Top 17 Utilization management nurse Jobs in Urbana, Il

RN - Clinical Transition Specialist
Carle Health —Urbana, IL
- $35.87 - $58.37 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Health insurance
RN - Wound Center (Clinic)
Carle Health —Urbana, IL
- $33.11 - $53.88 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
10d
RN - Pre-op
Carle Health —Urbana, IL
- $34.02 - $55.36 an hour
- Full-time
- Nursing
- Surgery
- RN License
- Health insurance
RN - Wound Center Hospital Consult
Carle Health —Urbana, IL
- $33.11 - $53.88 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
RN - Wound Center Hospital Consult (Weekend)
Carle Health —Urbana, IL
- $33.11 - $53.88 an hour
- 12 hour shift
- Nursing
- RN License
- BLS Certification
- Health insurance
RN - Surgical T7
Carle Health —Urbana, IL
- $38.93 - $63.35 an hour
- Full-time
- Surgery
- RN License
- Mid-level
- Health insurance
RN or LPN - Physician's Office (Paxton) FT
GIBSON AREA HOSPITAL —Paxton, IL
- $32 - $45 an hour
- Full-time
- Nursing
- RN License
- Mid-level
Remote Utilization Management Nurse (Inpatient Review – RN or LVN) MUST HAVE ACTIVE CALIFORNIA LIC.
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- Spanish
- Nursing
- Microsoft Excel
- Travel reimbursement
- Health savings account
Quick Apply

Related jobs to explore

Based on your search for utilization management nurse

Nurse (RN) Manager - Adult Behavioral Health
The Pavilion Behavioral Health System —Champaign, IL
Licensed in the state of Illinois as a Registered Professional Nurse and CPR certification required. Together with the Director of Nursing sets and displays…
$100,000 - $120,000 a year
Quick Apply
7d
Nurse Manager (RN)
CLARK-LINDSEY VILLAGE —Urbana, IL
Current, active Illinois Registered Nurse (RN) license. Directly supervise and support licensed nurses and nursing staff, providing clinical guidance and…
$82,000 - $97,300 a year

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Registered Nurse $10,000 Sign-on Bonus
Optum —Columbus, OH
Current and unrestricted RN licensure in state of practice. Supervises care provided by home health aides and licensed practical/vocational nurses, provides…
$75,450 - $113,174 a year
Quick Apply
RN, LSW, LISW, Care Manager - Columbus
Careforth —Columbus, OH
Ability and flexibility to travel (usually by car) within assigned geographic area; valid driver’s license and car insurance required.
$62,657 - $84,173 a year

Show more jobs in cities nearby

I want to receive the latest job alert for utilization management nurse in urbana, il

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization management nurse jobs near urbana, il

Licensed Practical Nurse jobs in Paxton, IL

Nurse Consultant jobs in Urbana, IL

Virtual Nurse Practitioner jobs in North Carolina

Registered Nurse jobs in Nashua, NH

Sutter Health Nurse jobs in San Jose, CA

Registered Nurse jobs in Lewisburg, WV

Registered Nurse jobs in Bristol, TN

Registered Nurse jobs in Sierra Vista, AZ

Registered Nurse jobs in Fort Myers, FL

Registered Nurse jobs in Grand Rapids, MI

Licensed Practical Nurse jobs in Wake Forest, NC

Licensed Practical Nurse jobs in Madisonville, KY

Licensed Practical Nurse jobs in Plymouth, MN

Limited Licensed Psychologist jobs in Michigan

Forensic Nurse jobs in Denver, CO

Licensed Practical Nurse jobs in Little Rock, AR

Non Licensed Counselor jobs in New Jersey

Clinical Nurse Coordinator jobs in Murfreesboro, TN

Clinical Nurse Coordinator jobs in Norfolk, VA

Clinical Nurse Coordinator jobs in Chicago, IL

RN - Clinical Transition Specialist

Carle Health -
Urbana, IL

Apply Now

Job Details

Full-time
$35.87 - $58.37 an hour

Benefits

Health insurance

Qualifications

RN License
Nursing Diploma

Full Job Description

Overview: Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital. Utilizes the five components of case management: assessment, coordination, monitoring, implementation, and evaluation. Multidisciplinary Rounds are completed daily with the care team at the patient's bedside which assists the team for timely planning and collaboration. Responsibilities: Act as a liaison working with patient/family and physician to determine next level of care Conducts case review presentations to educate peers on unique or challenging cases and scope of practice issues. Coordinates the transition from inpatient care to post-hospital care, working with pre- and post- hospital providers to ensure responsive and appropriate care is provided post-discharge. Documents plan of care and utilization issues in appropriate locations, including but not limited to: case management/utilization review software and the multidisciplinary plan of care document on all assigned patients. Evaluates effectiveness of plan of care to ensure the progression toward desired patient outcomes. Initiates intervention, both pre-hospital, in-hospital, and post-hospital, for patients and families identified from a proactive initial admission assessment, as well as through referrals from members of the health care team. Initiates timely referrals to other health care team members (quality improvement, risk manager, social workers, physicians, Home Services, etc.) Performs nursing activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Interacts with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education. Proactively investigates coverage for post-hospital needs and presents options to the patient/family and provider. Provides oversight of acute setting plan of care to ensure coordination and completion of services to meet post-hospitalization needs. Lead an interdisciplinary team to achieve organizational goals related to length of stay and readmissions. Track avoidable days on inpatient stays. Readmission assessment of inpatient stays. Assess patients for post discharge needs. Participate in daily white board rounds. Arrange DME, Home Care, Hospice, assisting with returns to ECFs, and Transportation Assist any patient/family care conferences. Participate in department work groups. HRHC: make follow up appointments with primary care provider before patient discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. Obtain prior authorizations for swing bed patients, maintain the work ques, and address denials. RMH: make follow up appointments with primary care provider before patient discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. Initial utilization review for emergency room patients being admitted. Qualifications: Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR); Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA), Education: College Diploma: Nursing, Work Experience: Carle Health Company Overview:

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected].

Salary Range: The compensation range for this position is $35.87per hour - $58.37per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

Apply Now

Refine Your Search

utilization management nurse jobs in urbana, il

RN - Clinical Transition Specialist

RN - Wound Center (Clinic)

RN - Pre-op

RN - Wound Center Hospital Consult

RN - Wound Center Hospital Consult (Weekend)

RN - Surgical T7

RN or LPN - Physician's Office (Paxton) FT

Remote Utilization Management Nurse (Inpatient Review – RN or LVN) MUST HAVE ACTIVE CALIFORNIA LIC.

Related jobs to explore

Explore jobs in cities nearby

I want to receive the latest job alert for utilization management nurse in urbana, il

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected