Position Details:
Position: Utilization Review Nurse
Location: Cook County, IL (REMOTE plus 50% travel within Cook County , mileage is reimbursed)
Term: 4-5 months with highly possible extension
Start Date: 08/07/2025
Shifts: First Shift.(8 hours per day , 40 hours per week)
NOTE: Need somoene who is local to Cook County Illinois and has Registered Nurse License for IL state.
BASIC FUNCTION:
This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the telephone, reviewing medical records, r eviewing cases which involve contract interpretation of behavioral health diagnoses , and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute inpatient.
JOB REQUIREMENTS:
PREFERRED JOB REQUIREMENTS:
* Utilization review experience.
EEO:
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
...Class C 24ft 26ft BoxTruck Position Looking for a freight partner that delivers stability, great earnings, and unmatched support? Look no further. Omega Supreme Inc offers top-tier freight solutions designed to help you succeed on the road. Why Partner with...
...General Manager 1. Job Summary: Knight Commercial seeks an experienced, results-driven General Manager (GM) to lead and oversee all... ...revenue growth, and market penetration, ensuring that all projects align with the companys goals and core values. Revenue &...
DESCRIPTION External job description Our WW Operations network delivers millions of packages and smiles to Amazon customers every day. We are looking for motivated, customer-focused individuals who want to join our team as an Operations Manager. In this role, you...
Madison Scientific is a developing an integrated management solution that aims to optimize treatment for hydrocephalus patients. The Executive Administrator / Office Manager will undertake a variety of day-to-day office and clerical tasks. They are integral part ...
...BHE GT&S JOB DESCRIPTION BHE GT&S has an exciting summer internship opportunity for an Economics, Business or Marketing student within our Business Development Department located at our Headquarters located in Glen Allen, VA. RESPONSIBILITIES This Business...