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Advocate Health Care’s energetic and supportive work culture will allow you to push your skills and career farther than you’d expect. From continuing education and training to work/life balances that ensure you stay close to what’s important to you, Advocate is ready to help you reach the next level.

Job Description

Utilization Management Nurse
Date: 09/03/2009
Location: Park Ridge, IL
Facility:
Utilization Management Nurse - 25330 		Apply Now
Knowledge of clinical practice norms.
Computer skills.
Effective written and verbal communication skills.
Organization, planning, and time management skills.
Graduate from an accredited school of nursing.
3 years recent acute care experience.
Licensure as a Registered Nurse in the State of Illinois.

Job Description:

Responsible for determining medical necessity for services and insuring the correct level of care is provided, thus enabling patients to experience the most excellent clinical outcome possible.
Accountabilities:
1. Reviews the medical record for medical necessity.
2. Provides requested clinical information to third party payors to ensure prompt reimbursement.
3. Responsible for development and professional practice.
4. Maintains effective working relations with both internal and external customers.
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