RN Utilization Review Full-time
State of Illinois

UTILIZATION REVIEW COORDINATOR (Registered Nurse II)

apartment State of Illinois location_onChester, IL 62233, US
Apply Now

Job Requisition ID: 53540 

Opening Date: 02/20/2026
Closing Date: 03/05/2026
​Agency: Department of Human Services
Class Title: REGISTERED NURSE II - 38132 
Skill Option: None 
Bilingual Option: None
Salary: Anticipated Salary: $7,172 - $9,896 per month ($86,064 - $118,752 per year)
Job Type: Salaried
Category: Full Time 
County: Randolph
Number of Vacancies: 1
Bargaining Unit Code: RC023 Registered Nurses, INA
Merit Comp Code: 

​ 

This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.

 

While not required, a Resume/Curriculum Vitae (CV) is recommended. When applicable, titles that require specific coursework, professional license or certification will include a notation requesting the appropriate document(s) be uploaded in the Additional Documents section of your application. Failure to upload requested transcripts, license and/or proof of certification when specified may result in ineligibility. Please note that the Department of Human Services must verify proof of higher education for any degree earned (if applicable) regardless of vacancy title before any offer can be extended.

 

All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.

 

Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.

 

Why Work for Illinois?

 

Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.

 

No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.

 

Position Overview

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.   

Essential Functions

  • 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.

Minimum Qualifications

  • 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.

Conditions of Employment

  • 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.

 

*All conditions of employment listed are incorporated and related to any of the job duties as listed in the job description.

Work Hours: 7:00am-3:00pm; Sunday-Thursday; 30-minute unpaid lunch

Facility Wide

Headquarter Location: 1315 Lehmen Dr, Chester, Illinois, 62233-2542

Division of Behavioral Health and Recovery

Chester Mental Health Center

Medical Diagnostics

Work County: Randolph

Agency Contact: DHS.HiringUnit@illinois.gov

Posting Group: Health Services; Social Services

 

About the Agency:

The Illinois Department of Human Services uplifts individuals and communities across Illinois.  Our mission is to respond to the needs of all people in Illinois so they can lead healthy, safe, and enriched lives.  Our vision is the future we are shaping with dignity and the well-being for everyone in Illinois.  Our values are the principles that guide us as we work to remove systemic barriers and create lasting opportunities with Compassion, Accessibility, Responsibility, and Equity.

 

As a State of Illinois Employee, you will receive a robust benefit package that includes the following:

  • 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)

For more information about our benefits please follow this link: https://cms.illinois.gov/benefits/stateemployee.html

 

APPLICATION INSTRUCTIONS

Use the “Apply” button at the top right or bottom right of this posting to begin the application process.

If you are not already signed in, you will be prompted to do so. 

State employees should sign in to the career portal for State of Illinois employees – a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon. 

Non-State employees should log in on the using the “View Profile” link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon.  If you have never before signed in, you will be prompted to create an account.

If you have questions about how to apply, please see the following resources:

State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid

Non-State employees: on Illinois.jobs2web.com – click “Application Procedures” in the footer of every page of the website.

State employees should include temporary assignment in the application profile. Temporary assignment verification forms can be uploaded to the Additional Documents section.

 

The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Pediatric NICU Full-time
Nationwide Children's Hospital

RN Care Coordinator - NICU Grad Team (PFK)

apartment Nationwide Children's Hospital location_onSparta, IL
Overview: $5,000 Sign-On Bonus for new-to-NCH employees Monday - Friday, 8 a.m. - 5 p.m. Full-Time, 1.0 FTE, 40 hour per week Learn about Care Navigation: http://www.youtube.com/watch?v=HCxVtBnjn1Q&t=9s Family Experience: https://www.youtube.com/watch?v=hIGQYYVzDDQ Visit our website: https://partnersforkids.org/ Job Description Summary: Ensures the provision of quality patient care in the appropriate setting through care coordination, case management, utilization management of inpatient admissions, and transitions of care to different levels of care. Collaborates with the attending practitioner, the family and other members of the health care team, coordinates individualized plans of care, and communicates the plan to appropriate stakeholders. Ensures high quality care is provided as efficiently and cost effectively as possible. Facilitates continuity of care by coordinating transition to post-discharge care. Practices professional nursing and promotes patient advocacy in accordance with the ANA Code of Ethics for Nurses. Maintains a current Ohio Nursing License. Job Description: Essential Functions: Screens and identifes patients. Assesses patient/family strengths and needs. Develops a family-centered plan of care. Facilitates communication and collaboration amongst the health care team. Provides monitoring and follow-up across the continuum of care. Develops patients’ self-management skills through education and resource provision. Manages transitions between settings, caregivers, and providers. Maintains knowledge of current concepts, researches needs and research strategies related to care coordination including case management, utilization review, and discharge planning. Assists in educating others regarding the role of care coordination/case management. Participates in ongoing education related to information technology requirements for the department. Education Requirement: BSN, required. Licensure Requirement: Current licensure as a registered nurse in the state of Ohio is required. Valid Ohio driver’s license and proof of auto insurance as required by hospital policy. Must pass motor vehicle background inspection, insurance eligibility, driving qualifications, and training set forth by Nationwide Children’s Hospital and maintain qualification of insurance guidelines. Certifications: Pediatric certification, Advanced-Continuity of Care Certification (A-CCC), or other Case Management certification desirable. Skills: Ability to communicate with health care professionals, by demonstrating diplomacy, tact and a professional demeanor. Working knowledge of CMS and other review agency standards. Demonstrated ability to effectively collaborate and delegate tasks. Ability to relate to diverse age and demographic backgrounds. Computer literate. Working knowledge of MS Office. Professionally appropriate analytical and organizational skills required. Experience: Two years of nursing experience, required. At least one year in pediatric nursing is highly preferred. Nursing experience may include inpatient nursing, case management, utilization review, discharge planning, community health nursing. Utilization review, and/or discharge planning experience desirable. Physical Requirements: OCCASIONALLY: Biohazard waste, Blood and/or Bodily Fluids, Communicable Diseases and/or Pathogens, Fume /Gases /Vapors, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder FREQUENTLY: Bend/twist, Climb stairs/ladder, Color vision, Depth perception, Driving motor vehicles (work required) *additional testing may be required, Lifting / Carrying: 0-10 lbs, Peripheral vision, Seeing – Far/near, Squat/kneel, Standing, Walking CONTINUOUSLY: Audible speech, Decision Making, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Sitting "The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
RN Med-Surg Full-time
Mercy

Registered Nurse - Med Surg

apartment Mercy location_onPerryville, MO
Find your calling at Mercy! Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct care givers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with our mission, values, and mercy service standards. Position Details: Mercy Hospital Perry Unit: Med Surg Shift: Nights, Full Time Qualifications: Required Education: Graduated from a school of nursing (Associate's Degree, Diploma, or BSN). License: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements. Certifications: Basic Life Support certification through the American Heart Association or successful completion of course within 30 days of hire. One or more of the certifications below may be required based on the position/unit hired to, or acquisition of certification within department required timeframe: ACLS (Advanced Cardiac Life Support) NRP (Neonatal Resuscitation Program) ENPC (Emergency Nursing Pediatric Course) TNCC (Trauma Nursing Core Course) CPHON (Certified Pediatric/Hematology/Oncology Nurses) OCN (Oncology Certified Nurse) BLS (Basic Life Support) PALS (Pediatric Advanced Life Support) PEARS (Pediatric Assessment Recognition and Stabilization) S.T.A.B.L.E. (Sugar, Temperature, Airway, Blood Pressure, Lab Work, And Emotional Support) Six Assessment & Care Modules C-EFM (Fetal Monitor Certification) Other unit-specific certifications as required Other: Physical Requirements: Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis. Position requires prolonged standing and walking during each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
RN ER Full-time
Mercy

Registered Nurse - Emergency Department

apartment Mercy location_onPerryville, MO
Find your calling at Mercy! Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct care givers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: Mercy Hospital Perry Unit: Emergency Department Shift: Nights, Full Time Qualifications: Required Education: Graduated from a school of nursing (Associate's Degree, Diploma, or BSN). License: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements. Certifications: Basic Life Support certification through the American Heart Association or successful completion of course within 30 days of hire. One or more of the certifications below may be required based on the position/unit hired to, or acquisition of certification within department required timeframe: ACLS (Advanced Cardiac Life Support) NRP (Neonatal Resuscitation Program) ENPC (Emergency Nursing Pediatric Course) TNCC (Trauma Nursing Core Course) CPHON (Certified Pediatric/Hematology/Oncology Nurses) OCN (Oncology Certified Nurse) BLS (Basic Life Support) PALS (Pediatric Advanced Life Support) PEARS (Pediatric Assessment Recognition and Stabilization) S.T.A.B.L.E. (Sugar, Temperature, Airway, Blood Pressure, Lab Work, And Emotional Support) Six Assessment & Care Modules C-EFM (Fetal Monitor Certification) Other unit-specific certifications as required Other: Physical Requirements: Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis. Position requires prolonged standing and walking during each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. keyword(s): Registered Nurse, RN, ED, ER, Emergency Department, Patient Care
RN Med-Surg Full-time
Mercy

Registered Nurse - Med Surg, Nights

apartment Mercy location_onPerryville, MO
Find your calling at Mercy! Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct care givers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: Qualifications: Required Education: Graduated from a school of nursing (Associate's Degree, Diploma, or BSN). License: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements. Certifications: Basic Life Support certification through the American Heart Association or successful completion of course within 30 days of hire. One or more of the certifications below may be required based on the position/unit hired to, or acquisition of certification within department required timeframe: ACLS (Advanced Cardiac Life Support) NRP (Neonatal Resuscitation Program) ENPC (Emergency Nursing Pediatric Course) TNCC (Trauma Nursing Core Course) CPHON (Certified Pediatric/Hematology/Oncology Nurses) OCN (Oncology Certified Nurse) BLS (Basic Life Support) PALS (Pediatric Advanced Life Support) PEARS (Pediatric Assessment Recognition and Stabilization) S.T.A.B.L.E. (Sugar, Temperature, Airway, Blood Pressure, Lab Work, And Emotional Support) Six Assessment & Care Modules C-EFM (Fetal Monitor Certification) Other unit-specific certifications as required Other: Physical Requirements: Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis. Position requires prolonged standing and walking during each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
RN Utilization Review Full-time
North Mississippi Health Services

Coordinator-RN Utilization

apartment North Mississippi Health Services location_onAmory, MS
Coordinates Essential Functions Consults with physician services Utilizes clinical diagnostics, physician documentation and non-physician clinical guidelines to facilitate status determination of inpatient, outpatient or outpatient observation. Coordinates final status with admitting and attending physicians Performs initial and concurrent clinical reviews as indicated by payer and patient clinical needs Inpatient and/or outpatient notification and precertification of services to payers Facilitates peer to peer, written reconsiderations or appeals throughout all denial cycle as appropriate Facilitates appropriate observation utilization Consults with patient financial services Educations: Provides education and literature to physician services regarding IPPS and OPPS Educates physicians and other care team member on level of care criteria and other third party payer requirements Reporting/Recordkeeping: Updates patient’s medical records as required Shares medical necessity documentation with payers to facilitate reimbursement Regulation : Adheres to NMHS/NMMC Policies/Procedures/Guidelines Complies with applicable Local/State/Federal policies/procedures/guideline/regulations/laws/statues Requirements: Associates Degree in Nursing, required; Bachelor’s Degree preferred Licensed as a Registered Nurse by the Mississippi Board of Nursing; required Minimum of 5 years clinical and/or healthcare experience; required Excellent organizational and communication (written and verbal) skills; required Knowledge of various payer sources, federal/state laws/regulations, and cost containment; required Certified as an Accredited Case Manager (ACM); desirable Excellent interpersonal skills; required Demonstrates ability to care for a patient population from pediatric to geriatric; required