UI Health
UI Health - Extra-Help Healthcare Utilization Review Coordinator II (Precertific
UI Health, Chicago, Illinois, United States, 60290
UI Health - Extra-Help Healthcare Utilization Review Coordinator II (Precertification Nurse)
Location: Chicago, IL USA
Requisition ID: 1038139
Posting Date: 11/12/2025
Illinois residency required at time of application submission.
Salary: The previously determined range for this position was $60.39-$65.75. The final rate offered will be determined by the collective bargaining agreement, internal salary equity, candidate experience and qualifications, and budget constraints. It is not typical for an individual to be offered a rate at or near the top of the full range for a position.
Position Summary Health Care Utilization Review Coordinator (HURC) is accountable for coordinating and facilitating patient services across the various levels of the continuum utilizing Relationship-Based Care model as the framework. The HURC takes initiative to improve patient outcomes by integrating Shared Leadership, Evidence-Based Practice, and Magnet's Five Models of Care into clinical practice. Through therapeutic relationships with patients, families, self and colleagues, the HURC functions as an interdisciplinary team member who assists patients and their families in navigating through the healthcare system based on individual and patient population needs. In addition to the care facilitation, the HURC will perform related duties including utilization management, discharge planning and referral to other levels of care and fulfills unit and organizational goals.
Duties & Responsibilities
Facilitates coordination of patient services in assigned patient work queue or department.
Identifies variation in the utilization of benefits with payors to find continuing or alternative care.
Provides utilization management functions for patients: pre-certification (primary function of the admission process).
Inputs and maintains utilization management data into Epic.
Verifies that the admitting or referral source has pre-certified the patient admission and is scheduled.
Participates in internally and externally driven quality improvement programs.
Maintains expertise through participation in continuing education programs. Serves as experienced resource and patient services facilitation reference for care team members.
Receives and provides feedback to members of the health care team regarding performance/practice.
Collaborates with other nurses and physicians to identify, promote and provide positive learning experiences for staff and students.
Other duties as assigned.
Performs related duties and participates in special projects as assigned.
Minimum Qualifications
Graduation from an accredited professional nursing program.
Current licensure as a Registered Professional Nurse with the Illinois Department of Financial and Professional Regulation, Division of Professional Regulation.
Five years (60 months) of medical surgical experience.
BSN (or higher) required from an accredited nursing program.
Current BLS/CPR and/or other required unit-specific certifications.
Nationally certified through ANCC approved certifier, or within 6 months of hire in an area relevant to the clinical area.
Preferred Qualifications
Precertification experience within hospital or insurance company.
Master’s degree preferred.
CCM or ACMA certified.
Equal Opportunity Employer Statement The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify. The university provides accommodations to applicants and employees. Request an accommodation.
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Salary: The previously determined range for this position was $60.39-$65.75. The final rate offered will be determined by the collective bargaining agreement, internal salary equity, candidate experience and qualifications, and budget constraints. It is not typical for an individual to be offered a rate at or near the top of the full range for a position.
Position Summary Health Care Utilization Review Coordinator (HURC) is accountable for coordinating and facilitating patient services across the various levels of the continuum utilizing Relationship-Based Care model as the framework. The HURC takes initiative to improve patient outcomes by integrating Shared Leadership, Evidence-Based Practice, and Magnet's Five Models of Care into clinical practice. Through therapeutic relationships with patients, families, self and colleagues, the HURC functions as an interdisciplinary team member who assists patients and their families in navigating through the healthcare system based on individual and patient population needs. In addition to the care facilitation, the HURC will perform related duties including utilization management, discharge planning and referral to other levels of care and fulfills unit and organizational goals.
Duties & Responsibilities
Facilitates coordination of patient services in assigned patient work queue or department.
Identifies variation in the utilization of benefits with payors to find continuing or alternative care.
Provides utilization management functions for patients: pre-certification (primary function of the admission process).
Inputs and maintains utilization management data into Epic.
Verifies that the admitting or referral source has pre-certified the patient admission and is scheduled.
Participates in internally and externally driven quality improvement programs.
Maintains expertise through participation in continuing education programs. Serves as experienced resource and patient services facilitation reference for care team members.
Receives and provides feedback to members of the health care team regarding performance/practice.
Collaborates with other nurses and physicians to identify, promote and provide positive learning experiences for staff and students.
Other duties as assigned.
Performs related duties and participates in special projects as assigned.
Minimum Qualifications
Graduation from an accredited professional nursing program.
Current licensure as a Registered Professional Nurse with the Illinois Department of Financial and Professional Regulation, Division of Professional Regulation.
Five years (60 months) of medical surgical experience.
BSN (or higher) required from an accredited nursing program.
Current BLS/CPR and/or other required unit-specific certifications.
Nationally certified through ANCC approved certifier, or within 6 months of hire in an area relevant to the clinical area.
Preferred Qualifications
Precertification experience within hospital or insurance company.
Master’s degree preferred.
CCM or ACMA certified.
Equal Opportunity Employer Statement The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify. The university provides accommodations to applicants and employees. Request an accommodation.
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