Top 40 Utilization review nurse Jobs in Des Plaines, Il

MDS Coordinator RN
Avantara Lincoln Park —Chicago, IL
- $40 - $50 an hour
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Disability insurance
- Health insurance
Quick Apply
Utilization Management Registered Nurse (RN) - Remote
Guidehealth —Chicago, IL
- $70,000 - $75,000 a year
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Excel
- Paid parental leave
- Disability insurance
Nurse Auditor - Medical Bill Review (Remote)
Rising Medical Solutions —Chicago, IL
- Full-time
- Hybrid work
- RN License
- Customer service
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Utilization Review RN-Casual Rotating Shift
Northwestern Memorial Healthcare —Lake Forest, IL
- $40.50 - $64.80 an hour
- Part-time
- Background check
- Nursing
- RN License
- Tuition reimbursement
- 401(k) matching
Quick Apply
13d
Utilization Review Clinician
Clarity Clinic —Chicago, IL
- Full-time
- Hybrid work
- LMFT
- Microsoft Excel
- Microsoft Outlook
Quick Apply
1d
Utilization Management and Population Health Nurse
Humboldt Park Health —Chicago, IL
- Nursing
- RN License
- Mid-level
Quick Apply
Nurse Care Manager
Evergreen Nephrology —Chicago, IL
- $90,000 - $103,000 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Paid parental leave
- Health savings account
Quick Apply
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
Utilization Review/Reimbursement Specialist
Sinai Chicago —Chicago, IL
- Full-time
- Nursing
- Hospital
- Customer service
- Health savings account
- AD&D insurance
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Registered Nurse (RN) Patient Command Center
Advocate Aurora Health —Oakbrook Terrace, IL
- $38.20 - $57.30 an hour
- Full-time
- CPR Certification
- Nursing
- Surgery
Onsite Care Coordination Nurse
Humana —Naperville, IL
- $71,100 - $97,800 a year
- Full-time
- Hybrid work
- Acute care
- Spanish
- Nursing
- Paid parental leave
- Paid holidays
7d
RN Care Manager
Advocate Aurora Health —Downers Grove, IL
- $38.20 - $57.30 an hour
- Full-time
- Nursing
- RN License
- Hospital
Case Manager - Utilization Review RN
Community First Medical Center —Chicago, IL
- $43.47 - $53.00 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Free parking
- Continuing education credits
Quick Apply
Case Manager / PRN ( RN / RT / SW / LPN )
Rush Specialty Hospital —Chicago, IL
- $40 an hour
- Part-time
- Master of Social Work
- RN License
- Inpatient
- Employee assistance program
- Opportunities for advancement
Quick Apply
10h
Clinical Documentation Specialist
Community First Medical Center —Chicago, IL
- $70,000 - $85,000 a year
- Full-time
- Microsoft Word
- Nursing
- Medicine
- Free parking
- Continuing education credits
Quick Apply
Transfer RN/UR
Insight —Chicago, IL
- $70,000 a year
- Full-time
- Hospital
- Mid-level
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Inpatient Care Manager (RN)
Advocate Aurora Health —Libertyville, IL
- $38.20 - $57.30 an hour
- Full-time
- Nursing
- RN License
- Hospital
12d
ED Care Manager
Advocate Aurora Health —Oak Lawn, IL
- $38.20 - $57.30 an hour
- Full-time
- Nursing
- RN License
- Mid-level
9d
RN Care Management (Full-time)
Humboldt Park Health —Chicago, IL
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
5h
Behavioral Health Care Coordinator
viva —Chicago, IL
- $37.72 - $42.72 an hour
- RN License
- Mid-level
- 3 years

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MDS Coordinator RN

Avantara Lincoln Park -
Chicago, IL

Quick Apply

Job Details

Full-time
$40 - $50 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Employee assistance program
Vision insurance
401(k) matching

Qualifications

CPR Certification
RN License
BLS Certification
Regulatory compliance

Full Job Description

Welcome to Avantara Lincoln Park, a premier skilled nursing and rehabilitation facility located in the heart of Chicago’s Lincoln Park neighborhood. At Avantara Lincoln Park, we are committed to providing advanced rehabilitation therapies and exceptional nursing care in a vibrant and historic community setting. Our facility offers personalized care tailored to meet the unique needs of each resident, ensuring both short-term rehabilitation and long-term care residents receive the highest quality of care in a welcoming, supportive environment.

Situated in one of Chicago’s most desirable neighborhoods, Avantara Lincoln Park provides an exciting and dynamic workplace, surrounded by the energy of city life, yet nestled within a peaceful residential area. If you are passionate about delivering top-tier healthcare and want to join a team that values compassion and excellence, Avantara Lincoln Park is the perfect place to grow your career.

Summary/Objective

In keeping with our organization’s goal of improving the lives of the Guests we serve, the

MDS/Clinical Coordinator R.N. plays a critical role in providing leadership in the management of

the Minimum Data Set (MDS) and utilization management process in accordance with current

federal, state, and local standards.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform

the essential functions.

1. Keep abreast of current federal and state regulations, as well as professional standards.

2. Assist with the development of comprehensive care plans for Guests in coordination

with the MDS that accurately addresses the needs of the Guest.

3. Coordinate, manage and monitor the written plan of care for each Guest of the facility

that identifies the needs of the Guest and goals to be accomplished for each need.

4. Assist nursing management with the coordination, management, and review of nurse’s

notes to determine if the care plan is being followed.

5. Monitor Guest status changes to ensure appropriate and timely nursing or clinical team

involvement.

6. Assure MDS and support documentation are accurate representation of the Guest and

meet regulatory and auditor requirements.

7. Perform regular audits of documentation to assure accuracy.

8. Assist nursing management with the discharge process.

9. Perform administrative requirements, such as completing necessary forms and reports.

10. Assure that established infection control and prevention practices and standard

precautions are maintained at all times.

11. Follow established safety precautions when preforming tasks and using equipment and

supplies.

12. Maintains strict confidentiality regarding sensitive health information of Guests.

13. Reports all hazardous conditions, damaged equipment, accidents/incidents and supply

issues to appropriate persons.

14. Maintains the comfort, privacy and dignity of Guests and interacts with them in a

manner that displays warmth, respect and promotes a caring environment.

15. Ensure each Guest receives person centered care.

16. Answer and respond to call lights promptly and courteously when working in Guest care

areas.

17. Communicates and interacts effectively and tactfully with Guests, visitors, families,

peers and supervisors.

18. Attend and participate in departmental meetings and in-services as directed.

19. Recognize your role as part of the Quality Assurance and Performance Improvement

(QAPI) efforts of your organization.

20. Attend trainings to build understanding and capacity to undertake QAPI work.

21. Carry out QAPI roles and responsibilities as assigned.

22. Follow established policies and procedures in support of QAPI efforts.

23. Any noted opportunities for improvement will be shared with leadership in the

organization.

24. Communicate to leadership upon witnessing a positive outcome of a QAPI project or

detecting barriers preventing project success.

25. Support QAPI efforts both verbally and non-verbally (i.e., via actions and attitude),

including adjusting performance and practice in accordance with QAPI initiatives and

findings.

26. Participate in compliance trainings as scheduled and adhere to compliance plan.

Work Environment

This job operates in a health care setting. This role requires regular walking to and working in

various locations around the facility while pulling or pushing carts. This role routinely uses

standard office equipment such as computers, phones, photocopiers, filing cabinets and fax

machines. This position works mostly in the Guest care and office areas as well as occasional

outside weather conditions. This role may also come into contact with Guests who may have

contagious illnesses.

Physical Demands

While performing the duties of this job, the employee is regularly required to talk and hear. This

position is very active and requires standing, walking, bending, kneeling, and stooping on a

regular basis. The employee must be able to lift and move items and patients weighing at least

50 pounds. Specific vision abilities required by this job include close vision, distance vision, color

vision, peripheral vision, depth perception and ability to adjust focus.

Position Type and Expected Hours of Work

This position is part of a health care facility that is open 24 hours a day, 365 days a

year. Rotating shifts as well as holiday and work during inclement weather will be required.

Travel

No travel is expected for this position.

Required Education and Experience

Graduate from and accredited nursing program.
Valid, unencumbered Registered Nurse (R.N.) License in the state of practice.
C.P.R. Certified

Preferred Education and Experience

One year experience as an R.N. in a long term care setting.
One year experience as a C.N.A.

Additional Eligibility Qualifications

Knowledge and training in all aspects of MDS process.
Knowledge of Federal, State and Local requirements and regulations.

We offer great benefits including:

On Demand Pay.
Competitive wages.
Shift differentials.
Tuition reimbursement.
Internal growth opportunities.
*Medical, dental, and vision insurance options.
*Short-term and long-term disability insurance options.
*401K with employer match.
Employee concierge program.
Employee assistance program.
And more!
Please note that benefit packages vary based on hours worked.

Located at 1366 W Fullerton Ave, Chicago, IL 60614, Avantara Lincoln Park is easily accessible via public transportation and major city routes, offering a convenient commute for staff from across the Chicago metro area.

Join our team today and contribute to a facility that is recognized for its commitment to compassionate care and enhancing the lives of our residents in one of the city’s most vibrant neighborhoods.

Avantara Lincoln Park is an equal opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sexual orientation, gender, gender identity, expression or orientation, genetic information, national origin, age, disability, or status as a disabled or Vietnam-era veteran. When completing this application, you may exclude information that would disclose or reference this information, or any information relating to any other status protected by federal, state, or local law.

Avantara Lincoln Park never requests or sends money, payment transfers, direct deposit, or Social Security Number (SSN) information as part of their recruitment process.

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Refine Your Search

utilization review nurse jobs in des plaines, il

MDS Coordinator RN

Utilization Management Registered Nurse (RN) - Remote

Nurse Auditor - Medical Bill Review (Remote)

Utilization Review RN-Casual Rotating Shift

Utilization Review Clinician

Utilization Management and Population Health Nurse

Nurse Care Manager

ED UTILIZATION REVIEW/CASE MANAGER

Utilization Review/Reimbursement Specialist

Registered Nurse (RN) Patient Command Center

Onsite Care Coordination Nurse

RN Care Manager

Case Manager - Utilization Review RN

Case Manager / PRN ( RN / RT / SW / LPN )

Clinical Documentation Specialist

Transfer RN/UR

Inpatient Care Manager (RN)

ED Care Manager

RN Care Management (Full-time)

Behavioral Health Care Coordinator

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