Top 15 Utilization review Jobs in Springfield Il

MDS CAREPLAN COORDINATOR
Avenues at Springfield —Springfield, IL
- $30.25 - $45.00 an hour
- Full-time
- RN License
- Physical & Rehabilitation Medicine
- English
- Paid holidays
- Dental insurance
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2d
Quality Integrator (RN) (4973) - Region 1
SIU Medicine —Springfield, IL
- $4,805.66 - $5,285.88 a month
- Day shift
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Disability insurance
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
Clinical Case Manager BH - Field Sangamon, Macon County
CVS Health —Springfield, IL
- $66,575 - $142,576 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Outpatient
- Health insurance
- Dental insurance
Quality Integrator (RN) (4973) - Region 5
SIU Medicine —Springfield, IL
- $4,805.66 - $5,286.00 a month
- Day shift
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Disability insurance
Quality Integrator (RN) (4973) - Region 3
SIU Medicine —Springfield, IL
- $4,805.66 - $5,285.88 a month
- Day shift
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Disability insurance
Urologist- Physician Reviewer PRN Remote
BHM Healthcare Solutions —United States
- Part-time
- Remote
- 5 years
- BC/BE
- Senior level
- Flexible schedule
Quick Apply

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Quality Integrator (RN) (4973) - Region 1
SIU Medicine —Springfield, IL
One (1) year (12 months) of Quality Improvement work experience in a clinical or healthcare related field. Provides clinical expertise and participates in the a…
$4,805.66 - $5,285.88 a month
Quality Integrator (RN) (4973) - Region 5
SIU Medicine —Springfield, IL
One (1) year (12 months) of Quality Improvement work experience in a clinical or healthcare related field. Provides clinical expertise and participates in the a…
$4,805.66 - $5,286.00 a month

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Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
Quick Apply
Assistant Medical Director
Medical Mutual of Ohio —Ohio
Active unrestricted license to practice medicine in U. Recommends changes and enhancements to current managed care, review guidelines, and clinical criteria…

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utilization review jobs near springfield il

MDS CAREPLAN COORDINATOR

Avenues at Springfield -
Springfield, IL

Quick Apply

Job Details

Full-time
$30.25 - $45.00 an hour
2 days ago

Benefits

Paid holidays
Dental insurance
401(k)
Tuition reimbursement
Leadership training provided
Employee assistance program
Vision insurance
Life insurance
Paid sick time

Qualifications

Care plan evaluation
Medicare
Case assessment
RN License
Care documentation
English
Mid-level
MDS
Long-term care facility experience
Overseeing care coordination
Medicare regulations
Medicare billing
Resource utilization in healthcare
Multidisciplinary team collaboration for treatment planning
Medicaid
Care coordination
Process management
Leadership
Documentation reviews

Full Job Description

MDS / Care Plan Coordinator

Job Summary:

The MDS / Care Plan Coordinator is responsible for assuring the timely completion of accurate resident assessments and interdisciplinary care plans that meet Federal and State guidelines. This includes identifying resident acuity and needs, helping to determine specific care needs, and communicating needs and expectations to families and responsible parties.

Essential Duties:

Responsible for integrating nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure appropriate assessment and reimbursement.
Responsible for completion of all Medicare/Medicaid case-mix documents 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.

Benefits Offered:

Extremely low-cost Health, Dental, Vision, 401K, and more
$25,000 Company Paid Life Insurance – at no cost to you
Leadership Training to enhance your management skills
Daily Pay - get your money when you want
Paid Vacations - rolls over each year
Paid Sick Time
Paid Holidays
Tuition Reimbursement
Daily, Weekly, Monthly Employee Appreciation Events
Birthday, Anniversary Celebrations
Free Employee Assistance Programs - professional support & guidance on family, money, health, legal services and more
Huge Discounts at all major retailers (Walmart, Costco, etc.) at no cost to you
Virtual Visits with Doctors 24/7, without setting up additional accounts or appointments
Paid Break Time for Nursing Mothers
Time Off to Vote

Preferred Qualifications:

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

#ACS NRS

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utilization review jobs in springfield il

MDS CAREPLAN COORDINATOR

Quality Integrator (RN) (4973) - Region 1

Physician Supervisor, Utilization Management

Clinical Case Manager BH - Field Sangamon, Macon County

Quality Integrator (RN) (4973) - Region 5

Quality Integrator (RN) (4973) - Region 3

Urologist- Physician Reviewer PRN Remote

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