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Part Time Weekend Utilization Review Jobs in Illinois

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

Various, Day; weekend rotation; holiday rotation; occasional on site requirement for meetings and ... Part-time employees which includes: Medical, Dental and Vision plans Life Insurance Flexible ...

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Part Time Weekend Utilization Review information

What is the difference between Part Time Weekend Utilization Review vs Part Time Weekend Medical Coder?

AspectPart Time Weekend Utilization ReviewPart Time Weekend Medical Coder
CertificationsUtilization Review Certification, Medical License (if applicable)Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentHealthcare facilities, insurance companies, remote optionsHospitals, clinics, remote coding jobs
Job FocusReviewing medical necessity, authorizing servicesTranslating medical records into billing codes
Industry UsageInsurance, healthcare managementMedical billing and coding

Part Time Weekend Utilization Review involves assessing medical necessity and authorizing healthcare services, often requiring specific utilization review certifications. In contrast, Part Time Weekend Medical Coder focuses on translating medical records into billing codes, requiring coding certifications. Both roles are common in healthcare but serve different functions within the industry.

What are the most commonly searched types of Weekend Utilization Review jobs in Illinois? The most popular types of Weekend Utilization Review jobs in Illinois are:
What cities in Illinois are hiring for Part Time Weekend Utilization Review jobs? Cities in Illinois with the most Part Time Weekend Utilization Review job openings:

Utilization Review Nurse

silvercross

New Lenox, IL • On-site

$34.73 - $45.15/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago


Job description

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and deliveryof unrivaled experiencesfor our patients, their families, the communities we serve...and for each other. Come join us! It's the wayyouwant to be treated.

Position Summary: Performs medical record review for severity of illness and intensity of service; liaison function with external review agencies to ensure compliance with regulations affecting financial reimbursement; identifies variance from established pathways

Essential Duties and Responsibilities:

  • Collects information from clinical medical record for severity of illness and intensity of service and documents such in clinical database
  • Monitors all levels of care for appropriateness and communicates variance; evaluates plan of care to ensure it is based on accepted standards
  • Provides information to external review organizations, documents pertinent communications
  • Refers to designated physician advisor those patients not meeting criteria as well as quality of care concerns
  • Maintains knowledge and incorporates current standards into practice

Required Qualifications: Knowledge of clinical norms; excellent communication skills; critical thinking skills; organized and efficient time management skills

Education and Training:

  • Nurse, Registered (RN) licensure
  • BSN preferred. 2-5 years previous Utilization Review experience preferred.
  • Current CPR
  • Relevant hospital nursing; hospital case management; insurance case management or utilization management experience preferred

Work Shift Details:

Various, Day; weekend rotation; holiday rotation; occasional on site requirement for meetings and mandatory training

Department:

CONTINUUM OF CAREBenefits for You

At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.

Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:

Medical, Dental and Vision plans

Life Insurance

Flexible Spending Account

Other voluntary benefit plans

PTO and Sick time

401(k) plan with a match

Wellness program

Tuition Reimbursement

Registry employees who meet eligibility may participate in our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.

The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.

The expected pay for this position is listed below:

$34.73 - $45.15