UTILIZATION REVIEW COORDINATOR (Registered Nurse II)

State of Illinois•Chester, IL

3d•Onsite

About The Position

The Division of Behavioral Health and Recovery is seeking to hire a Registered Nurse II for the Chester Mental Health Center located in Chester, Illinois to serve as Utilization Review Coordinator for the facility-wide Utilization Review Program. Verifies patients receive the appropriate medical care per the Utilization Review Plan. Confirms all on-site and off-site medical appointments/referrals ordered are reviewed for appropriateness and medical necessity. Identifies problems in services provided according to criteria in the Utilization Review Plan by conducting current and retrospective chart reviews. Chairs the Utilization Review Committee and provides required reports. Coordinates satisfaction surveys from all off-grounds medical appointments.

Requirements

Requires (a) graduation from an approved nursing education program resulting in an associate or diploma degree in nursing and two years of progressively responsible professional nursing experience OR (b) a bachelor’s degree in nursing and one year of professional experience OR (c) a master’s degree in nursing.
Requires licensure as a Registered Nurse in the State of Illinois.
Requires the ability to work after business hours, weekends and holidays on a rotation basis.
Requires the ability to walk and stand for a significant period of time, including stooping, bending, lifting or exerting up to 20 pounds of force occasionally.
Requires the ability to serve on an on-call basis.
Requires the ability to lift up to 50 pounds unassisted.
Requires the ability to acquire and maintain Cardiopulmonary Resuscitation (CPR) certificate.
Requires the ability to travel in the performance of job duties.
Requires the ability to physically restrain patients as necessary to prevent injury to patients or others.
Requires ability to pass the IDHS background check.
Requires ability to pass a drug screen for drugs prohibited from recreational use under Illinois Law.

Responsibilities

Serves as Utilization Review Coordinator for the facility-wide Utilization Review Program.
Oversees the arrangement and scheduling all off-site medical appointments for patients with contractual providers.
Utilizing the nursing process, provides professional nursing care to mentally ill patients on a living unit on an assigned shift.
Oversees the scheduling of all dental and podiatric appointments for patients on-site.
Chairs the Utilization Review Committee and provides required reports.
Assists patients in identifying situations related to medical procedures that cause maladaptive behavior.
Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above.

Benefits

A Pension Program
Competitive Group Insurance Benefits including Health, Life, Dental and Vision Insurance
3 Paid Personal Business Days annually
12 Paid Sick Days annually (Sick days carry over from year to year)
10-25 Days of Paid Vacation time annually - (10 days in year one of employment)
Personal, Sick, & Vacation rates modified for 12-hour & part-time work schedules (as applicable)
13 Paid Holidays annually, 14 on even numbered years
Flexible Work Schedules (when available dependent upon position)
12 Weeks Paid Parental Leave
Deferred Compensation Program - A supplemental retirement plan
Optional Pre-Tax Programs such as Medical Care Assistance Plan (MCAP), Dependent Care Assistance Plan (DCAP)
Federal Public Service Loan Forgiveness Program eligibility
GI Bill® Training/Apprenticeship Benefits eligibility for qualifying Veterans
5% Salary Differential for Bilingual Positions
Commuter Savings Program (Chicago only)