To support patient care during weekends, the full-time Illinois Licensed Utilization Nurse will oversee and manage functional and financial outcomes for hospitalized patients, ensuring appropriate care levels and resource utilization while working remotely. Key responsibilities Conduct initial assessments of new patients to determine correct status and perform concurrent reviews of patient charts for resource utilization Communicate with physicians regarding status changes, document utilization reviews, and track avoidable days Collaborate with appeal staff on concurrent and retrospective case appeals, providing education on resource utilization to physicians Required qualifications Licensed Registered Professional Nurse (RN) in Illinois College Diploma or Associate's Degree in Nursing Experience in utilization management or acute care settings Strong data management skills, including proficiency in Word, Excel, Outlook, and EPIC Case Management software Ability to effectively communicate with healthcare professionals and build rapport with medical staff
Illinois Licensed Utilization Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.