Utilization Management RN (Illinois)

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...
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