Illinois Licensed Care Review Nurse

Job Summary

A company is looking for a Care Review Clinician (RN).

Key Responsibilities

• Assess services for members to ensure optimum outcomes and compliance with regulations
• Analyze clinical service requests against evidence-based clinical guidelines
• Conduct reviews for prior authorization and collaborate with multidisciplinary teams

Required Qualifications

• At least 2 years of experience in hospital acute care, inpatient review, or managed care
• Registered Nurse (RN) with an active and unrestricted license
• Ability to prioritize and manage multiple deadlines
• Experience with Microsoft Office suite/applicable software programs