Sycamore, Illinois, United States · On-site
$37/hr–$52/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Utilization Review, Precertification, Discharge Planning, Managed Care Coordination, DSM Diagnosis
Sycamore, Illinois, United States · On-site
$37/hr–$52/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Utilization Review, Precertification, Case Management, Insurance Advocacy, DSM Diagnoses
Chicago, Illinois, United States · On-site
$34/hr–$55/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Patient Assessment, Care Planning, Clinical Interventions, Patient Advocacy, Quality Improvement
Chicago, Illinois, United States · On-site
$20/hr–$27/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Patient Flow Management, Vital Signs Collection, Phlebotomy, Electrocardiogram (ECG), Immunizations
Chicago, Illinois, United States · On-site
$29/hr–$37/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Patient Assessment, Medication Administration, Phototherapy, Phlebotomy, Wound Care
Lake Forest, Illinois, United States · On-site
$34/hr–$55/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Patient Assessment, Care Planning, Clinical Intervention, Patient Evaluation, Interdisciplinary Collaboration
Chicago, Illinois, United States · On-site
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Wound Care, Phlebotomy, ECG Performance, Patient Positioning, Vital Signs Monitoring
Winfield, Illinois, United States · On-site
$18/hr–$24/hr
Company Description Full Time Days 6am-6:30pm with rotating weekends At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us…
Skills: Vital signs monitoring, Blood glucose measurement, Patient care, Activities of daily living, Critical thinking
Chicago, Illinois, United States · On-site
$18/hr–$26/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Customer Service, Patient Registration, Insurance Verification, Medical Terminology, Payment Collection
Lake Forest, Illinois, United States · On-site
$38/hr–$61/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Nursing Process, Clinical Leadership, Patient Assessment, Staff Coordination, Regulatory Compliance
Chicago, Illinois, United States · On-site
$18/hr–$26/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Customer Service, Patient Registration, Medical Terminology, Insurance Verification, Payment Collection
Geneva, Illinois, United States · On-site
$38/hr–$51/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Computed Tomography, Patient Safety, Contrast Administration, Image Quality Optimization, Radiation Safety
Warrenville, Illinois, United States · On-site
$22/hr–$32/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Customer Service, Patient Scheduling, Insurance Verification, Medical Terminology, Epic
Lake Forest, Illinois, United States · On-site
$38/hr–$61/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Nursing Process, Clinical Leadership, Patient Safety, Staff Scheduling, Regulatory Compliance
Winfield, Illinois, United States · On-site
$18/hr–$25/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Patient Flow Management, Vital Signs Collection, Phlebotomy, ECG, Immunizations
Sycamore, Illinois, United States · On-site
$17/hr–$23/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Peer Support, Crisis Intervention, Trauma-Informed Care, Case Management, Advocacy
Chicago, Illinois, United States · On-site
$61/hr–$79/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Clinical Documentation Improvement, ICD-10-CM, ICD-10-PCS, Chart Review, Medical Coding
Chicago, Illinois, United States · On-site
$63/hr–$82/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Clinical Documentation Improvement, ICD-10-CM/PCS, Chart Review, Thoracic Surgery, Medical Coding
Chicago, Illinois, United States · On-site
$38/hr–$53/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Respiratory Therapy, Patient Assessment, Clinical Intervention, Patient Education, Emergency Management
Winfield, Illinois, United States · On-site
$61/hr–$79/hr
Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As…
Skills: Patient Care, Diagnosis, Health Management, Physical Examinations, Prescribing Medications
Sycamore, Illinois, United States • On-site
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Responsible for conducting utilization review calls, including precertification and discharge reviews, to advocate for patients with insurance companies. Coordinates with clinical staff and physicians to communicate benefit status and manage the appeals process for unfavorable decisions.
Requires a Master's degree in Social Work or Psychology, or a BSN with an RN license, along with at least 2 years of experience. Preferred candidates hold specific certifications such as CADC, CSADC, LCSW, or RN licensure.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Required: Master's Degree in Social Work or Psychology or BSN with RN License.
The Utilization Reviewer reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility (if sign-on bonus offered for position): Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine around a strategic vision to transform the future of health care. It encompasses the research, teaching, and patient care activities of the academic medical center. Sharing a commitment to superior quality, academic excellence and patient safety, the organizations within Northwestern Medicine comprise a combined workforce of more than 33,000 among clinical and administrative staff, medical and science faculty and medical students. Northwestern Medicine is comprised of more than 200 locations throughout the region, with five Northwestern Medicine hospitals ranked among “America's Best” by U.S. News & World Report, 2025 – 2026, our legacy of better medicine continues. What makes us better, makes you better.®
Offices: 251 E Huron St, Chicago, Illinois 60611, US · 300 Randall Road, Geneva, Illinois 60134, US · 25 N. Winfield Road, Winfield, Illinois 60190, US · 660 N Westmoreland Rd, Lake Forest, Illinois 60045, US · 1 Kish Hospital Dr, DeKalb, Illinois 60115, US
Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine around a strategic vision to transform the future of health care. It encompasses the research, teaching, and patient care activities of the academic medical center. Sharing a commitment to superior quality, academic excellence and patient safety, the organizations within Northwestern Medicine comprise a combined workforce of more than 33,000 among clinical and administrative staff, medical and science faculty and medical students. Northwestern Medicine is comprised of more than 200 locations throughout the region, with five Northwestern Medicine hospitals ranked among “America's Best” by U.S. News & World Report, 2025 – 2026, our legacy of better medicine continues. What makes us better, makes you better.®
Offices: 251 E Huron St, Chicago, Illinois 60611, US · 300 Randall Road, Geneva, Illinois 60134, US · 25 N. Winfield Road, Winfield, Illinois 60190, US · 660 N Westmoreland Rd, Lake Forest, Illinois 60045, US · 1 Kish Hospital Dr, DeKalb, Illinois 60115, US
