Ensure timely and accurate utilization review activities and payer communications. * Monitor ... Registered Nurse (RN) preferred; Master's-level Clinical Social Worker will be considered. * 3-5 ...
Ensure timely and accurate utilization review activities and payer communications. * Monitor ... Registered Nurse (RN) preferred; Master's-level Clinical Social Worker will be considered. * 3-5 ...
DIR - UTILIZATION REVIEW / MGMT
Springfield, IL · On-site
$37.55 - $56.33/hr
Ensure timely and accurate utilization review activities and payer communications. * Monitor ... Registered Nurse (RN) preferred; Master's-level Clinical Social Worker will be considered. * 3-5 ...
DIR - UTILIZATION REVIEW / MGMT
Springfield, IL · On-site
$37.55 - $56.33/hr
Ensure timely and accurate utilization review activities and payer communications. * Monitor ... Registered Nurse (RN) preferred; Master's-level Clinical Social Worker will be considered. * 3-5 ...
Care Review Clinician
Springfield, IL · Remote
$40 - $42/hr
This is a fully remote role but candidates must have a valid RN license in Illinois*** Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for ...
Quick apply
Care Review Clinician
Springfield, IL · Remote
$40 - $42/hr
This is a fully remote role but candidates must have a valid RN license in Illinois*** Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for ...
Care Review Clinician
Springfield, IL · On-site
$40 - $42/hr
... RN license in Illinois Position Purpose: Care Review Clinician works with the Utilization ... Management team primarily responsible for medical necessity/utilization review aimed at providing ...
Care Review Clinician
Springfield, IL · On-site
$40 - $42/hr
... RN license in Illinois Position Purpose: Care Review Clinician works with the Utilization ... Management team primarily responsible for medical necessity/utilization review aimed at providing ...
Utilization Management Physician Reviewer Location: Fully Remote Hours: full time, Monday - Friday ... Review service requests and document the rationale for the decision in easy to understand language ...
Utilization Management Physician Reviewer Location: Fully Remote Hours: full time, Monday - Friday ... Review service requests and document the rationale for the decision in easy to understand language ...
TNAA TotalMed RN is seeking a travel nurse RN Radiology for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Radiology * Discipline: RN * Start Date: 09/21/2026 * Duration ...
TNAA TotalMed RN is seeking a travel nurse RN Radiology for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Radiology * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Duration: 13 weeks * 36 hours per ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Duration: 13 weeks * 36 hours per ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/14/2026 * Duration ...
Travel Nurse RN - Telemetry
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/14/2026 * Duration ...
... utilization of the nursing process. Provides age appropriate patient care. Implements evidence ... Participates in specific patient quality assessment activities, including chart review as required.
New
... utilization of the nursing process. Provides age appropriate patient care. Implements evidence ... Participates in specific patient quality assessment activities, including chart review as required.
New
Registered Nurse (RN) - Surgery
Taylorville, IL · On-site
$30.23 - $48.37/hr
... utilization of the nursing process. Provides age appropriate patient care. Implements evidence ... Participates in specific patient quality assessment activities, including chart review as required.
New
Registered Nurse (RN) - Surgery
Taylorville, IL · On-site
$30.23 - $48.37/hr
... utilization of the nursing process. Provides age appropriate patient care. Implements evidence ... Participates in specific patient quality assessment activities, including chart review as required.
New
Registered Nurse (RN) - Surgery
Taylorville, IL · On-site
$30.23 - $48.37/hr
... utilization of the nursing process. Provides age appropriate patient care. Implements evidence ... Participates in specific patient quality assessment activities, including chart review as required.
New
Registered Nurse (RN) - Surgery
Taylorville, IL · On-site
$30.23 - $48.37/hr
... utilization of the nursing process. Provides age appropriate patient care. Implements evidence ... Participates in specific patient quality assessment activities, including chart review as required.
New
Registered Nurse (RN), Cath Lab
Springfield, IL · On-site
$48.37/hr
... utilization of the nursing process. Provides age-appropriate care. Participates in research when ... Sandy Dunn, Senior Talent Acquisition Partner Dunn.Sandy@mhsil.com To review Memorial's Benefits ...
Registered Nurse (RN), Cath Lab
Springfield, IL · On-site
$48.37/hr
... utilization of the nursing process. Provides age-appropriate care. Participates in research when ... Sandy Dunn, Senior Talent Acquisition Partner Dunn.Sandy@mhsil.com To review Memorial's Benefits ...
Registered Nurse (RN) - Surgery
Taylorville, IL · On-site
$30.23 - $48.37/hr
... utilization of the nursing process. Provides age appropriate patient care. Implements evidence ... Participates in specific patient quality assessment activities, including chart review as required.
New
Registered Nurse (RN) - Surgery
Taylorville, IL · On-site
$30.23 - $48.37/hr
... utilization of the nursing process. Provides age appropriate patient care. Implements evidence ... Participates in specific patient quality assessment activities, including chart review as required.
New
Travel Telemetry RN
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Telemetry RN
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Telemetry RN
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Telemetry RN
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Start Date: 09/21/2026 * Duration ...
Travel Telemetry RN
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Duration: 13 weeks * 36 hours per ...
Travel Telemetry RN
Springfield, IL · On-site
$2.0K - $2.7K/wk
TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Telemetry * Discipline: RN * Duration: 13 weeks * 36 hours per ...
Registered Nurse (RN), Cardiac 6E - $20K Sign on Bonus Opportunity
Springfield, IL · On-site
$30.23 - $48.37/hr
Sandy@mhsil.com To review Memorial's Benefits click here: Benefits - Memorial HR Qualifications ... Sandy Dunn, Senior Talent Acquisition Partner Dunn.Sandy@mhsil.com
Registered Nurse (RN), Cardiac 6E - $20K Sign on Bonus Opportunity
Springfield, IL · On-site
$30.23 - $48.37/hr
Sandy@mhsil.com To review Memorial's Benefits click here: Benefits - Memorial HR Qualifications ... Sandy Dunn, Senior Talent Acquisition Partner Dunn.Sandy@mhsil.com
Senior Rn Utilization Review Nurse information
See Springfield, IL salary details
$21.20 - $25.49
2% of jobs
$25.49 - $29.78
9% of jobs
$32.71 is the 25th percentile. Wages below this are outliers.
$29.78 - $34.07
21% of jobs
The median wage is $37.54 / hr.
$34.07 - $38.36
23% of jobs
$38.36 - $42.65
13% of jobs
$45.98 is the 75th percentile. Wages above this are outliers.
$42.65 - $46.93
10% of jobs
$46.93 - $51.22
8% of jobs
$51.22 - $55.51
5% of jobs
$55.51 - $59.80
5% of jobs
$59.80 - $64.09
2% of jobs
$64.09 - $68.38
2% of jobs
$21
$41
$68
How much do senior rn utilization review nurse jobs pay per hour?
What does a Senior RN Utilization Review Nurse do?
What are some typical challenges faced by a Senior RN Utilization Review Nurse when coordinating with multidisciplinary teams?
What are the key skills and qualifications needed to thrive as a Senior RN Utilization Review Nurse, and why are they important?
What is the difference between Senior Rn Utilization Review Nurse vs Rn Case Manager?
| Aspect | Senior Rn Utilization Review Nurse | Rn Case Manager |
|---|---|---|
| Certifications | RN license, possibly UR or case management certification | RN license, often case management certification |
| Work Environment | Hospitals, insurance companies, healthcare organizations | Hospitals, community health, insurance providers |
| Primary Focus | Reviewing medical necessity and utilization of services | Coordinating patient care and discharge planning |
| Common Usage | Used in insurance and healthcare review settings | Used in patient care coordination and discharge planning |
The Senior Rn Utilization Review Nurse primarily focuses on evaluating the necessity and appropriateness of healthcare services, often working within insurance companies or healthcare organizations. In contrast, Rn Case Managers concentrate on coordinating patient care, discharge planning, and ensuring smooth healthcare delivery. Both roles require RN licensure and relevant certifications, but their daily responsibilities and work environments differ slightly.
What are popular job titles related to Senior Rn Utilization Review Nurse jobs in Springfield, IL?
For Senior Rn Utilization Review Nurse jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Senior Rn Utilization Review Nurse jobs in Springfield, IL look for?
The top searched job categories for Senior Rn Utilization Review Nurse jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Senior Rn Utilization Review Nurse jobs?
Cities near Springfield, IL with the most Senior Rn Utilization Review Nurse job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 6 days ago
Universal Health Services rating
6.9
Based on 254 frontline employees who took The Breakroom Quiz
454th of 893 rated healthcare providers
Job description
We are hiring a Director of Case Management (Utilization Management) at Lincoln Prairie Behavioral Health Center and offering a $5,000 sign-on bonus!
Lincoln Prairie Behavioral Health Center is a 97-bed facility located in Springfield, Illinois. We are dedicated to providing youth with compassionate mental health treatment that encourages self-responsibility and personal growth. We are the only facility of our kind in Central Illinois! We provide psychiatric treatment to children and adolescents that present with a broad range of psychiatric and behavioral disorders. A clinically skilled multidisciplinary team works to partner with the youth and family to accomplish their goals in a supportive and therapeutic environment.
The Director of Case Management (Utilization Management) is responsible for the leadership, oversight, and daily operations of theUtilization Management and Case Management functions. This role ensures effective coordination of care, appropriate resource utilization, regulatory compliance, and collaboration with clinical andmultidisciplinary teams to support positive patient outcomes.
Qualifications
Duties and Responsibilities:
- Provide operational and strategic leadership for the Case Management and Utilization Management
departments. - Supervise, coach, and develop case managers and other assigned team members.
- Ensure timely and accurate utilization review activities and payer communications.
- Monitor patient progression, discharge planning, and continuity of care processes.
- Collaborate with physicians, nursing leadership, therapists, and hospital administration.
- Maintain compliance with regulatory, accreditation, and organizational requirements.
- Analyze performance metrics and implement process improvement initiatives.
Benefit & Rewards Highlights
- Retention Bonus Program
- Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Tuition savings
- Career development opportunities within UHS and its 300+ Subsidiaries!
- Pet Insurance
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Requirements:
- Registered Nurse (RN) preferred; Master's-level Clinical Social Worker will be considered.
- 3-5 years of case management experience required.
- 3-5 years of clinical team management or supervisory experience preferred.
- Master’s degree in healthcare administration is a plus.
- Strong knowledge of utilization management, discharge planning, and behavioral health operations.
- Excellent leadership, communication, and interdisciplinary collaboration skills.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications:Duties and Responsibilities:
- Provide operational and strategic leadership for the Case Management and Utilization Management
departments. - Supervise, coach, and develop case managers and other assigned team members.
- Ensure timely and accurate utilization review activities and payer communications.
- Monitor patient progression, discharge planning, and continuity of care processes.
- Collaborate with physicians, nursing leadership, therapists, and hospital administration.
- Maintain compliance with regulatory, accreditation, and organizational requirements.
- Analyze performance metrics and implement process improvement initiatives.
Benefit & Rewards Highlights
- Retention Bonus Program
- Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Tuition savings
- Career development opportunities within UHS and its 300+ Subsidiaries!
- Pet Insurance
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Requirements:
- Registered Nurse (RN) preferred; Master's-level Clinical Social Worker will be considered.
- 3-5 years of case management experience required.
- 3-5 years of clinical team management or supervisory experience preferred.
- Master’s degree in healthcare administration is a plus.
- Strong knowledge of utilization management, discharge planning, and behavioral health operations.
- Excellent leadership, communication, and interdisciplinary collaboration skills.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US