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RN Utilization & Clinical Denials Specialist

Job in Champaign, Champaign County, Illinois, 61825, USA
Listing for: Carle Health
Full Time position
Listed on 2026-09-05
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 50000 - 80000 USD Yearly USD 50000.00 80000.00 YEAR
Job Description & How to Apply Below

Carle Health is seeking a Registered Nurse for the Utilization Management team in Champaign, IL. The UM staff RN will ensure cost-effective, appropriate hospital care and coordinate admissions based on medical necessity criteria.

The role requires an Illinois RN license, nursing education, and strong communication with physicians and payers. Proficiency in EPIC Case Management and MS Office is highly valued, with a focus on resource utilization and care coordination.

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