Position Details:
Position: Utilization Review Nurse
Location: Cook County, IL (REMOTE plus 50% travel within Cook County , mileage is reimbursed)
Term: 4-5 months with highly possible extension
Start Date: 08/07/2025
Shifts: First Shift.(8 hours per day , 40 hours per week)
NOTE: Need somoene who is local to Cook County Illinois and has Registered Nurse License for IL state.
BASIC FUNCTION:
This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the telephone, reviewing medical records, r eviewing cases which involve contract interpretation of behavioral health diagnoses , and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute inpatient.
JOB REQUIREMENTS:
PREFERRED JOB REQUIREMENTS:
* Utilization review experience.
EEO:
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans. ”
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