What are the responsibilities and job description for the Utilization Management RN position at Centurion Health?
Salary $90k yearly/based on years of experience
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.
Shift M-F 8a-5p. Fully Remote
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.
- 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...
Salary : $90,000
