Job Description

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:

• Registered Nurse (RN) with active, current license or Masters-level Behavioral Health Professional with active, current license to practice at the independent practice level. Current clinical license to practice in state of operations and in good standings.
• 3 years clinical experience in psychiatric setting or own behavioral health practice.
• Verbal and written communication skills.* Analytical and decision making skills.
• PC and database experience.

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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