On-site Utilization Review Nurse: Shape Inpatient Care

Memorial Health; Jacksonville (IL); On-site; USD 48,000 - 79,000; Full time

Benefits offered by this job

Paid time off

401(k) match

Health insurance

Job summary

Memorial Health in Illinois is seeking a Registered Nurse to join our Utilization Review and Clinical Documentation Improvement team. Under supervision, you will perform concurrent and retrospective reviews of inpatient records to ensure accurate documentation and appropriate utilization of acute care services.

The role requires 3–5 years of acute care or case management experience, an Illinois RN license, and an Associates degree (Bachelor’s preferred).

Qualifications

• Associates degree in nursing; Bachelor’s preferred.
• Current RN licensure in Illinois required.
• Minimum 3–5 years acute care and/or case management experience.

Responsibilities

• Perform concurrent and retrospective reviews of inpatient records.
• Ensure documentation reflects severity of illness and risk of mortality.
• Collaborate with care teams to determine appropriate level of care (inpatient/observation).
• Identify patients for admission status and discharge planning.

Skills

Utilization review

Nursing leadership

Clinical documentation

Education

Associate degree in nursing

Bachelor’s degree preferred

Tools

Electronic Health Records (EHR)

Job description

Memorial Health in Illinois is seeking a Registered Nurse to join our Utilization Review and Clinical Documentation Improvement team. Under supervision, you will perform concurrent and retrospective reviews of inpatient records to ensure accurate documentation and appropriate utilization of acute care services.

The role requires 3–5 years of acute care or case management experience, an Illinois RN license, and an Associates degree (Bachelor’s preferred).