Case Manager Utilization Review

Position type:

Full Time Pay/Salary:

Open Shift:

1st Hammond-Henry Hospital, located in Geneseo, Illinios, is a critical access hospital with Family Medicine and Urgent Care Clinics proudly serving our communities and surrounding areas. We nurture an environment of encouragement, professional development, and respect. Hammond-Henry provides exceptional patient care and our employees have made us an award-winning hospital. We invite you to review the job listing below and join our award-winning team. Incentives and Benefits at

Hammond-Henry:

Medical, Dental and Vision Insurance (FT) Up to $900 deposited in your Central Bank HSA for health care expenses. IMRF pension provides retirement income to vested employees for the rest of their lives Secondary 457(b) retirement option through Edward Jones PTO (FT/PT) - generous accrual of paid time off Employee Assistance Program, Tuition Scholarship and Assistance, Bi-Annual PTO Buyback. Long Term Sick and Short-Term Disability (PT/FT) 64 hours per pay period - benefits depend on hours worked.

Job Description Candidate will:

Interact with all reporting department/services and Medical Staff to enhance the quality of patient care, as well as assuring compliance with legal and regulatory agency requirements. Perform Utilization Reviews by communications with third party payors and documents all interactions during review process. Perform data collection and assist with coordination of activities with the Professional Review Organization (PRO) and regulatory or review bodies Perform data collection, data entry, analysis and report generation. Access to protected health information is limited to the minimum necessary to perform the duties of the job. Qualifications Graduate from an accredited school of nursing, licensed by the state of Illinois. Case management experience preferred. Knowledge of Quality Improvement goals and functions, utilization review, and risk management desired. Able to work independently and self-directed. Grade 20