Utilization / Case Manager RN

Job Description

Job Title : UM / CM Coordinator

Location : Downers Grove, IL

Contract duration : 6 months

Schedule : 8am to 5pm (M-F)

Description :

This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services require to meet an individuals health needs within the scope of their benefit plan.

JOB REQUIREMENTS :

• Register Nurse (RN) with current, valid, unrestricted license in state of operations or reciprocity.
• 3 years of clinical experience
• Experience utilizing various software packages
• Verbal and written communication skills
• Analytical skills- Incumbents with nursing licenses in positions / departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management.
• Multi-state license fees will be provided by the client.
• Incumbents with other clinical licenses are not required to obtain multi-state licenses.

PREFERRED JOB REQUIREMENTS :