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Utilization Management Nurse

Advanced Resources Chicago Full-Time
$70,000.00 - $90,000.00 / year
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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.

Qualifications:

JOB QUALIFICATIONS

1.Current Illinois Registered Nurse required.

2.CPR Certification

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.

 

Recommended skills

Authorization (Medical)
Authorization (Computing)
Insurance
Case Management
Utilization Management
Clinical Works

Location

Salary Details

This salary was provided in the Job Posting.
$70,000-$90,000
Yearly Salary
This salary is within the average salary range of $62,858-$148,200 for this role in this location
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Job ID: AdvancedGroup_451447

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