Illinois Licensed Utilization Management RN

A company is looking for a Utilization Management Registered Nurse. Key Responsibilities Conduct timely reviews of healthcare services and document clinical findings in compliance with regulations Collaborate with medical professionals for evaluations of medical necessity and treatment appropriateness Coordinate care and support for members, including referrals to disease management programs Required Qualifications Active, unrestricted Registered Nurse (RN) license in Illinois 5+ years of experience in various healthcare settings Knowledge of utilization review and managed care processes Completion of 20 hours of continuing education every 2 years for RN license renewal Strong proficiency in Microsoft 365 applications

Created: 2026-03-05