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.