Top 326 Clinical data coordinator Jobs in Chicago, Il

Utilization Management Coordinator
Riveredge Hospital —Forest Park, IL
- $30 - $46 an hour
- Full-time
- Writing skills
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
1d
Clinical Research Coordinator I
Hospital: Rush University Medical Center —Chicago, IL
- $23.12 - $32.66 an hour
- 8 hour shift
- Bachelor's degree
- Communication skills
- Entry level
Clinic Coordinator - Cardiology
Hospital: Rush University Medical Center —Chicago, IL
- $18.87 - $29.73 an hour
- 8 hour shift
- Computer literacy
- High school diploma or GED
- Clinic
9d
Clinic Coordinator - Breast Imaging
Hospital: Rush University Medical Center —Chicago, IL
- $21.23 - $29.73 an hour
- 8 hour shift
- Computer literacy
- High school diploma or GED
- Clinic
Radiology Clinic Coordinator, Part-Time (Evenings and Saturdays)
UChicago Medicine —Chicago, IL
- Weekends as needed
- Writing skills
- Mid-level
- High school diploma or GED
5d
Clinical Research Coordinator 1
The University of Chicago —Chicago, IL
- $50,000 - $65,000 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Paid time off
Clinic Coordinator - Hematology/Oncology
Hospital: Rush University Medical Center —Chicago, IL
- $18.87 - $29.73 an hour
- 8 hour shift
- Computer literacy
- High school diploma or GED
- Clinic
11d
Clinical Research Coordinator
Insight —Chicago, IL
- $64,015 - $74,523 a year
- English
- Mid-level
- Databases
- Disability insurance
- Health insurance
Quick Apply
Patient Care Manager - Floater (RN)
VITAS Healthcare —Lombard, IL
- $0.70 per mile
- Full-time
- Nursing
- RN License
- Mid-level
- Travel reimbursement
- Disability insurance
Quick Apply
MDS Coordinator RN
Citadel At Saint Benedict —Niles, IL
- $84,988.80 - $102,460.80 a year
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse Team Director (RN)
Moments Hospice —Des Plaines, IL
- $90,000 - $100,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
7d
OR Radiographer, Full-time, Rotating
Northwestern Memorial Healthcare —Chicago, IL
- $34.28 - $46.28 an hour
- Weekends as needed
- Background check
- CPR Certification
- Surgery
- Tuition reimbursement
- 401(k) matching
Quick Apply
Nurse Manager
Eating Recovery Center —Northbrook, IL
- $92,000 - $108,000 a year
- Weekends as needed
- Nursing
- Microsoft Excel
- Patient monitoring
- Health savings account
- Health insurance
Quick Apply
4d
Registered Nurse Team Director (RN)
Moments Hospice —Willowbrook, IL
- $90,000 - $100,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
7d
ECMO Specialist - RN - Cardiac ECMO Full-time Nights
Northwestern Memorial Healthcare —Chicago, IL
- $43.00 - $68.80 an hour
- Full-time
- Background check
- Nursing
- RN License
- Tuition reimbursement
- 401(k) matching
Quick Apply
Transplant Nurse Coordinator, Kidney Transplant Program Full Time Days
Northwestern Memorial Healthcare —Chicago, IL
- $42.50 - $68.00 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Tuition reimbursement
- 401(k) matching
Quick Apply
2d
Transplant Nurse Coordinator, Lung Transplant Full-Time Days 4/10s
Northwestern Memorial Healthcare —Chicago, IL
- $42.50 - $68.00 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Tuition reimbursement
- 401(k) matching
Quick Apply
4d
Flexible Housing Pool (FHP) Case Manager QMHP
The Boulevard of Chicago —Chicago, IL
- $50,000 - $57,000 a year
- Full-time
- Mid-level
- Master's degree
- Driver's License
- Mileage reimbursement
- Paid holidays
Quick Apply
2d
Board Certified Behavior Analyst
Applied ABC —Illinois
- $60 - $85 an hour
- 8 hour shift
- Remote
- Management
- HIPAA
- Mid-level
Quick Apply
10d
Clinical Supervisor (BCBA)
Center for Autism and Related Disorders —Chicago, IL
- $80,000 - $120,000 a year
- Full-time
- Microsoft Outlook
- Current TB test
- HIPAA
- Paid training
- Relocation assistance
Quick Apply
3d

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clinical data coordinator jobs near chicago, il

Utilization Management Coordinator

Riveredge Hospital -
Forest Park, IL

Quick Apply

Job Details

Full-time
$30 - $46 an hour
1 day ago

Benefits

Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance

Qualifications

Appeals
Writing skills
Medical office experience
CMS
Regulatory compliance
HIPAA
CMS regulatory compliance
Supervising experience
Bachelor's degree
Team management
Utilization management
Resource utilization in healthcare
Organizational skills
Medicaid regulations
Health information management
Healthcare reimbursement methods
JCAHO
Medical terminology

Full Job Description

Company Overview

Riveredge Hospital is a dedicated behavioral healthcare facility serving children, adolescents, young adults, and adults in the Chicago area. Our interdisciplinary team of professionals is committed to providing compassionate, high-quality mental health services in a supportive environment.

Overview

We are seeking a detail-oriented and proactive Utilization Management Coordinator to join our team. This vital role involves coordinating the review and approval of patient care services, ensuring compliance with healthcare policies, and facilitating effective communication between clinical staff, insurance providers, and patients. The ideal candidate will possess strong medical office experience, knowledge of health insurance policies, and familiarity with medical coding and electronic health records management.

Duties

Review and evaluate medical records and clinical documentation to determine medical necessity for services using established criteria such as CPT (Current Procedural Terminology), ICD-9, and ICD-10 codes.
Coordinate with healthcare providers to obtain additional information or clarification needed for utilization review processes.
Ensure all documentation complies with HIPAA (Health Insurance Portability and Accountability Act) regulations to maintain patient confidentiality and privacy.
Verify insurance coverage, benefits, and authorization requirements for various health plans, including managed care organizations.
Maintain accurate electronic health records (EHR) by documenting review outcomes, correspondence, and authorization statuses efficiently within the system.
Collaborate with clinical teams to facilitate timely approvals for patient care plans while adhering to clinical confidentiality policies.
Stay current on evolving health insurance policies, coding updates, and regulatory requirements affecting utilization management procedures.

Skills

Proven experience working in a medical office environment or healthcare setting with a focus on utilization review or case coordination.
Strong understanding of HIPAA regulations and the importance of maintaining strict confidentiality of medical records.
Proficiency in CPT coding, ICD-9/ICD-10 coding systems, and ICD coding standards for accurate documentation.
Knowledge of managed care processes, health insurance policies, and insurance verification procedures.
Experience with electronic health record (EHR) or electronic medical record (EMR) systems for documentation management.
Familiarity with medical terminology and clinical confidentiality policies essential for effective communication within healthcare teams.
Ability to multitask efficiently in a fast-paced environment while maintaining attention to detail.

Requirements:

Must have a Bachelor’s degree, Master’s degree preferred.
Must have an appropriate background in the mental health field to organize and achieve quality performance with a focus on securing reimbursement for the organization.
Possess an in depth knowledge of funding sources and government reimbursement protocols.
A minimum of 2-3 years supervisory experience.
Thoroughly understands the management of UM data obtained from admission, concurrent reviews and appeals utilizing the Severity of Illness/Intensity of Service Criteria.
Has knowledge of JC, CMS, Illinois Mental Health Code Act, and all other relevant state and federal regulatory standards.
Possesses strong verbal and written communication skills.

Join our dedicated team as a Utilization Management Coordinator and contribute to delivering efficient, compliant, and patient-centered behavioral healthcare services!

Pay: $30.00 - $46.00 per hour

Benefits:

Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Paid time off
Tuition reimbursement
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

clinical data coordinator jobs in chicago, il

Utilization Management Coordinator

Clinical Research Coordinator I

Clinic Coordinator - Cardiology

Clinic Coordinator - Breast Imaging

Radiology Clinic Coordinator, Part-Time (Evenings and Saturdays)

Clinical Research Coordinator 1

Clinic Coordinator - Hematology/Oncology

Clinical Research Coordinator

Patient Care Manager - Floater (RN)

MDS Coordinator RN

Registered Nurse Team Director (RN)

OR Radiographer, Full-time, Rotating

Nurse Manager

Registered Nurse Team Director (RN)

ECMO Specialist - RN - Cardiac ECMO Full-time Nights

Transplant Nurse Coordinator, Kidney Transplant Program Full Time Days

Transplant Nurse Coordinator, Lung Transplant Full-Time Days 4/10s

Flexible Housing Pool (FHP) Case Manager QMHP

Board Certified Behavior Analyst

Clinical Supervisor (BCBA)

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