Job Number: 451447
Utilization Management Nurse
The Utilization Management is responsible for clinical and documentation aspects of the patient care for the acute adult related to efficacy and appropriateness of patient care outcomes.
1.Current Illinois Registered Nurse required.
3.Ability to establish and maintain effective working relationships with the public.
4.Must be able to follow directions and to perform work according to department standards when no directions are given.
5.Must be emotionally mature and able to function effectively under stress.
6.Must possess crucial thinking skills, effective written and oral communication skills, strong self-initiative and interpersonal skills.
7.Previous Case Management or UM Experience recommended.
8.Experience with Insurance Verification and Pre-authorization preferred.
9.Knowledge of Admissions and Discharge Criteria for all Insurance Types including Medicare/Medicaid,/Third Party/Commercial.