Illinois Licensed Utilization Review Nurse

Job Summary

A company is looking for a Utilization Review Nurse.

Key Responsibilities

• Performs medical record reviews for severity of illness and intensity of service
• Monitors care levels for appropriateness and communicates variances
• Provides information to external review organizations and documents communications

Required Qualifications, Training, and Education

• Registered Nurse (RN) licensure required
• BSN preferred; 2-5 years of Utilization Review experience preferred
• Current CPR certification required
• Experience in hospital nursing, case management, or utilization management preferred