Utilization Management RN (Illinois) (83674)
Boost your chances before you apply.
Centurion Health
IL
Summary
The Utilization Management RN is responsible for reviewing inpatient admissions and outpatient referrals to ensure appropriate levels of care. They evaluate evidence-based medical necessity and maintain quality of care standards within the statewide system.
Job Description
Job DetailsJob Location: IL Regional Office - Springfield, IL 62794-9277Position Type: Full-TimeEducation Level: Bachelor's DegreeJob Shift: DayJob Category: Nursing Professional & SupportMust be located in Illinois.
Centurion is proud to be the provider of comprehensive services to the Illinois Department of Corrections. We are currently seeking a Full-time Utilization Management (UM) Registered Nurse (RN) to join our Regional Team in Springfield, Illinois.
The UM RN is responsible for providing utilization review services for statewide systems. This person reviews inpatient admissions and outpatient referrals to ensure appropriate levels of care and evaluate evidence based medical necessity and quality of care.
Qualifications
Licensed RN with an active license to practice in Illinois
Previous experience performing utilization review in an inpatient or outpatient setting or in a managed care setting
Proficiency in Microsoft Word and Excel required
Minimum of one year of work experience as an RN in a community outpatient clinic, hospital or long-term care facility preferred
Experience with InterQual preferred
Corrections experience preferred
Must be appropriately and actively certified in Cardio-Pulmonary Resuscitation (CPR)/ BLS
Ability to obtain a security clearance, to include drug screen and criminal background check
We offer excellent compensation and comprehensive benefits for our full-time team members including:
Health, dental, vision, disability and life insurance
401(k) with company match
Generous paid time off
Paid holidays
Flexible Spending Account
Continuing Education benefits
Much more...
Centurion Health is a leading provider of correctional healthcare services and clinical workforce solutions, delivering care to incarcerated and justice-involved populations and helping healthcare agencies maintain access to qualified professionals in some of healthcare's most challenging and mission-critical environments.
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Public Company
Headquarters
Sterling, Virginia
Centurion Health is a leading provider of correctional healthcare services and clinical workforce solutions, delivering care to incarcerated and justice-involved populations and helping healthcare agencies maintain access to qualified professionals in some of healthcare's most challenging and mission-critical environments.
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Public Company
Headquarters
Sterling, Virginia