Utilization Management RN (Illinois) (83674)

Centurion Health; Springfield (IL); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Disability Insurance

Life Insurance

401(k)

Paid Time Off

Paid Holidays

Job summary

Centurion Health is seeking a Full-time Utilization Management RN to join our Regional Team in Springfield, Illinois. The position requires an active Illinois RN license and experience in utilization review.

You will work in a clinical setting with opportunities for professional development and comprehensive benefits. This role emphasizes accurate patient care assessments, coordination with care teams, and compliance with regulatory standards, contributing to high-quality outcomes for the

Qualifications

• Active Illinois RN license.
• Experience in utilization review (inpatient/outpatient or managed care).
• Proficient in MS Word and MS Excel.
• 1+ year RN experience in outpatient clinic, hospital or long-term care.
• InterQual experience preferred.
• Corrections experience preferred.
• CPR/BLS certification required.
• Ability to obtain security clearance (drug screen & background).

Skills

Utilization review

RN license

MS Word

MS Excel

Corrections experience

CPR/BLS

Security clearance ability

Education

Bachelor's Degree

Tools

InterQual

Job description

Job Details: Job Location: IL Regional Office - Springfield, IL 62794-9277, Position Type: Full-Time, Education Level: Bachelor's Degree, Job Shift: Day, Job Category: Nursing Professional & Support, 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.

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:

Benefits:

• 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...