Title UTILIZATION REVIEW CASE MANAGER
Job Information

POSITION:  UTILIZATION REVIEW CASE MANAGER

 

QUALIFICATIONS:

CURRENT ILLINOIS STATE ISSUED REGISTERED NURSE LICENSE REQUIRED. 

BACHELOR’S DEGREE IN NURSING.  MINIMUM OF 2 – 5 YEARS AS A REGISTERED NURSE

WORKING ON A MEDICAL/SURGICAL UNIT.  MINIMUM ONE YEAR OF PREVIOUS

CASE MANAGER EXPERIENCE.

DUTIES:

THE APPLICANT IS RESPONSIBLE FOR THE DAY TO DAY CASE MANAGER

AND UTILIZATION REVIEW FUNCTIONS NECESSARY TO FACILITATE THE

APPROPRIATE UTILIZATION OF INPATIENT HOSPITAL RESOURCES.

THE APPLICANT WILL ALSO PERFORM ADMISSION/CONTINUED

STAY/RETROSPECTIVE REVIEW OF ALL ADMISSIONS AS

ASSIGNED AND WITHIN ESTABLISHED TIME FRAMES. 

COMMUNICATES WITH REVIEW AGENCIES AND OTHER OUTSIDE

AGENCIES AS NECESSARY TO ENSURE PAYMENT AND CONTINUITY OF CARE.

 

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