Utilization Management RN (Illinois)

Our take on this role

About this role

Review inpatient admissions and outpatient referrals for Illinois Department of Corrections statewide systems to evaluate medical necessity, levels of care and quality of care. This full-time day role requires living in Illinois.

What could you bring from clinical work?

• Nurses: Your experience assessing patients' care needs could help when reviewing admissions and referrals for medical necessity and appropriate levels of care.

Full job description from Centurion Health

Job Details: Job Location: IL Regional Office - Springfield, IL, Position Type: Full-Time, Education Level: Bachelor's Degree, Salary Range: Undisclosed, Job Shift: Day, Job Category: Nursing Professional & Support, Salary of $90k+.

Must 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...