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Utilization Management Nurse

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Job Details
Job Order Number
Company Name
Advanced Resources
Physical Address
Will discuss during interview
Downers Grove, IL 60515
Job Description

The Utilization Management is responsible for clinical and documentation aspects of the patient care for the acute adult related to efficacy and appropriateness of patient care outcomes.
1.Current Illinois Registered Nurse required.
2.CPR Certification
3.Ability to establish and maintain effective working relationships with the public.
4.Must be able to follow directions and to perform work according to department standards when no directions are given.
5.Must be emotionally mature and able to function effectively under stress.
6.Must possess crucial thinking skills, effective written and oral communication skills, strong self-initiative and interpersonal skills.
7.Previous Case Management or UM Experience recommended.
8.Experience with Insurance Verification and Pre-authorization preferred.
9.Knowledge of Admissions and Discharge Criteria for all Insurance Types including Medicare/Medicaid,/Third Party/Commercial..
It is Advanced Group’s practice not to discriminate against any employee or applicant because of sex, race, color, age, national origin, religion, gender identity or expression, sexual orientation or sexual preference, pregnancy or maternity, genetic information, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. If you have a disability or handicap and would like us to accommodate you in any reasonable way, please inform your recruiter so that we can discuss the appropriate alternatives available.

Employer’s Job# 451447
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