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The hiring range for this role is: &nbsp;$103,676.95 - $159,759.88This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.Responsible for overseeing all Utilization Management (UM) and Medical Policy deliverables within the organization. This includes identification, implementation, oversight, management, and evaluation of UM and Medical Policy program functions and initiatives. Serves as a clinical and technical expert, provides technical guidance and education to internal and external business partners regarding UM and Medical Policy clinical criteria and industry standards. Conducts systematic analysis to evaluate evidence-based clinical guidelines to develop and update medical policies. Additionally, reviews and evaluates new benefits, participate in complex projects, and ensures medical policy documentation aligns with benefit design and contractual obligations, supporting program performance assessment and accreditation.<li>Act as a liaison, resource, and clinical subject matter expert to internal and external business partners. Provide guidance on utilization management and medical policy activities, ensuring the development and implementation of required strategies, programs, and products. Promote and reinforce Plans’ accountability for achieving business outcomes, while providing ongoing monitoring, evaluation, and revision of guidelines as needed 25%</li><li>Conduct systematic reviews of evidence-based reference policy documents and current clinical literature to develop and update medical policies. Ensure consistency with benefit design, contractual obligations, and program/accreditation requirements. Adhere to the medical policy review cycle schedule, lead content development for draft documents, and prepare and present medical policy content and review procedures to the Pharmacy and Medical Policy Committee for approval 25%</li><li>Manage critical escalations that have external visibility and impact member and provider satisfaction. Evaluate options and work with BCBS Plans for resolution. Identify and manage risks, resolve conflicts, and remove barriers that impede Plans’ ability to achieve goals and performance expectations 25%</li><li>Contribute to cross-functional teams by interpreting utilization data, medical coding, and policy research. Translate trend information into strategic action plans, resulting in value-added resources and programs that address business needs and support program strategic initiatives 15%</li><li>Lead background clinical research on current and emerging technology areas, including the FDA approval or clearance status of FDA-regulated products. Synthesize, summarize, and present information to internal and external business partners as the evidence basis for medical necessity and experimental/investigational determinations 10%</li> Job Overview: Responsible for overseeing all Utilization Management (UM) and Medical Policy deliverables within the organization. This includes identification, implementation, oversight, management, and evaluation of UM and Medical Policy program functions and initiatives. Serves as a clinical and technical expert, provides technical guidance and education to internal and external business partners regarding UM and Medical Policy clinical criteria and industry standards. Conducts systematic analysis to evaluate evidence-based clinical guidelines to develop and update medical policies. Additionally, reviews and evaluates new benefits, participate in complex projects, and ensures medical policy documentation aligns with benefit design and contractual obligations, supporting program performance assessment and accreditation. Essential Functions<ul><li>Act as a liaison, resource, and clinical subject matter expert to internal and external business partners. Provide guidance on utilization management and medical policy activities, ensuring the development and implementation of required strategies, programs, and products. Promote and reinforce Plans’ accountability for achieving business outcomes, while providing ongoing monitoring, evaluation, and revision of guidelines as needed</li><li>Conduct systematic reviews of evidence-based reference policy documents and current clinical literature to develop and update medical policies. Ensure consistency with benefit design, contractual obligations, and program/accreditation requirements. Adhere to the medical policy review cycle schedule, lead content development for draft documents, and prepare and present medical policy content and review procedures to the Pharmacy and Medical Policy Committee for approval</li><li>Manage critical escalations that have external visibility and impact member and provider satisfaction. Evaluate options and work with BCBS Plans for resolution. Identify and manage risks, resolve conflicts, and remove barriers that impede Plans’ ability to achieve goals and performance expectations</li><li>Contribute to cross-functional teams by interpreting utilization data, medical coding, and policy research. Translate trend information into strategic action plans, resulting in value-added resources and programs that address business needs and support program strategic initiatives</li><li>Lead background clinical research on current and emerging technology areas, including the FDA approval or clearance status of FDA-regulated products. Synthesize, summarize, and present information to internal and external business partners as the evidence basis for medical necessity and experimental/investigational determinations</li></ul>QualificationsEducation <ul><li>Required Bachelor's Degree in nursing or related field from an accredited university; or equivalent work experience</li><li>Preferred Master's Degree</li><li>Experience </li><li>5+ Years of experience with Utilization Management and Medical Policy development in a managed care setting Required</li><li>Knowledge Skills and Abilities </li><li>Excellent written and verbal communication skills Ability to translate complex, technical and/or quantitative information in clear, concise, and understandable documents of presentation Advanced project management skills for planning and executing multiple projects and a detail orientation to ensure compliance with accreditation standards and accuracy of statistics Demonstrated ability to identify and create strategies that support initiatives and translate these into strategic action plans Ability to work well in an interdisciplinary clinical team environment Demonstrated ability to foster strong working relationships with customers and business stakeholders and contact Demonstrated ability to handle multiple projects, prioritizing critical aspects/tasks, working under pressure and meeting deadlines Ability to lead independent research Technical proficiency with information technologies (e.g. Microsoft Office) and literature-search databases Demonstrated abilities in data analysis, synthesis, and reporting, including systematic analysis of clinical literature Ability to conduct comparative analysis of external medical policies, with detailed analysis of specific clinical indications Demonstrated ability to understand complex medical technology assessments and detailed analysis of specific clinical indications in medical policies</li><li>Certifications &amp; Licenses </li><li>Required: RN-CS - RN Certified Clinical Specialist -</li><li>Preferred: CPHM - Certified Professional in Healthcare Management - AIHM</li><li>Preferred: Certified Professional Coder (CPC) - AAPC</li><li>Preferred: Accredited Case Manager (ACM) - ACMA</li></ul> Extra Posting information: A minimum of four years of experience with Utilization Management and Medical Policy development in a managed care setting. Experience with URAC/NCQA accreditation requirements. Experience presenting information to large audiences (town hall calls, professional conferences, etc.), both virtually and in-person. Experience in leading cross-functional work Experience related business experience which demonstrates knowledge and understanding of PPO operations, business practices and processes, as well as knowledge of corporate goals.#LI-Hybrid

Blue Cross Blue Shield Association

Utilization Senior Program Manager (Registered Nurse)

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

U.S. Renal Care

Dialysis Registered Nurse

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.<h4>What you'll be doing</h4>Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

Dialysis Patient Care Technician

Job Description:ABOUT THE CHICAGO SCHOOLThe Chicago School educates the next generation of change-makers in innovative theory and culturally competent practice to strengthen the integrated health of individuals, organizations, and communities. We enroll over 6,000 students across 40+ academic programs culminating in a bachelor's, master's, or doctoral degree or a professional certificate, and our unique approach to impact-focused education has made us a leading nonprofit university for over 45 years.As an employee at The Chicago School, you can become a member of an inclusive community committed to excellence. At The Chicago School, we celebrate individuals of all backgrounds and identities for who they are and what they can contribute. We take pride in hiring and retaining the most dynamic, talented, and passionate professionals who will help us continue to innovate for decades to come.POSITION SUMMARYThe Program Chair in the Doctor of Occupational Therapy (OTD) Program is primarily responsible for vision, leadership, and oversight of the OTD program. The Program Chair holds the appropriate full-time faculty rank as determined by the faculty handbook's guidelines for faculty rank assessment. In alignment with the University’s mission, values, and strategic plan, the Program Chair oversees all activities within the program including accreditation compliance, policy and procedure implementation, faculty management, budgeting, curriculum, evaluation, and quality improvement. The Program Chair is responsible for teaching within their professional expertise areas.&nbsp; The position is located at the Chicago Campus.&nbsp; On campus presence is required for program oversight and to assist with onsite faculty-led fieldwork experiences and labs. Occasionally, travel is required.KEY RESPONSIBILITIESProgram Management: <ul><li>Support the university mission, vision and commitment to diversity, equity and inclusion and the program’s mission, vision and commitment to training whole health providers who provide compassionate care for the good of all patients/clients.</li><li>Provide vision and oversight of program development and assessment.</li><li>Ensure the design, development and administration of the didactic and clinical curriculum is based on clearly articulated learning outcomes, objectives and performance criteria, in accordance with accreditation standards.</li><li>Establish and maintain program accreditation and compliance with ACOTE and support the institutional accreditation. Participate in quality improvement efforts of the curriculum, program assessment, and program organization through administrative and faculty governance structures.</li><li>Create, maintain, and report annually on longitudinal tracking documentation for programmatic improvement efforts, measuring outcomes of changes to determine levels of effectiveness.</li><li>Ensure student concerns are effectively addressed in a timely and responsive manner in support of student satisfaction and retention. </li></ul>Personnel Management:<ul><li>Recruit, hire, and manage qualified and diverse faculty in alignment with budget allowances and university need.</li><li>Build and manage a faculty team that is inclusive and welcoming of diverse voices, new perspectives, and innovation. &nbsp;</li><li>Develop and apply a structured, data-driven system for mentoring, supervising and evaluating the teaching, advisement, and other duties performed by faculty members to ensure student achievement of program and institutional learning outcomes.</li><li>Ensure department faculty remain active in scholarship and service as evidenced by membership in institutional committee work, professional organizations, publications, presentations, and colloquia.</li><li>Ensure department faculty remain current in knowledge and skills regarding emerging instructional technology into classroom instruction to support ongoing innovation and instructional excellence.</li></ul>Teaching<ul><li>Develop and teach content related to area of expertise within the occupational therapy program up to 12 credits per academic year to support an understanding of overall program objectives and comply with accreditation standards.</li><li>Deliver instruction in an online or hybrid learning environment using available university learning management and document storage systems.</li><li>Provide advising to assigned OTD students that includes coaching on conduct and responsibilities to enter the profession, student progress and academic standing, fieldwork education planning and feedback, and doctoral capstone preparation.</li><li>Utilize feedback from students and faculty and occupational therapy practice updates to routinely update course content.</li><li>Lead student development efforts including, monitoring satisfactory academic progress, supervising department efforts to support student development through Academic Development Plans and Professional Performance Evaluations with the goal of supporting student progress through the curriculum and timely degree completion.</li><li>Actively cultivate opportunities for students to participate in scholarship and community engagement such that students are regularly participating in the production of scholarly work products and/or involved in community activities beyond the campus.</li></ul>Academic Operations &amp; Budget Management<ul><li>Manage the day-to-day operations of the department to ensure quality student experience and faculty performance expectations are maintained.</li><li>Direct course scheduling in a manner that supports the student experience via ensuring adequate class size and assigning faculty who are properly credentialed and trained to deliver assigned course content.</li><li>Represent the department at meetings, student events, and other related events to facilitate collaborative decision making, student engagement, building program and university awareness in the community.</li><li>In collaboration with university academic leadership, lead the development of strategic academic and budget plans for the department, including recommendations from the assessment and department review process to inform student enrollment growth targets and program staffing needs.</li><li>In collaboration with the university academic leadership, seek and implement opportunities to integrate emerging instructional technology into the curriculum delivery model.</li></ul>Strategic Growth<ul><li>Collaborate with admissions team to ensure timely review of admissions files and development of materials to support achievement of new student recruiting goals.</li><li>In collaboration with university leadership, develop and execute a plan for community engagement in support of expanding awareness and driving new student enrollment at The Chicago School.</li><li>Lead the program and its faculty to promote student retention and success.</li></ul>Required Qualifications: Education and Training <ul><li>Earned entry-level occupational therapy degree from an ACOTE accredited program</li><li>Earned Doctoral Degree in occupational therapy or a related area awarded by an institution that is accredited by a regional accrediting body recognized by the U.S. Department of Education</li></ul>Certifications and Licenses:<ul><li>Initial certification by the National Board for Certification in Occupational Therapy.</li><li>Must hold an occupational therapist license in the state of residence at time of employment.</li></ul>Experience: Minimum 8 years of documented experience in the field of occupational therapy. This experience must include:<ul><li>Clinical practice as an occupational therapist.</li><li>Administrative experience including, but not limited to, program planning and implementation, personnel management, evaluation, and budgeting.</li><li>Scholarship (e.g., scholarship of application, scholarship of teaching and learning).</li><li>Understanding of the role of the occupational therapy assistant.</li><li>At least 4 years of experience in a full-time academic appointment with teaching responsibilities at the postbaccalaureate level.</li><li>Supervisory and/or management experience.</li><li>Experience working effectively and collaboratively as a member of a leadership team.</li></ul>Preferred Qualifications: <ul><li>Professional development beyond the OTD degree including Master or Doctoral education, residency training, board certification in a specialty, etc.</li><li>Evidence of scholarly work.</li><li>Experience teaching and designing online courses.</li><li>Program development experience.</li><li>Experience working with ACOTE.</li></ul>Compensation &amp; BenefitsThis opportunity is budgeted at $85,000-110,000 base compensation. Additional compensation factors may impact total compensation. To learn more about our competitive benefits and additional rewards, including generous paid time-off, medical and dental insurance coverage, life and disability insurance, retirement plan with employer contribution, multiple flexible spending accounts, tuition reimbursement, click the link below.<a href="https://www.thechicagoschool.edu/career-opportunities/" target="_blank">https://www.thechicagoschool.edu/career-opportunities/</a>The Chicago School is an Equal Opportunity Employer.Please note: For the protection of faculty, staff, students, and all who enter our facilities, The Chicago School strongly recommends that all employees are fully vaccinated for COVID-19 per CDC guidance.

The Chicago School of Professional Psychology

Program Chair, Doctor of Occupational Therapy

Job Description:Founded in 1979, The Chicago School is an independent professional graduate school with a dynamic student body and a professionally accomplished faculty. Our curriculum and training opportunities prepare graduates to deliver outstanding professional services emphasizing the ability to understand and work with diverse populations.Position Summary:The Counselor Education Department at The Chicago School is seeking several highly qualified adjunct instructors to join our diverse faculty at our Chicago Campus.Principal Duties:<ul><li>Teach throughout the academic year at the master's program</li><li>Design and implement course instruction and provide evaluation of students. Maintain communication with department administration, faculty, and students.</li></ul>Position Qualifications:Required:<ul><li>Doctorate in Counselor Education</li><li>Proven record of excellence in instruction</li><li>Experience with blended and online instruction</li><li>Licensed or license-eligible as a Professional Counselor</li><li>Strong commitment to working as part of a faculty team</li><li>Strong record of research and clinical work desirable</li><li>Experience teaching at the graduate level</li><li>Record of active involvement in counseling professional organizations</li><li>Commitment to issues of social justice and diversity</li><li>Strong commitment to preparing students to become excellent practitioners and researchers in the counseling field</li></ul>Preferred:<ul><li>Doctoral degree from a CACREP Accredited Program</li></ul>Disclaimer:The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel soThis job posting, and all others for adjunct faculty roles with The Chicago School, are posted as “evergreen” roles. This means that there is usually an ongoing need for departments to hire 1-2 adjuncts each semester (usually for teaching specialized topics), and they prefer to keep a running pool of applicants to select from when the need to hire arises.&nbsp; Given this information, please note that your application to our evergreen roles willbe reviewed on an as needed basis and you may not hear back immediately. If you would like an update on your application status, you can email <a href="mailto:National-HR@thechicagoschool.edu" target="_blank">National-HR@thechicagoschool.edu</a>. We sincerely appreciate your interest in working with us and hope this won’t deter you from continuing to submit your application for any current or future roles you may be interested in.&nbsp;Compensation &amp; BenefitsThis opportunity is budgeted at $1,124-1,540 per credit and may vary per course with student enrollment. Additional compensation factors may impact total compensation. To learn more about our competitive benefits and additional rewards, including generous paid time-off, medical and dental insurance coverage, life and disability insurance, retirement plan with employer contribution, multiple flexible spending accounts, tuition reimbursement, click the link below.<a href="https://www.thechicagoschool.edu/career-opportunities/" target="_blank">https://www.thechicagoschool.edu/career-opportunities/</a>The Chicago School is an Equal Opportunity Employer.Please note: For the protection of faculty, staff, students, and all who enter our facilities, The Chicago School strongly recommends that all employees are fully vaccinated for COVID-19 per CDC guidance.

5 Healthcare Jobs in Chicago, IL, USA