Clinical Utilization Review Nurse

3 weeks ago


Rockford, Illinois, United States Hines and Associates Full time
About the Role:

Nurses looking for a change can consider this opportunity with Hines and Associates. The position offers a Monday to Friday schedule, 9:30 AM to 6:00 PM, with the possibility of working from home 50% of the time once trained.

About Us:
Hines and Associates is a nationwide, independent leader in personalized managed health care. With over three decades of experience, the company focuses on comprehensive services, program excellence, and cost containment.

What We Offer:
Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, and company-paid life insurance. A 401k plan with company match, fully vested after 1 year, is also available.

Responsibilities:
This individual will utilize clinical knowledge and communication skills to obtain patient-specific information regarding patient condition and proposed treatments and procedures. They will determine if illness and/or proposed services meet acceptable criteria sets and acceptable nursing practice guidelines for outpatient treatment or inpatient confinement.

Requirements:
A Registered Nurse with a valid, unrestricted, current nursing license in the state or territory of the United States where employed is required. Successful completion of the UR nurse orientation program and a minimum of 3 years recent acute clinical practice are also necessary. Managed care, disability, or workers compensation experience is helpful but not mandatory.

Why Choose Hines and Associates:
Hines welcomes diversity and is an equal opportunity employer. All qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability, or protected veteran status.

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