Utilization Management Nurse Manager
Utilization Management Nurse Manager
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Job Description
Job Details
Description
Salary Range $110k (based on years of experience)
Centurion is proud to be the provider of comprehensive healthcare servicesto theIllinois Department of Correction.
We are currently seeking afull-timeUtilization Management (UM) Manager to join our IllinoisRegional Office Team located in Springfield IL.
The Utilization Management (UM) Manager is responsible for managing the process and supporting the utilization management review process and centralized scheduling programs within a statewide contract. The UM Manager concurrently provides support and direction to the UM team assisting staff in the processes and documentation associated with the statewide evidence-based utilization management review program. This program consists of prospective review concurrent review retrospective review complex case management and continuity of quality medical services. This includes office hospital and free-standing diagnostic services specialty care services surgical services and inpatient care. The UM Manager contributes to the evaluation of the utilization management program and staff through review of data inter-rater reliability and other standard program evaluation tools.
Qualifications
- IL RN license
- Bachelors Degree in nursing or other related field required
- Masters Degree in nursing or other related field preferred
- At least five (5) years of experience in utilization management case management disease management health information management nursing management healthcare quality monitoring/auditing or related field
- Medical Management Case Management Disease Management Quality Management or CCHP Certification preferred
- Knowledge of statistics data collection analysis and data presentation
- Experience working with a correctional institution or agency preferred
- Must be able to pass background investigation and obtain agency security clearance
We offer excellent compensation and comprehensive benefits for our full-time team members including:
- Health dental vision disability and life insurance
- 401(k) with company match
- Generous paid time off
- Paid holidays
- Flexible Spending Account
- Continuing Education benefits
- Much more...
Required Experience:
Manager
Employment Type
Full-Time
