Utilization Management Nurse

Full timeSecond Shift Shift$32.95 - $52.73Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware of general length of stay requirements for all patients. Facilitates physician documentation through concurrent interaction with physicians to support reimbursement and clinical severity is captured for the service rendered to patients receiving hospital care. Provides clinical knowledge and data collection for quality improvement initiatives. Optimizes reimbursement for acute care services.Highlights & BenefitsPaid Time Off (PTO)Memorial ChildcareMental Health ServicesGrowth OpportunitiesContinuing EducationLocal and National DiscountsPet InsuranceMedical, Dental, VisionFlexible Spending Account401(k)Life Insurance and Voluntary BenefitsEmployee Assistance Program and Colleague WellnessAdoption AssistanceRequired ExperienceSchedule: 12:00pm – 12:00am, onsiteSpringfield, ILKeystroke Action Move left Move right Move up Move down+ Zoom in- Zoom outHome Jump left by 75%End Jump right by 75%Page Up Jump up by 75%Page Down Jump down by 75%To activate drag with keyboard, press Alt + Enter. Once in keyboard drag state, use the arrow keys to move the marker. To complete the drag, press the Enter key. To cancel, press Escape.Keyboard shortcutsMap Data Map data 2026 GoogleMap data 2026 Google100 m Click to toggle between metric and imperial unitsTermsReport a map error #J-18808-Ljbffr