Under minimal supervision and using clinical knowledge, the RN Utilization Review completes utilization review activities to ensure appropriateness of admission and continued stay and to reduce financial risk to the patient and hospital. Works on complex reviews. Communicates results of reviews to payers and other third parties for certification of hospitalization and subsequent payment. Acts as a clinical resource for the Coordinator Utilization Review.

Position Highlights:

• Position: RN Utilization Review

• Location: Must be flexible. Will work at Edward Hospital in Naperville, Elmhurst Hospital in Elmhurst and Corporate Center in Warrenville

• Part time: 20 hours a week

• Hours: Monday-Friday, 8:00am-4:30pm Rotate weekends

What you will need:

Required Education and/or Experience:

• Associate's Degree or higher in Nursing

• Minimum of two years of utilization review and/or clinical experience

Required License and/or Certification:

• Current State of Illinois Registered Nurse licensure

Preferred Education and/or Experience:

• Bachelor's Degree in Nursing or health care related field

• Minimum of two years of utilization review experience

Benefits:

• Career Pathways to Promote Professional Growth and Development

• Various Medical, Dental, and Vision options

• Tuition Reimbursement

• Free Parking at designated locations

• Wellness Program Savings Plan

• Health Savings Account Options

• Retirement Options with Company Match

• Paid Time Off and Holiday Pay

• Community Involvement Opportunities