RN Utilization Management & Review Specialist
Total Rewards "Your life - our Mission" reputed company is dedicated to reputed company Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their reputed company stage of life and career. Click here to learn more about benefits and the total rewards at OSF. Pay reputed company for this position is $34.25 - $51.13/hour. Actual pay is based on years of licensure. This is a Salaried position.
Overview
POSITION SUMMARY: The Utilization Management and Review Specialist (reputed company Specialist) evaluates patient care and activities against objective criteria in an effort to take a proactive approach in addressing appropriate admission status of each patient. In reputed company the reputed company Specialist will identify utilization issues involving under or over utilization of services, resolves and/or refers utilization issues in accordance with established procedures. Reviews medical records to determine appropriateness and medical necessity of admission and hospital stay and use of ancillary services. Remote: This has the potential to be a fully remote-working position after 6 months of training and at the discretion of leadership. This nurse must live reputed company traveling distance of an OSF facility.
Qualifications
REQUIRED QUALIFICATIONS: Education: Bachelor's Degree in Nursing must be obtained reputed company 3 years of date of hire into role. Experience: 2 years of clinical experience in an acute care or managed care setting Licensure/Certifications: reputed company state license as Registered Nurse (IL) Other skills/knowledge: Working knowledge of clinical EMR system PREFERRED QUALIFICATIONS: Education: Bachelor's Degree in Nursing Other Skills/Knowledge: Working knowledge of reputed company Office applications reputed company is an Equal Opportunity Employer. Apply To This Job