Job description:

Job Title: Utilization Review / Case Manager – RN

• Location: Chicago, IL
• Job Type: Full-Time, Direct Hire
• Salary: $80k to $95k/year + Benefits

General Summary:

The Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring patients meet acute inpatient criteria while anticipating and addressing discharge needs in a timely manner. This role acts as a central communicator with external and internal stakeholders, including payers, vendors, community agencies, patients, families, and hospital staff.

Qualifications:

• Graduate of an accredited school of nursing (required).
• Current RN license in the State of Illinois (required).
• Minimum of 2 years of relevant clinical experience (preferred).
• Previous utilization management experience (preferred).
• Knowledge of Medicare/Medicaid, Managed Care, and Commercial insurance review processes (preferred).
• Strong written and verbal communication skills.
• Proficiency in Microsoft Word and Excel (required).

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Free parking
• Health insurance
• Life insurance
• Paid time off
• Vision insurance