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Utilization Review Nurse RN - Cardiology
Utilization Review Nurse RN - Cardiology-August 2024
Hoffman Estates
Aug 13, 2026
About Utilization Review Nurse RN - Cardiology

  Details

  Department: Cardiology

  Schedule: Monday - Friday 8:30 a.m. - 5 p.m.

  Hospital: Facility

  Location: Hoffman Estates, IL

  Benefits

  Paid time off (PTO)

  Various health insurance options & wellness plans

  Retirement benefits including employer match plans

  Long-term & short-term disability

  Employee assistance programs (EAP)

  Parental leave & adoption assistance

  Tuition reimbursement

  Ways to give back to your community

  *Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.

  Responsibilities

  Analyze and evaluate concurrent admission information and assigned patient population for supporting admissions and discharge planning.

  Assess clinical documentation based on current recognized criteria.

  Contact third party payers to communicate clinical information/complete pre-certification and re-certification parameters.

  Coordinate with team members to obtain information that support sustaining admission or preparing discharge plans.

  Collate/analyze indicator data to support outcomes and report to medical staff committee.

  Requirements

  Licensure / Certification / Registration:

  BLS Provider preferred. American Heart Association or American Red Cross accepted.

  Practical/Vocational Nurse credentialed from the Illinois Department of Financial and Professional Regulation preferred.

  Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) preferred.

  Current State of Illinois RN License or Master's prepared individual with an advanced degree in healthcare related field required.

  Education:

  High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.Additional Preferences

  Success factors for this role include: Prior experience with reviewing clinical documentation to obtain prior authorizations. EMR experience.

  Main responsibilities will include: Obtaining prior authorizations for imaging and some procedures.

  Why Join Our Team

  Ascension Illinois delivers compassionate, personalized care throughout Chicago and its surrounding suburbs. As one of the largest health systems in Illinois with 15 hospitals and more than 230 sites of care, you will find an environment that allows you to thrive and create a career path you love. Join a diverse team of more than 17,000 associates and more than 600 providers who are dedicated to providing compassionate, personalized care to all.

  Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

  Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

  Equal Employment Opportunity Employer

  Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

  For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20.pdf) poster.

  As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

  Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf)

  Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

  E-Verify Statement

  This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

  E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf)

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