Utilization Management RN (Illinois) (83674)

Posted Yesterday
Be an Early Applicant
Hiring Remotely in 62794-9277, Springfield, IL, USA
In-Office or Remote
Junior
Healthtech • Professional Services • Social Impact
The Role
Provides utilization review services for statewide correctional healthcare systems. Reviews inpatient admissions and outpatient referrals, evaluates medical necessity and quality of care, and determines appropriate levels of care using evidence-based criteria. Requires an active Illinois RN license, utilization review experience, Microsoft Office proficiency, CPR/BLS certification, and ability to obtain a security clearance. InterQual and corrections experience are preferred.
Summary Generated by Built In

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.

Qualifications
  • Licensed RN with an active license to practice in Illinois
  • Previous experience performing utilization review in an inpatient or outpatient setting or in a managed care setting
  • Proficiency in Microsoft Word and Excel required
  • Minimum of one year of work experience as an RN in a community outpatient clinic, hospital or long-term care facility preferred
  • Experience with InterQual preferred
  • Corrections experience preferred
  • Must be appropriately and actively certified in Cardio-Pulmonary Resuscitation (CPR)/ BLS
  • Ability to obtain a security clearance, to include drug screen and criminal background check

We offer excellent compensation and comprehensive benefits for our full-time team members including:

  • Health, dental, vision, disability and life insurance
  • 401(k) with company match
  • Generous paid time off
  • Paid holidays
  • Flexible Spending Account
  • Continuing Education benefits
  • Much more...

Skills Required

  • Active Illinois Registered Nurse license
  • Previous utilization review experience in an inpatient, outpatient, or managed care setting
  • Proficiency in Microsoft Word and Excel
  • At least one year of RN experience in a community outpatient clinic, hospital, or long-term care facility
  • Experience with InterQual
  • Corrections experience
  • Active CPR/BLS certification
  • Ability to obtain a security clearance, including drug screening and criminal background check
  • Must be located in Illinois
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Sterling, VA
9,000 Employees
Year Founded: 2011

What We Do

Centurion Health is a national leader in correctional healthcare, providing comprehensive medical, dental, and behavioral health services to incarcerated populations and other government agencies across numerous states.

Similar Jobs

PNC Bank Logo PNC Bank

Technology Solution Center Analyst

Machine Learning • Payments • Security • Software • Financial Services
Remote or Hybrid
USA
55000 Employees
38K-75K Annually

Enverus Logo Enverus

Test Automation Engineer

Big Data • Information Technology • Software • Analytics • Energy
In-Office or Remote
2 Locations
1800 Employees

Motive Logo Motive

Artificial Intelligence Engineer

Artificial Intelligence • Fintech • Hardware • Information Technology • Sales • Software • Transportation
Easy Apply
Remote
United States
4000 Employees
140K-160K Annually

Applied Systems Logo Applied Systems

Manager, HRIS

Artificial Intelligence • Cloud • Payments • Software • Business Intelligence • Generative AI • Automation
Remote or Hybrid
United States
3116 Employees
100K-160K Annually

Similar Companies Hiring

Playground (tryplayground.com) Thumbnail
Kids + Family • Payments • Social Impact • Software
New York City, New York
80 Employees
Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account