UM RN - Corrections Health, IL (Utilization Review)

Centurion Health; Springfield (IL); Sur place; USD 81 000 - 99 000; Plein temps

Avantages offerts par ce poste

Health insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

401(k) with company match

Generous paid time off

Paid holidays

Flexible Spending Account

Continuing Education benefits

Résumé du poste

Centurion Health is seeking a Full-time Utilization Management (UM) RN to join our Regional Team in Springfield, Illinois. You will review inpatient admissions and outpatient referrals to ensure appropriate levels of care and evaluate medical necessity.

Qualified candidates hold an active Illinois RN license, with UM or InterQual experience preferred. CPR/BLS certification and ability to obtain a security clearance are required, with a collaborative, benefit-rich environment offered.

Qualifications

• Licensed RN with an active license to practice in Illinois.
• Experience with InterQual preferred.
• Minimum of one year of RN experience in a community outpatient clinic, hospital or long-term care facility.

Responsabilités

• Provide utilization review services for statewide systems.
• Review inpatient admissions and outpatient referrals to ensure appropriate levels of care.
• Evaluate evidence-based medical necessity and quality of care.

Connaissances

Utilization review

InterQual

RN experience

Security clearance

Corrections exp

Formation

RN license (Illinois)

Outils

Microsoft Word

Excel

Description du poste

Centurion Health is seeking a Full-time Utilization Management (UM) RN to join our Regional Team in Springfield, Illinois. You will review inpatient admissions and outpatient referrals to ensure appropriate levels of care and evaluate medical necessity.

Qualified candidates hold an active Illinois RN license, with UM or InterQual experience preferred. CPR/BLS certification and ability to obtain a security clearance are required, with a collaborative, benefit-rich environment offered.