Aurora, IL · Remote
$45 - $52/hr
Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 ...
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Aurora, IL · Remote
$45 - $52/hr
Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 ...
Skokie, IL · Remote
$45 - $52/hr
Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 ...
Quick apply
Skokie, IL · Remote
$45 - $52/hr
Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 ...
Chicago, IL · On-site +1
$70K - $75K/yr
Registered Nurse with an active and unrestricted Illinois State License. * Three years of ... Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting ...
Chicago, IL · On-site +1
$70K - $75K/yr
Registered Nurse with an active and unrestricted Illinois State License. * Three years of ... Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting ...
Schaumburg, IL · On-site +1
$60K - $107K/yr
As a Telephone Transplant Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and ...
New
Schaumburg, IL · On-site +1
$60K - $107K/yr
As a Telephone Transplant Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and ...
New
Schaumburg, IL · Remote
$60K - $107K/yr
As a Telephone Transplant Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and ...
New
Schaumburg, IL · Remote
$60K - $107K/yr
As a Telephone Transplant Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and ...
New
Elgin, IL · Remote
$45 - $52/hr
Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 ...
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Elgin, IL · Remote
$45 - $52/hr
Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 ...
Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provides secondary review / oversight to ensure audits are accurate prior to finalization and ...
Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provides secondary review / oversight to ensure audits are accurate prior to finalization and ...
Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provides secondary review / oversight to ensure audits are accurate prior to finalization and ...
Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provides secondary review / oversight to ensure audits are accurate prior to finalization and ...
Verify that charges are in accordance with the services ordered and authorized. * Initiate ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Verify that charges are in accordance with the services ordered and authorized. * Initiate ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Verify that charges are in accordance with the services ordered and authorized. * Initiate ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Quick apply
Verify that charges are in accordance with the services ordered and authorized. * Initiate ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN and IL DEA licenses and any remote location determined * Ideally full-time, but must be able to work at least 16-20 hours per week (including 1-2 evening ...
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN and IL DEA licenses and any remote location determined * Ideally full-time, but must be able to work at least 16-20 hours per week (including 1-2 evening ...
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN and IL DEA licenses and any remote location determined * Ideally full-time, but must be able to work at least 16-20 hours per week (including 1-2 evening ...
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN and IL DEA licenses and any remote location determined * Ideally full-time, but must be able to work at least 16-20 hours per week (including 1-2 evening ...
Remote TCM Team: 15 FTE RN Case Manager, 1 FTE MSW * BCBS Delegated Team: [confirm current FTE count] Total direct/indirect reports across both functions: [to be finalized upon posting] MINIMUM ...
Remote TCM Team: 15 FTE RN Case Manager, 1 FTE MSW * BCBS Delegated Team: [confirm current FTE count] Total direct/indirect reports across both functions: [to be finalized upon posting] MINIMUM ...
Oak Brook, IL · Remote
$78K - $99K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
Oak Brook, IL · Remote
$78K - $99K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
Naperville, IL · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
Naperville, IL · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
Chicago, IL · Remote
$80K - $102K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
Chicago, IL · Remote
$80K - $102K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
Chicago, IL · Remote
$80K - $102K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
Chicago, IL · Remote
$80K - $102K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
Bartlett, IL · On-site +1
$76K - $94K/yr
The agency's Registered Nurse (RN) provides skilled nursing care services by planning, organizing ... Develops individual nursing care plan reflects current client needs prior to case conference;
Bartlett, IL · On-site +1
$76K - $94K/yr
The agency's Registered Nurse (RN) provides skilled nursing care services by planning, organizing ... Develops individual nursing care plan reflects current client needs prior to case conference;
Hines, IL · On-site +1
$39K - $64K/yr
Provides assistance and support to the Registered Nurse and/or provider within the scope of the CNA ... Not Authorized. Pay: Competitive salary and regular salary increases. Paid Time Off: 37-50 days of ...
Hines, IL · On-site +1
$39K - $64K/yr
Provides assistance and support to the Registered Nurse and/or provider within the scope of the CNA ... Not Authorized. Pay: Competitive salary and regular salary increases. Paid Time Off: 37-50 days of ...
Hines, IL · On-site +1
$39K - $64K/yr
Provides assistance and support to the Registered Nurse and/or provider within the scope of the CNA ... Not Authorized. Pay: Competitive salary and regular salary increases. Paid Time Off: 37-50 days of ...
Hines, IL · On-site +1
$39K - $64K/yr
Provides assistance and support to the Registered Nurse and/or provider within the scope of the CNA ... Not Authorized. Pay: Competitive salary and regular salary increases. Paid Time Off: 37-50 days of ...
$7.71 - $13.79
0% of jobs
$13.79 - $19.87
0% of jobs
$19.87 - $25.95
4% of jobs
$25.95 - $32.03
18% of jobs
$32.83 is the 25th percentile. Wages below this are outliers.
$32.03 - $38.11
20% of jobs
The median wage is $40.61 / hr.
$38.11 - $44.19
18% of jobs
$49.66 is the 75th percentile. Wages above this are outliers.
$44.19 - $50.27
16% of jobs
$50.27 - $56.35
10% of jobs
$56.35 - $62.43
6% of jobs
$62.43 - $68.51
4% of jobs
$68.51 - $74.59
3% of jobs
$7
$43
$74
| Aspect | Remote Prior Authorization Rn | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, certification in case management or utilization review | Certification in coding (CPC, CCS), high school diploma or equivalent |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Medical offices, insurance companies, remote coding platforms |
| Industry Usage | Utilization review, patient authorization, insurance approval | Medical record review, billing, coding for insurance claims |
Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.
For Remote Prior Authorization Rn jobs in Carol Stream, IL, the most frequently searched job titles are:
The top searched job categories for Remote Prior Authorization Rn jobs in Carol Stream, IL are:
Cities near Carol Stream, IL with the most Remote Prior Authorization Rn job openings:
$45 - $52/hr
Full-time
Posted 27 days ago
The position is work from home with field visits.
JOB PURPOSE:
This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members.
JOB QUALIFICATIONS:
*Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license.
* Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
* Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians.
* Knowledge of the health and wellness marketplace and employer trends.
* Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
* Analytical experience including medical data analysis.
* Ability and willingness to travel within assigned territory.
* PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
PREFERRED JOB QUALIFICATIONS:
* 3 years clinical experience.
* Patient education experience.
* Condition Management experience.
* Bilingual in English and Spanish.
* Transition of Care experience.
* Experience in managing complex or catastrophic cases.
* Certification in Case Management, Training, Project Management or nationally recognized health care certification.
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