Top 40 Clinical documentation & utilization review Jobs in Aurora, Il

BCBS Delegated Remote Care Manager
Duly Health and Care —Downers Grove, IL
- $67,000 - $101,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Bachelor of Science
- Disability insurance
- Health insurance
Quick Apply
1d
Registry Implementation Coordinator (Customer Service, Data, IT/Help Desk Support) - Schaumburg, IL
American Society of Anesthesiologists —Schaumburg, IL
- $29 - $35 an hour
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Procurement Controls Analyst
Duly Health and Care —Downers Grove, IL
- $58,260 - $87,380 a year
- Full-time
- ERP systems
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Patient Access Representative III - Linden Oaks Hospital - Per Diem
Endeavor Health —Naperville, IL
- $19.89 - $28.84 an hour
- Part-time
- Acute care
- CPR Certification
- Addiction Medicine
- Free parking
- Wellness program
Patient Access Representative III - Linden Oaks Hospital/Behavioral Health - Evening Shift
Endeavor Health —Naperville, IL
- $19.89 - $28.84 an hour
- Full-time
- Addiction Medicine
- HIPAA
- Inpatient
- Free parking
- Wellness program
Intake Coordinator
Banyan Treatment Centers —Lisle, IL
- Full-time
- Mid-level
- High school diploma or GED
- Experience equivalent to degree accepted
Quick Apply
4d
Facility Administrator Surgery Center
Fresenius Medical Care —Westmont, IL
- $105,000 - $175,100 a year
- Full-time
- Microsoft Excel
- 6 years
- Heavy lifting
- Health insurance
- Dental insurance
Part-Time Community Mentor
Family Service Association of Greater Elgin —Elgin, IL
- $23.92 - $29.00 an hour
- Part-time
- Background check
- Spanish
- Pass drug screening
Quick Apply
9d
Regional Clinical Manager - Pediatric Urgent Care (PA/NP)
PM Pediatrics Management Group —Naperville, IL
- $150,000 - $200,000 a year
- Full-time
- Nursing
- Urgent Care
- Pediatrics
Quick Apply
3d
Clinical Supervisor
Lutheran Child and Family Services of Illinois —Oak Brook, IL
- $62,000 - $77,000 a year
- Temporary
- Licensed Clinical Social Worker
- Mid-level
- Office
- Employee assistance program
Quick Apply
Home Health Registered Nurse
home care services —Cook County, IL
- $70 - $90 an hour
- Part-time
- Vital signs
- RN License
- HIPAA
Quick Apply
BCBA
ACE BEHAVIOR SOLUTIONS INC —Downers Grove, IL
- Monday to Friday
- Hybrid work
- Background check
- CPR Certification
- Management
- Continuing education credits
- Paid holidays
Quick Apply
Operations Manager
BY YOUR SIDE-Autism Therapy Services —Darien, IL
- $50,000 - $60,000 a year
- Overtime
- Background check
- Mid-level
- Travel
- Paid holidays
- Health insurance
Quick Apply
Pediatric Nurse Supervisor- Naperville, IL 60563
Reliance Home Health Caregivers —Naperville, IL
- $105,000 - $110,000 a year
- Full-time
- Background check
- Vital signs
- Pass drug screening
- Mileage reimbursement
- Paid holidays
Quick Apply
Registered Nurse (RN) Clinical Supervisor - Home Health
Carelink Home Health —Schaumburg, IL
- $85,000 - $90,000 a year
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Mileage reimbursement
- AD&D insurance
Quick Apply
Manager of Adult Mental Health & Substance Use Services
Kenneth Young Center —Elk Grove Village, IL
- $65,000 - $80,000 a year
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Adults
- 403(b) matching
- Paid holidays
Quick Apply
Empower Home Health Clinical Field Manager (RN)
Apollo Medical —West Dundee, IL
- Full-time
- RN License
- Mid-level
- Office
- Mileage reimbursement
- Paid holidays
Quick Apply
Adult Therapist / Medical Case Manager
Kenneth Young Center —Elk Grove Village, IL
- $50,000 - $55,000 a year
- Full-time
- Computer literacy
- Mid-level
- Psychology
- 403(b) matching
- Paid holidays
Quick Apply
School-Based Mental Health Therapist
Family Service Association of Greater Elgin —Elgin, IL
- $49,000 - $64,198 a year
- Full-time
- Spanish
- Public speaking
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
8d
Supervisor of Child & Adolescent School Therapy
Kenneth Young Center —Elk Grove Village, IL
- $55,000 - $65,000 a year
- Full-time
- Microsoft Word
- School experience
- Computer literacy
- 403(b) matching
- Paid holidays
Quick Apply

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clinical documentation & utilization review jobs near aurora, il

BCBS Delegated Remote Care Manager

Duly Health and Care -
Downers Grove, IL

Quick Apply

Job Details

Full-time
$67,000 - $101,000 a year
1 day ago

Benefits

Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Adoption assistance
Parental leave
Vision insurance
401(k) matching
Volunteer time off

Qualifications

RN License

Full Job Description

At Duly Health and Care you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.

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. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

Benefits:

Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
Access to a mental health benefit at no cost.
Employer provided life and disability insurance.
$5,250 Tuition Reimbursement per year.
Immediate 401(k) match.
40 hours paid volunteer time off.
A culture committed to community engagement and social impact.
Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

The BCBS Delegated Remote Case Manager collaborates with physicians, members, caregivers, and interdisciplinary healthcare teams to promote quality outcomes for members with complex medical, behavioral, and psychosocial needs. This role is responsible for identifying, assessing, enrolling, and managing members who may benefit from Case Management services through telephonic and virtual outreach. The Remote Case Manager develops individualized care plans, coordinates healthcare services across the continuum of care, facilitates care transitions, and promotes appropriate utilization of healthcare resources.

Essential Duties & Responsibilities

Analyze health plan reports, predictive modeling tools, referrals, and clinical data to identify members eligible for Case Management services.

Conduct comprehensive telephonic and virtual assessments to evaluate medical, behavioral, environmental, social, and support needs.

Enroll and manage a caseload of members with complex health conditions.

Develop, implement, monitor, and update individualized care plans with measurable goals and interventions.

Coordinate healthcare services with providers and community resources.

Facilitate transitions of care following hospital and post-acute discharges.

Educate members and caregivers regarding disease management and benefits.

Maintain accurate and timely documentation and reporting.

Collaborate with Utilization Management, Quality, and Population Health teams.

Perform other duties as assigned.

Knowledge, Skills & Abilities

Knowledge of case management, care coordination, and population health principles.

Strong communication, assessment, and critical thinking skills.

Ability to work independently in a remote environment.

Strong organizational and time management abilities.

Proficiency with EMR systems, care management platforms, and Microsoft Office.

Knowledge of community resources and social determinants of health.

Education / Certification

Current unrestricted Registered Nurse (RN) license required.

Bachelor of Science in Nursing preferred.

CCM, ACM, or equivalent certification preferred.

Experience

Minimum two years of clinical nursing experience required.

Two years of case management, managed care, or population health experience preferred.

Remote or telephonic case management experience preferred.

If you are committed to putting our patients first and helping shape the future of care, you belong at Duly.

The compensation for this role includes a base pay range of 67K-101K, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

Quick Apply

Refine Your Search

clinical documentation & utilization review jobs in aurora, il

BCBS Delegated Remote Care Manager

Registry Implementation Coordinator (Customer Service, Data, IT/Help Desk Support) - Schaumburg, IL

Procurement Controls Analyst

Patient Access Representative III - Linden Oaks Hospital - Per Diem

Patient Access Representative III - Linden Oaks Hospital/Behavioral Health - Evening Shift

Intake Coordinator

Facility Administrator Surgery Center

Part-Time Community Mentor

Regional Clinical Manager - Pediatric Urgent Care (PA/NP)

Clinical Supervisor

Home Health Registered Nurse

BCBA

Operations Manager

Pediatric Nurse Supervisor- Naperville, IL 60563

Registered Nurse (RN) Clinical Supervisor - Home Health

Manager of Adult Mental Health & Substance Use Services

Empower Home Health Clinical Field Manager (RN)

Adult Therapist / Medical Case Manager

School-Based Mental Health Therapist

Supervisor of Child & Adolescent School Therapy

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