Illinois Licensed Utilization Nurse
Job Summary
To ensure compliance with healthcare regulations, the full-time Illinois Licensed Utilization Nurse will perform utilization review activities, including analyzing clinical information and collaborating with healthcare providers, all in a remote work environment.
Key responsibilities
- Conduct timely reviews of healthcare services and document clinical findings in accordance with regulations
- Collaborate with medical directors and providers on cases requiring further review and communicate determinations effectively
- Initiate referrals for patients to support continuity of care and participate in quality management initiatives
Required qualifications
- Active and unrestricted Illinois State Registered Nurse license
- Three years of experience in various healthcare settings
- Knowledge of utilization review and managed care practices
- Proficiency in Microsoft 365 applications
- Commitment to ongoing professional development and compliance with nursing practice standards
Complete Job Description
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