Illinois Licensed Utilization Management RN
Job Summary
To ensure cost-effective and appropriate healthcare services, the full-time Illinois Licensed Utilization Management RN will manage patient admissions and continued care during hospitalization, performing concurrent reviews and collaborating with healthcare professionals remotely during day shifts.
Key responsibilities
- Oversee patient admissions and ensure medical necessity for continued hospital stays
- Conduct concurrent reviews of patient charts to optimize resource utilization and identify trends
- Communicate with physicians and insurance companies regarding patient status and documentation needs
Required qualifications
- Licensed Registered Professional Nurse (RN) in Illinois
- College diploma in Nursing
- Experience in acute care settings
- Knowledge of acute level of care criteria and resource utilization
- Proficiency in data management and software tools, including EPIC Case Management
Complete Job Description
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