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Utilization Review RN — Denials & Appeals Specialist

Job in Rockford, Winnebago County, Illinois, 61103, USA
Listing for: Capital Health Screening Centre
Full Time position
Listed on 2026-10-06
Job specializations:
  • Nursing
    Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 87000 - 120000 USD Yearly USD 87000.00 120000.00 YEAR
Job Description & How to Apply Below

Capital Health is a leader in patient care with expertise in utilization review, case management and clinical audits. The role focuses on inpatient utilization review for reimbursements, denials, appeals and quality improvement activities within a 40-hour workweek.

Minimum RN education with at least five years of nursing experience and three years in case management are required. Proficiency in UR software and EMR systems is expected for accurate review and reporting.

The Utilization Review RN — Denials & Appeals Specialist position in the Bio & Pharmacology & Health, Management & Operations field is open for applications.

The following opportunity is for a Utilization Review RN — Denials & Appeals Specialist with Capital Health Screening Centre.

Our group is growing, and we are hiring a Utilization Review RN — Denials & Appeals Specialist in Rockford, IL, United States.

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