Illinois Licensed Utilization Management RN

Job Summary

Working remotely on a full-time basis, the Illinois Licensed Utilization Management RN will oversee patient care coordination, ensuring cost-effective healthcare services and compliance with medical necessity criteria while managing concurrent reviews and documentation.

Key responsibilities

• Ensure efficient patient flow and proper resource utilization through initial assessments and concurrent reviews
• Communicate with healthcare providers regarding status changes and assist in resource utilization education
• Document utilization reviews and track avoidable days while participating in extended care reviews and meetings

Required qualifications

• Illinois Registered Professional Nurse (RN) License upon hire
• College diploma in Nursing
• Continuing education related to acute stroke patient care
• Case Management Certification preferred
• Able to establish professional relationships and work independently