Utilization Management RN: Care Coordination & Payer Liaison

Northwestern Medicine; Winfield (IL); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Tuition reimbursement

401(k) matching

Loan forgiveness

Job summary

Northwestern Medicine is seeking a Utilization Management RN located in Winfield, Illinois. The position involves reviewing patient clinical information, collaborating with healthcare providers, and managing denials. A Bachelor's degree in Nursing and RN licensure are required with preference for those holding a Master's degree and relevant experience. Competitive benefits and a sign-on bonus may be available. Join us as we strive to provide the best care in healthcare.

Qualifications

• State licensure as a Registered Nurse (RN) is required.
• Minimum 2 years of experience in Utilization Management is preferred.
• Utilization Management or Case Management certification is a plus.

Responsibilities

• Review clinical information for efficiency and correct level of care.
• Interface with payers to obtain authorization.
• Collaborate with healthcare team members.

Skills

Critical thinking

Organizational skills

Collaboration

Education

Bachelor's degree in Nursing

Master's degree

Job description

Northwestern Medicine is seeking a Utilization Management RN located in Winfield, Illinois. The position involves reviewing patient clinical information, collaborating with healthcare providers, and managing denials. A Bachelor's degree in Nursing and RN licensure are required with preference for those holding a Master's degree and relevant experience. Competitive benefits and a sign-on bonus may be available. Join us as we strive to provide the best care in healthcare.