Utilization Review Nurse

4 weeks ago


Effingham, United States Hospital Sisters Health System Full time
Job Summary

The Utilization Review Nurse plays a critical role in ensuring that healthcare services are provided in an efficient, effective, and safe manner. This position assesses and analyzes medical records and patient data to identify opportunities for improvement and optimize patient outcomes.

Key Responsibilities
  • Collaborate with patients, families, physicians, and interdisciplinary teams to assess, plan, implement, and evaluate patient care.
  • Monitor the provision of cost-effective care and ensure that services are provided in the most clinically appropriate setting.
  • Facilitate compliance with regulatory requirements and organizational performance standards.
  • Develop and implement strategies to improve patient outcomes and reduce healthcare costs.
Requirements
  • Associate's Degree or Diploma in Nursing is required.
  • 2 years of clinical, care management, or related experience is required.
  • Prior inpatient hospital nursing, utilization review, and quality/process improvement experience is preferred.
  • Licensed as a Registered Nurse (RN) in both IL and WI is required.
Benefits

HSHS offers a comprehensive benefits package, including health coverage, paid time off, retirement benefits, and education assistance. Colleagues are eligible for benefits after working at least 32 hours per pay period.

About HSHS

Hospital Sisters Health System (HSHS) is a healthcare system that serves communities in Illinois and Wisconsin. Our 13,000+ colleagues are dedicated to providing high-quality care and improving patient outcomes. We are proud to be an equal opportunity employer and offer a diverse and inclusive work environment.


  • Registered Nurse

    2 weeks ago


    Effingham, United States Evergreen Nursing and Rehab Full time

    Description:All potential applicants are encouraged to scroll through and read the complete job description before applying.The overall purpose of the Registered Nurse (RN) position is to participate in and oversee the assurance of the provision of resident care services consistent with accepted standards of care and assigns duties to Licensed Practical...

  • Nurse Practitioner

    3 weeks ago


    Effingham, Illinois, United States Health Advocates Network Full time

    Job Title: Registered NurseWe are seeking a skilled Registered Nurse to join our team at Health Advocates Network. As a Registered Nurse, you will provide high-quality patient care and work collaboratively with our healthcare team to deliver exceptional patient outcomes.Job Summary:The Registered Nurse will be responsible for providing general nursing care...

  • Nurse Care Specialist

    2 weeks ago


    Effingham, United States HSHS St. Anthony's Memorial Hospital Full time

    About the Role:HSHS St. Anthony's Memorial Hospital is seeking a dedicated and compassionate Registered Nurse to join our Critical Care team. As a Registered Nurse in this role, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.Responsibilities:Provide high-quality patient care in a fast-paced...


  • Effingham, United States Transitions Group Full time

    Job SummaryTransitions Care is a leading hospice organization that provides 24/7 access to services in the comfort of the patient's home. We are seeking a skilled and compassionate Hospice Nurse to join our team.Key ResponsibilitiesProvide professional nursing care to patients in need, utilizing all elements of the nursing process within the designated scope...


  • Effingham, United States GO Staffing Full time

    DocCafe has an immediate opening for the following position: Neurology Nurse Practitioner in Effingham, Illinois. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. Register now to apply for this job and for access to 125,000+ other openings. DocCafe Offers: Free Physician and Advanced Practice Job...


  • Effingham, Illinois, United States Staff Today Inc Full time

    Job DetailsStaff Today is seeking a local contract nurse Correctional for a local contract nursing job in Effingham, Illinois.Specialty: CorrectionalDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, eveningsEmployment Type: Local ContractStaff Today is a leading staffing company in the United States, providing quality services that exceed...


  • Effingham, United States Maxim Healthcare Service Full time

    Maxim Healthcare Services is seeking a skilled Licensed Practical Nurse (LPN) to join our team and provide exceptional patient care.The ideal candidate will have a strong ability to assess, plan, implement, and evaluate patient care, as well as demonstrate effective clinical judgment in an efficient manner.Responsibilities:Utilize the nursing process to...


  • Effingham, United States GO Staffing Full time

    DocCafe has an immediate opening for the following position: Psychiatric-Mental Health Nurse Practitioner in Effingham, Illinois. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. Register now to apply for this job and for access to 125,000+ other openings. DocCafe Offers: Free Physician and...


  • Effingham, United States BayMark Health Services Full time

    Job Title: Per Diem Nurse for Residential FacilityGranite Recovery Center is seeking a skilled Registered Nurse to join our team in a residential facility setting. As a Per Diem Nurse, you will be responsible for providing high-quality patient care and contributing to the overall success of our treatment program.Responsibilities:Complete admission...

  • Registered Nurse

    2 months ago


    Effingham, United States Maxim Healthcare Service Full time

    Maxim Healthcare Services is seeking a Registered Nurses (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. The Registered Nurse (RN) demonstrates the ability to make clinical judgments in an effective and efficient manner under the direction of the Director of Clinical Services....

  • Registered Nurse

    7 days ago


    Effingham, United States Maxim Healthcare Services Full time

    Maxim Healthcare Services is seeking a Registered Nurses (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. The Registered Nurse (RN) demonstrates the ability to make clinical judgments in an effective and efficient manner under the direction of the Director of Clinical...

  • Registered Nurse

    7 days ago


    Effingham, United States Maxim Healthcare Services Full time

    Maxim Healthcare Services is seeking a Registered Nurses (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. The Registered Nurse (RN) demonstrates the ability to make clinical judgments in an effective and efficient manner under the direction of the Director of Clinical...

  • Registered Nurse

    4 weeks ago


    Effingham, United States Maxim Healthcare Service Full time

    Maxim Healthcare Services is seeking a Registered Nurses (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. The Registered Nurse (RN) demonstrates the ability to make clinical judgments in an effective and efficient manner under the direction of the Director of Clinical Services....


  • Effingham, United States Maxim Healthcare Service Full time

    Maxim Healthcare Services is seeking a Licensed Practical Nurses (LPN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. The Licensed Practical Nurses (LPN) demonstrates the ability to make clinical judgments in an effective and efficient manner under the direction of the Director of...


  • Effingham, United States Harrison Consulting Solutions Full time

    We are seeking a highly skilled Roadway Design Engineer/Project Manager to join our team at Harrison Consulting Solutions in Effingham, Illinois. The ideal candidate will have a strong background in transportation engineering and roadway design, with experience in leading design and project management teams.Responsibilities:Lead design and project management...


  • Effingham, Illinois, United States Rumpke Full time

    About the RoleThe Territory Sales Representative will be responsible for driving new sales and retaining existing accounts within their assigned territory. This role requires strong communication and negotiation skills, as well as the ability to work independently to meet or exceed sales goals.Key ResponsibilitiesIdentify and pursue new business...


  • Effingham, Illinois, United States Heartland Family Dental Care Full time

    About the RoleWe are seeking a highly organized and detail-oriented Dental Office Assistant to join our team at Heartland Family Dental Care. As a key member of our front office team, you will play a vital role in ensuring the smooth operation of our dental practice.ResponsibilitiesProvide exceptional patient care and ensure a positive experience for our...


  • Effingham, United States Harrison Consulting Solutions Full time

    Fullservice engineering firm is seeking a Roadway Design Engineer/Project Manager for their Effingham Illinois office.Responsibilities: Lead design/project management of roadway highway ADA compliant sidewalk and multiuse facilitiesReview/provide roadway design elements (horizontal/vertical alignments cross sections intersection layout drainage design...

  • Market Manager

    2 weeks ago


    Effingham, United States The Boston Beer Company Full time

    We are seeking a highly motivated and experienced Market Manager to join our team in Southern Illinois. This role will be responsible for increasing availability and visibility of our beer portfolio within their assigned distributor territory through direct selling and wholesaler management to generate depletion growth.Key Responsibilities:Execute internal...


  • Effingham, Illinois, United States Rumpke Waste Service of Illinois, Inc Full time

    Job SummaryThe Territory Sales Representative will be responsible for driving new sales and retaining existing accounts within a designated territory. This role requires strong communication and negotiation skills, as well as the ability to work independently to meet or exceed sales goals.Key ResponsibilitiesIdentify and pursue new business opportunities,...