Provides utilization review services for statewide correctional healthcare systems. Reviews inpatient admissions and outpatient referrals, evaluates medical necessity and quality of care, and determines appropriate levels of care using evidence-based criteria. Requires an active Illinois RN license, utilization review experience, Microsoft Office proficiency, CPR/BLS certification, and ability to obtain a security clearance. InterQual and corrections experience are preferred.
Must be located in Illinois.
Centurion is proud to be the provider of comprehensive services to the Illinois Department of Corrections. We are currently seeking a Full-time Utilization Management (UM) Registered Nurse (RN) to join our Regional Team in Springfield, Illinois.
The UM RN is responsible for providing utilization review services for statewide systems. This person reviews inpatient admissions and outpatient referrals to ensure appropriate levels of care and evaluate evidence based medical necessity and quality of care.
Qualifications- Licensed RN with an active license to practice in Illinois
- Previous experience performing utilization review in an inpatient or outpatient setting or in a managed care setting
- Proficiency in Microsoft Word and Excel required
- Minimum of one year of work experience as an RN in a community outpatient clinic, hospital or long-term care facility preferred
- Experience with InterQual preferred
- Corrections experience preferred
- Must be appropriately and actively certified in Cardio-Pulmonary Resuscitation (CPR)/ BLS
- Ability to obtain a security clearance, to include drug screen and criminal background check
We offer excellent compensation and comprehensive benefits for our full-time team members including:
- Health, dental, vision, disability and life insurance
- 401(k) with company match
- Generous paid time off
- Paid holidays
- Flexible Spending Account
- Continuing Education benefits
- Much more...
Similar Jobs
eCommerce • Enterprise Web • Information Technology • Software • Database • Analytics • Business Intelligence
Support a portfolio of clients through technical implementation, onboarding, adoption, and growth. Define implementation plans, configure the Quantum Metric platform, develop JavaScript analytics functions, and create alerts, dashboards, and reports. Diagnose script issues using browser developer tools and advise clients on digital performance optimization. The role requires managing multiple client priorities, communicating with technical and non-technical stakeholders, and traveling approximately 10%.
Top Skills:
Adobe AnalyticsAdobe TargetAngularBrowser Developer ToolsCSSGoogle AnalyticsHTMLJavaScriptNative Mobile DevelopmentOptimizelyReactTealeafVue
eCommerce • Enterprise Web • Information Technology • Software • Database • Analytics • Business Intelligence
Supports a portfolio of clients by managing technical implementation, onboarding, adoption, and growth. Defines implementation plans, configures the Quantum Metric platform, develops custom JavaScript functions, and builds alerts, dashboards, and reports. Advises clients on digital analytics, performance optimization, and technical requirements while managing multiple accounts and communicating with technical and non-technical stakeholders. Requires strong client-facing, project management, presentation, and web development skills, with 10% travel.
Top Skills:
Adobe AnalyticsAdobe TargetAngularBrowser Developer ToolsCSSGoogle AnalyticsHTMLJavaScriptOptimizelyReactTealeafVue
Automotive
Optimizes eCommerce shopping experiences for non-vehicle products by improving product detail pages, taxonomy, navigation, search, product data, and promotional events. Analyzes sales, conversion, profit, customer behavior, and competitive trends to develop site strategies. Collaborates with merchandising, SEO, UX, product management, analytics, and business teams, while managing Jira workstreams and product go-live activities.
Top Skills:
Adobe AnalyticsAIBazaarvoiceContentsquareDigital Asset ManagementExcelJIRAMaster Data GovernanceMaster Data ManagementMedalliaMS OfficePower BIPowerreviewsProduct Information ManagementSemSeoStibo
What you need to know about the Colorado Tech Scene
With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.
Key Facts About Colorado Tech
- Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
- Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
- Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
- Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute
