Top 119 utilization review Jobs in chicago il

MDS Coordinator
Aperion Care International —Chicago, IL
- $80,000 - $95,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
Utilization Review Nurse
Rising Medical Solutions —Chicago, IL
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Profit sharing
- Disability insurance
Quick Apply
1d
Relief RN Manager – PTO/FMLA Coverage
VITAS Healthcare —Lombard, IL
- $0.70 per mile
- Full-time
- RN License
- Mid-level
- Bachelor's degree
- Travel reimbursement
- Disability insurance
Quick Apply
RN Patient Care Manager
VITAS Healthcare —Chicago, IL
- $95,000 - $110,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Mileage reimbursement
- Disability insurance
Quick Apply
Registered Nurse / MDS Coordinator
Saba Healthcare —Chicago, IL
- From $85,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
Medical Case Manager
Proactive Community Services —Flossmoor, IL
- $45,000 - $50,000 a year
- Full-time
- Nursing
- HIPAA
- Mid-level
- Health insurance
Quick Apply
8d
Occupational Therapist
BoldAge PACE —Crestwood, IL
- $86,000 - $100,000 a year
- Full-time
- Pass drug screening
- Mid-level
- Clinic
- Health insurance
- Dental insurance
Quick Apply
Physician Supervisor, Utilization Management
Oak Street Health —Illinois
- $174,070 - $374,920 a year
- Full-time
- Medicine
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Utilization Management Physician Reviewer
Oak Street Health —Illinois
- $174,070 - $374,920 a year
- Full-time
- Remote
- Medicine
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
RN Care Manager-Nights
Endeavor Health —Glenview, IL
- $40.45 - $62.70 an hour
- Full-time
- Acute care
- Nursing
- BLS Certification
- Free parking
- Wellness program
Behavioral Health Care Coordinator
Integrated Resources - Hosted Jobs —Illinois
- $40 an hour
- Contract
- Remote
- LMFT
- RN License
- Licensed Clinical Social Worker
- Health insurance
- Dental insurance
Quick Apply
17h
Mental Health Therapist, Residential (Full time and PRN)
SunCloud Health —Northbrook, IL
- $60,000 - $75,000 a year
- Full-time
- Background check
- LMFT
- Microsoft Outlook
Quick Apply
6d
PHP/IOP Mental Health Therapist
SunCloud Health —Northbrook, IL
- $60,000 - $75,000 a year
- Background check
- LMFT
- Microsoft Outlook
Quick Apply
6d
Family Therapist
SunCloud Health —Northbrook, IL
- $60,000 - $75,000 a year
- Background check
- Microsoft Outlook
- Licensed Clinical Social Worker
Quick Apply
6d
Admissions Counselor- Overnight Hours
Montrose Behavioral Health Hospital - Adult Campus —Chicago, IL
- $28 - $34 an hour
- Overnight shift
- Acute care
- CPR Certification
- Nursing
Insurance Verifier
Saint Anthony Hospital —Chicago, IL
- $22.29 - $26.74 an hour
- Weekends as needed
- Acute care
- Hospital
- HIPAA
6d
Admissions Counselor- Afternoon-Evening Hours 1pm-11pm
Montrose Behavioral Health Hospital - Adult Campus —Chicago, IL
- $26 - $32 an hour
- Full-time
- Acute care
- CPR Certification
- Nursing
Detox Coordinator - Part-Time - Thorek Hospital
Family Guidance Centers, Inc. —Chicago, IL
- $19 - $21 an hour
- Part-time
- Patient monitoring
- Hospital
- Inpatient
ED UTILIZATION REVIEW/CASE MANAGER
Insight —Chicago, IL
- $85,000 - $90,000 a year
- Acute care
- Microsoft Word
- Nursing
- Disability insurance
- Health insurance
Quick Apply
Lead Legal Nurse
Rising Medical Solutions —Chicago, IL
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Profit sharing
- 401(k) matching
Quick Apply

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MDS Coordinator

Aperion Care International -
Chicago, IL

Quick Apply

Job Details

Full-time
$80,000 - $95,000 a year

Qualifications

RN License
English

Full Job Description

** $10,000 Sign On Bonus! **

(SIGN-ON BONUS SUBJECT TO TERMS AND CONDITIONS, AND MUST MEET MINIMUM HOURS WORKED REQUIREMENT)

SUMMARY: The MDS Coordinator is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure appropriate assessment and reimbursement.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Assesses and determines the health status and level of care of all new admissions.
Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, and significant change.
Communicates level of care for new residents to all disciplines.
Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to the facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state, and medical standards.
Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay.
Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments.
Verifies electronic submissions of MDS, performs corrections when necessary, and maintains appropriate records.
Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards.
Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conferences.
Assists disciplines in formulating and revising care plans. Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established and nursing intervention is appropriate.
Evaluates resident care plans for comprehensiveness and individuality.
Assesses the achievement or lack of achievement of desired outcomes. Ensures that the resident’s care plan is reassessed and revised appropriately.
Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made.
Generates appropriate forms to complete the level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law.
Other duties as assigned.

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.

Registered Nurse with current unencumbered state licensure.
Long Term Care Experience preferred.
Ability to read, write, speak, and understand the English language.

PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required to sit, stand, bend, and walk regularly; lift and/or move up to 25 pounds.
Visual and auditory ability sufficient for written and verbal communication.
The noise level in the work environment is usually moderate.

(SIGN-ON BONUS SUBJECT TO TERMS AND CONDITIONS, AND MUST MEET MINIMUM HOURS WORKED REQUIREMENT)

APERCHI1

Quick Apply

Refine Your Search

utilization review jobs in chicago il

MDS Coordinator

Utilization Review Nurse

Relief RN Manager – PTO/FMLA Coverage

RN Patient Care Manager

Registered Nurse / MDS Coordinator

Medical Case Manager

Occupational Therapist

Physician Supervisor, Utilization Management

Utilization Management Physician Reviewer

RN Care Manager-Nights

Behavioral Health Care Coordinator

Mental Health Therapist, Residential (Full time and PRN)

PHP/IOP Mental Health Therapist

Family Therapist

Admissions Counselor- Overnight Hours

Insurance Verifier

Admissions Counselor- Afternoon-Evening Hours 1pm-11pm

Detox Coordinator - Part-Time - Thorek Hospital

ED UTILIZATION REVIEW/CASE MANAGER

Lead Legal Nurse

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