Utilization Review RN

Kelly Services is seeking qualified candidates for a Utilization Management Coordinator RN! This is a direct hire opportunity working for a large healthcare corporation in Chicago, IL.

 

BASIC FUNCTION

This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews service requests, collects clinical and non-clinical data, verifies eligibility, determines benefit levels in accordance to contract guidelines, prepares reports on quality of care, identifies and reports cases, and provides information regarding utilization management requirements and operational procedures to members, providers and facilities. 

 

JOB REQUIREMENTS

* Registered Nurse (RN) with valid, current, unrestricted license in the state of operations.

* 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company. 

* Knowledge of medical terminology and procedures.

* Verbal and written communication skills.

* Willingness and ability to travel

 

PREFERRED JOB REQUIREMENTS

*Utilization Management or Case Management experience, highly desired

*In-patient experience, highly desired

*Specialty - O/R, Cardio, etc.

*MCG Certification.

Why Kelly®?

At Kelly Services®, we work with the best. Our clients include 95 of the Fortune 100 companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.

About Kelly Services®

As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter.

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law.

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