lead Director, Clinical Program Consultant (CPC) serves as consultative strategic partner who reviews clinical data and trends, helps evaluate clinical program effectiveness and identifies clinical cost drivers. Collaborates with Aetna National Accounts Field Sales and Service staff to identify customers who may best benefit from Aetna's medical, dental, pharmacy, behavioral health, and disability clinical management programs.
Clinical Solutions Delivery Consultant- Remote - Chicago, Illinois PhilipsClinical Solutions Delivery Consultant- Remote - Chicago, IllinoisChicago, ILRemote$89,600–$143,000 / yearYou must be able to provide verification for current/active certification through the American Registry of Radiologic Technologists (ARRT) and must have an advanced certification in at least one of the following (or required to obtain within 12 months from beginning of employment): Cardiovascular Interventional Radiology (CV), Cardiac Interventional Radiology (CI), Vascular Interventional Radiology (VI), or Registered Cardiovascular Invasive Specialist (RCIS). The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
Managing Consultant, Clinical and Operational Improvement GuidehouseManaging Consultant, Clinical and Operational ImprovementChicago, IllinoisAssists in delivering Statements of Work, Project Plans, Writes Proposals, Presents to Client Executive in certain situations; Actively works to expand consulting skills and professional development through training courses, mentoring, and interaction with clients. He/she will work on the Guidehouse Commercial Healthcare Advisory team driving financial, clinical and operational improvement at client provider organizations through a combination of data and business process analysis, project management, and deliverable creation.
Medical Information - Clinical Portfolio Senior Consultant Deloitte Touche Tohmatsu LtdMedical Information - Clinical Portfolio Senior ConsultantIL$131,000–$198,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Provider Clinical Operations Consultant, Senior Manager PricewaterhouseCoopers LLPProvider Clinical Operations Consultant, Senior ManagerChicago, IL$124,000–$280,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Regional Nurse Consultant(nursing homes) Career StrategiesRegional Nurse Consultant(nursing homes)Chicago, IllinoisCore duties include: Clinical Oversight & Consultation: Provide regular guidance, mentoring, and support to facility Directors of Nursing and clinical leadership teams to ensure high-quality care delivery. Manageable Regional Footprint: With only 3-4 buildings concentrated in the Chicago market, you can focus on building meaningful relationships, implementing sustainable clinical systems, and driving quality outcomes without exhausting travel schedules.
Regional Nurse Consultant – Northern Illinois Career StrategiesRegional Nurse Consultant – Northern IllinoisWestmont, CaliforniaWe are seeking a Regional Nurse Consultant to join our team and provide clinical oversight and support to a group of skilled nursing facilities in Northern Illinois . Analyze quality indicators and clinical data to drive improvements and implement corrective actions as needed.
International Nurse Consultant The Joint CommissionInternational Nurse ConsultantOak Brook, ILGeneral Knowledge and Experience: 7 years of hospital experience in facilities management, including at least 5 years in management and/or progressive experience in engineering, facilities management, hazardous materials and waste management, emergency preparedness, biomedical equipment, and/or utility systems as well as experience as the organization's Safety Officer. Drive new and repeat business through relationship management, lead generation, proposal support, and sale of Joint Commission Resources and/or Joint Commission International products and services; maintain a disciplined organization follow-up process.
Regional Nurse Consultant ALIGN Executive SearchRegional Nurse ConsultantNaperville, IL$130,000–$140,000 / yearAs a Regional Nurse Consultant, you'll partner with Directors of Nursing and facility leadership to drive clinical excellence by: Mentoring and supporting Directors of Nursing and clinical teams. We are seeking a passionate RN leader to support a portfolio of well-established Skilled Nursing and Long-Term Care facilities throughout the greater Naperville region , with buildings located between Aurora and Chicago .
Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantIL$32.01–$68.55 / hourCommunicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
International Nurse Consultant Joint CommissionInternational Nurse ConsultantOak Brook, IllinoisGeneral Knowledge and Experience: 7 years of hospital experience in facilities management, including at least 5 years in management and/or progressive experience in engineering, facilities management, hazardous materials and waste management, emergency preparedness, biomedical equipment, and/or utility systems as well as experience as the organization’s Safety Officer. Drive new and repeat business through relationship management, lead generation, proposal support, and sale of Joint Commission Resources and/or Joint Commission International products and services; maintain a disciplined organization follow-up process.
NewNurse Consultant Domestic The Joint CommissionNurse Consultant DomesticOakbrook Terrace, ILDemonstrated expertise in the consulting competency framework (Professional/Technical Competence, Consulting Method/Service Provision, Consultative Approach, Management, Effective Communication, Self-Management/Ethical Practice, Business Development, and Professional Development/Continuing Competence) and the knowledge, skills, abilities represented therein. Promotes Joint Commission Resources products and services through public speaking engagements and representation at high profile national and/or international conferences/meetings/conventions and/or at Joint Commission Resources sponsored seminars and conferences as requested.
Nurse Consultant Axelon Services CorporationNurse ConsultantHometown, ILRemote$27.50 / hourExperience in disability insurance or workers compensation case management, private rehabilitation risk management, occupational health, rehabilitation medicine, or home health care is highly preferred. Assess medical records and treatment plans for all STD/LTD/FML claims, comparing duration control guidelines and clarifying functional inconsistencies to determine residual abilities.
Disability Clinical Team Lead Sedgwick Claims Management Services, Inc.Disability Clinical Team LeadChicago, IL$69,744–$80,000 / yearSkills & Knowledge Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation) Good oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Ability to work in a team environment * Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Team Lead PRIMARY PURPOSE: To supervise the operation of Disability Clinical Consultants for disability clients; to monitor colleagues' workload, provide training and monitor individual claim activities; to provide clinical direction to Disability Clinical Consultants; and to review complex cases as appropriate.
NewAppeals and Grievances - RN, Consultant (MediCare) Blue Cross and Blue Shield AssociationAppeals and Grievances - RN, Consultant (MediCare)Chicago, ILIn this role, you will: Perform retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare and Med-Cal, including dual-eligibility products. In this role you will be leading a team of nurses who will be responsible for performing first level appeal reviews for members utilizing the National Coverage Determination (NCD) guidelines, Local Coverage Determination (LCD) Guidelines, and nationally recognized sources such as MCG, NCCN, and ACOG.
Trend & Analytics Consultant Senior (Actuarial Business Consultant) Elevance Health IncTrend & Analytics Consultant Senior (Actuarial Business Consultant)Chicago, IL$103,360–$179,520 / yearIf this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions Associates in these jobs must follow the specific policies, procedures, guidelines, etc as stated by the Government Business Division in which they are employed. This role uses advanced analytical thinking, healthcare business knowledge, and data-driven insights to uncover root causes, identify emerging issues, and inform internal and external customers of meaningful trends, risks, and opportunities.
Nurse Consultant - Domestic Joint CommissionNurse Consultant - DomesticOakbrook Terrace, IllinoisDemonstrated expertise in the consulting competency framework (Professional/Technical Competence, Consulting Method/Service Provision, Consultative Approach, Management, Effective Communication, Self-Management/Ethical Practice, Business Development, and Professional Development/Continuing Competence) and the knowledge, skills, abilities represented therein. Promotes Joint Commission Resources products and services through public speaking engagements and representation at high profile national and/or international conferences/meetings/conventions and/or at Joint Commission Resources sponsored seminars and conferences as requested.
Lombard IL-Nursing Consultant (Care Coordinator) University of Illinois Hospital & Health Sciences SystemLombard IL-Nursing Consultant (Care Coordinator)Lombard, ILArranges lead and contributes with areas of expertise to multi or interdisciplinary care team meetings with participants, providers, family members, nursing agencies, or school teams. • May support other licensed and unlicensed care coordinators in verifying and interpreting clinical conditions, treatments, mental/behavioral health diagnoses, or concerns, guiding priorities on the person-centered care plan and recommending resources.
International MD Consultant The Joint CommissionInternational MD ConsultantOakbrook Terrace, ILGeneral Knowledge and Experience: 7 years of hospital experience in facilities management, including at least 5 years in management and/or progressive experience in engineering, facilities management, hazardous materials and waste management, emergency preparedness, biomedical equipment, and/or utility systems as well as experience as the organization's Safety Officer. Infection Prevention and Control: current MD or RN license; CIC certification; 5-7 years of recent hospital (or relevant) infection prevention practice with increasing responsibility; knowledge of health care epidemiology; strong teaching and writing skills.