Job Details | RN Utilization Review Specialist | Exempt | Lisle, IL (North Region)

Registered employers can post jobs, search for candidates, and/or post a company profile on ChicagoJobs.com

Quick Search
Run a quick search through the entire listings of jobs on this website. Filter your search by one, two or all three of the following criteria:





View Job

This job posting is no longer active on ChicagoJobs.com and therefore cannot accept online applications.


    

AMITA Health

Location: LisleIL 60532 Document ID: AD296-1LX6 Posted on: 2019-09-2409/24/2019 Job Type: Regular

Job Schedule:Full-time
2019-10-24
 

RN Utilization Review Specialist | Exempt | Lisle, IL (North Region)

We Are Hiring

Registered Nurse-Utilization Review Specialst

Full-Time | Exempt

Location: Amita Corporate Campus in Lisle, IL

Position is supporting North Region:
  • AMITA Alexian Brothers Medical Center Elk Grove Village
  • AMITA St Alexius Medical Center Hoffman Estates & Womens and Children's Hospital
  • AMITA Adventist GlenOaks Hospital
  • AMITA Mercy Aurora Medical Center
  • AMITA St Joseph Elgin Hospital

Why Join AMITA?

AMITA Health (www.AMITAhealth.org) is a joint operating company formed by the Adventist Health System in Altamonte Springs, FL and St. Louis, MO based Ascension.

AMITA Health is the largest health system in Illinois, comprising 19 hospitals and more than 230 sites of care. The health system has 900 providers in its medical groups, more than 26,000 associates and 7,000 physician partners and serves over 4.3 million residents in the greater Chicagoland area.

What You Will Do

As an Associate with AMITA Health, you will have the opportunity to
Provides health care services regarding admissions, case management, discharge planning and utilization review.
Responsibilities:
  • Reviews admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases.
  • Assists departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
  • Assesses and coordinates discharge planning needs with healthcare team members.
  • May prepare statistical analysis and utilization review reports as necessary.
  • Oversees and coordinates compliance to federally mandated and third party payer utilization management rules and regulations.

What You Will Need

Licenses/Certifications/Registration:
  • Required Credential(s):
    • Registered Nurse credentialed from the Illinois Board of Nursing obtained prior to hire date or job transfer date.

Education:
  • Diploma
    • Diploma from an accredited school/college of nursing required.
    • BSN preferred.

Work Experience:
  • Previous UM/UR experience strongly preferred.

Equal Employment Opportunity

AMITA Health will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.
     
Minimize

Facebook

Minimize