NewDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Chicago, IL$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Home Health RN UnitedHealth Group IncHome Health RNChicago, IL$79,222–$118,833 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation.
Occupational Health Nurse City of Chicago, ILOccupational Health NurseChicago, ILGraduation from an accredited college or university with a bachelor's degree or higher in Nursing accredited the National League for Nursing, OR Commission on Collegiate Nurse Education (CCNE), OR an approved foreign credential evaluation, plus two (2) years of experience in ambulatory or occupational health care. The ordinances provide a preference to applicants who meet minimum qualifications and who are veterans of the Armed Forces, and/or residents of Socio-Economically Disadvantaged Areas (SEDA) and/or Chicago Public School (CPS) high school graduates to be referred to departments for consideration.
Sourcing Executive - Healthcare Spend Management VizientSourcing Executive - Healthcare Spend ManagementChicago, IL$77,400–$135,400 / yearYou will assist across the full sourcing lifecycle-from data analysis and RFP preparation to supplier engagement, negotiation support, and contract maintenance-while collaborating closely with internal teams and suppliers to strengthen your sourcing, communication, and stakeholder-management capabilities. Exceptional verbal communication and presentation skills, which are critical for facilitating supplier discussions, clearly articulating contract changes, and ensuring alignment among internal stakeholders and clients throughout the sourcing and negotiation process.
Oncology Site RN Midwest Physicians Administrative Services dba Duly Health and CareOncology Site RNLisle, IllinoisUnder the direction of the Site Physician(s), Practice Manager, and Supervisor Clinical Oncology the Site Nurse serves as a primary liaison to physicians, APP’s and clinical staff, ensuring continuity of and quality of care. With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care.
NewClinical Review Nurse I (US) Elevance Health IncClinical Review Nurse I (US)Chicago, IL$67,200–$110,880 / 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. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewClinical Review Nurse II (US) Elevance Health IncClinical Review Nurse II (US)Chicago, ILIf 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. This position is part of our Wellpoint Federal division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years.
Registered Nurse (RN) – Home Infusion & Clinical Case Manager Part-Time No Nights Flexible Days BrightStar of Lake County IndianaRegistered Nurse (RN) – Home Infusion & Clinical Case Manager Part-Time No Nights Flexible DaysHobart, IndianaBrightStar Care of Lake County is seeking a skilled part-time Registered Nurse to deliver home-based infusion therapy, clinical case management, and skilled nursing visits. Located in Merrillville, BrightStar Care of Lake County is dedicated to supporting our nurses and ensuring they feel valued and empowered.
Nurse - RN Pinnacle Treatment CentersNurse - RNMerrillville, IndianaCounsel’s patients regarding personal hygiene, abnormal lab results, HIV/AIDS testing, and all medical matters including changes in treatment. Document and summarize individual nursing care for each patient and communicate changes, progress, and/or immediate medical care needs to the provider for follow-up consultation.
RN Assistant Director of Nursing AscensionRN Assistant Director of NursingChicago, Illinois$92,493.52–$125,138.10 / yearFull timeHow you'll make an impact in this role: Lead Clinical Operations: Support daily nursing operations in a skilled nursing facility by providing hands-on clinical leadership, assisting with resident care on the floor as needed, and ensuring high-quality, resident-centered care at all times. Support Resident Care & Team Success: Oversee admissions, discharges, and transfers, collaborate with interdisciplinary teams, communicate clinical policies and best practices, and step in to support floor staff whenever needed to ensure exceptional resident outcomes.
Care Review Clinician (RN) - (IL Nursing license) Molina Healthcare IncCare Review Clinician (RN) - (IL Nursing license)Chicago, ILRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Utilization Review Clinician (RN) - Must reside in IL Molina Healthcare IncUtilization Review Clinician (RN) - Must reside in ILChicago, ILResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Care Review Clinician (RN) - (IL Nursing License) Molina Healthcare IncCare Review Clinician (RN) - (IL Nursing License)Chicago, ILRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
RN Nursing Unit Manager CommuniCareRN Nursing Unit ManagerDyer, IndianaSince 1984, CommuniCare Family of Companies has been committed to delivering exceptional, person‑centered care as a national leader in post‑acute services for individuals with chronic or complex conditions. We continue to raise the bar and innovate wherever possible to enhance quality of life—creating environments where residents feel at home, employees thrive, and families find comfort and confidence in the care we provide.
Neonatal Nurse Practitioner - Rockford, IL $145,000 - $165,000 Rockford Health PhysiciansNeonatal Nurse Practitioner - Rockford, IL $145,000 - $165,000Riverside, Illinois$145,000–$165,000 / hourThis position allows you to provide advanced, evidence-based care for critically ill and premature newborns in a high-acuity environment while working alongside experienced neonatologists, pediatric subspecialists, nurses, respiratory therapists, and other multidisciplinary team members. With over 125 specialty and sub-specialty services, including adult critical care, neonatal intensive care, neurosurgery, heart and vascular care together with WATCHMAN and TAVR, a cancer institute, plastic and reconstructive surgery, robotic surgery, orthopedic surgery, and much more!
NewRegistered Nurse (RN) HealogicsRegistered Nurse (RN)Chicago, IllinoisUnder 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 regards to desired outcomes, and identifying patient care situations that require intervention.
Home Care LPN Prime Healthcare Home HealthHome Care LPNOlympia Fields, IllinoisFull timeResponsibilities: The Licensed Practical Nurse provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical, and general aspects of care, and meets the communication needs of the patient and family; Performs under the direction and supervision of Registered Nurse Case Manager. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Nurse Consultant Children’s Place AssociationNurse ConsultantChicago, IllinoisConduct and support child health screenings and assessments, including height, weight, head circumference, blood pressure, tuberculosis risk assessments, lead risk assessments, and hearing and vision screenings as appropriate. The Nurse Consultant works collaboratively with program staff and families to promote the health, safety, and well-being of enrolled children, ensure compliance with health requirements, and support children with identified health needs.
Licensed Practical Nurse (LPN) AVD Workforce ConnectLicensed Practical Nurse (LPN)Hammond, IndianaAs an LPN, you will be responsible for delivering compassionate, patient-centered care in various healthcare settings, including nursing homes, outpatient care facilities, and long-term care environments. Medication Administration: Safely administer prescribed medications, including oral medications, injections, and intravenous fluids, following proper protocols and documenting all administered doses.
Licensed Practical Nurse (LPN)- Contract AVD Workforce ConnectLicensed Practical Nurse (LPN)- ContractHammond, IndianaAs an LPN, you will be responsible for delivering compassionate, patient-centered care in various healthcare settings, including nursing homes, outpatient care facilities, and long-term care environments. Medication Administration: Safely administer prescribed medications, including oral medications, injections, and intravenous fluids, following proper protocols and documenting all administered doses.