Central Indiana Organization of Clinical Nurse Specialists
CIOCNS
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Lead Utilization Management Nurse

Oak Brook, IL

Details

Hiring Company

Relode

Positions Available

Full Time


Position Description

Key Qualifications:

  • Licenses & Certifications: CCM, IL License, RN
  • Minimum Education: Bachelors, Associates
  • Years of Experience: 3+ years
  • Schedule Details: 5 days/week, 8 hour shifts

Benefits:
Onsite Fitness Center, Professional development opportunities, Full benefits , 401k

About this Company:
Helping providers succeed by developing strong relationships, delivering innovative solutions and driving exceptional performance.

We were founded to enable physicians to engage, support, and manage new value-based savings and shared-risk models. We combine deep industry experience, focused technology, and innovative programs to deliver a timely, turn-key solution for healthcare providers, health plans, and strategic partners.

Overview:
Job Description

The lead provides expertise in Utilization Management while managing a small team of UM nurses to help ensure the right care, at the right time and at the right place. They will provide hands-on expertise to help implement company strategies and provide oversight of assigned IPA Utilization Management program.

Required skills & experience (the “must haves” to be considered)

  • Bachelor of Science degree (AND or BSD) in Nursing 
  • At least 45 years of relevant professional experience, including medical management experience in health plans, provider, or MSO settings and quality chart reviews 
  • Registered Nurse (RN) with a current and active nursing license to practice in the State of Illinois is required 
  • A minimum of three (3) years of responsible leadership experiences in management positions 
  • Certified Case Manager (CCM) preferred 
  • Knowledge/experience in Medicare/Medicaid and HEDIS criteria is highly desirable

What you need to know 

  • onsite gym free to employees 
  • Great base salary with bonus potential, benefits and PTO allowance 
  • .2 miles away from the Oak Brook Mall


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