Utilization Management RN (Illinois)

Centurion Health; Springfield (IL); On-site; USD 81,000 - 99,000; Full time

Benefits offered by this job

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

Job summary

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.

Responsibilities

• 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.

Skills

Utilization review

InterQual

RN experience

Security clearance

Corrections exp

Education

RN license (Illinois)

Tools

Microsoft Word

Excel

Job description

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.Licensed RN with an active license to practice in IllinoisPrevious experience performing utilization review in an inpatient or outpatient setting or in a managed care settingProficiency in Microsoft Word and Excel requiredMinimum of one year of work experience as an RN in a community outpatient clinic, hospital or long-term care facility preferredExperience with InterQual preferredCorrections experience preferredMust be appropriately and actively certified in Cardio-Pulmonary Resuscitation (CPR)/ BLSAbility to obtain a security clearance, to include drug screen and criminal background checkWe offer excellent compensation and comprehensive benefits for our full-time team members including:Health, dental, vision, disability and life insurance401(k) with company matchGenerous paid time offPaid holidaysFlexible Spending AccountContinuing Education benefitsMuch more...