Assistant Director, Utilization Review

University of Illinois Hospital and Health Sciences System • $112K — $135K *

Chicago, IL 60629In-Person

Healthcare

5 - 7 years of experience

Today

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Job Overview by Ladders

Qualifications

Bachelor's Degree in Nursing required
Current Illinois Professional Registered Nurse license
5+ years of experience in Utilization Management and Discharge Planning
Proficiency in Data Analysis and training
Knowledge of Payer Reimbursement Processing

Responsibilities

Collect and analyze length of stay data and develop related reports
Supervise and audit medical records per CMS Conditions of Participation
Attend daily huddles and support staff with discharge barrier elimination
Train, coach, and evaluate staff for safety and quality
Assist the Director in staff training and development
Analyze data for staff productivity and recommend procedural modifications
Ensure compliance with external agency requirements

Benefits

Health, Dental, and Vision Insurance
Life Insurance
Retirement Plan
Paid Time Off
Tuition waivers for employees and dependents

Full Job Description

Assistant Director, Utilization Review

Hiring Department: Human Resources

Location: Chicago, IL USA

Requisition ID

Pay Range: The salary range ofemployees currently holding equivalent position is $112,406 - $135,775.

Close date: October 23, 2026

This position is intended to be eligible for benefits. This includes Health, Dental, Vision, Life Insurance, a Retirement Plan, Paid time Off, and Tuition waivers for employees and dependents.

Description:

Position Summary

The incumbent will be responsible for leading and assessing appropriate utilization of resources accomplished through efforts that are cost effective, safe, clinically appropriate, and enhance quality of care. Promotes and facilitates appropriate admission status, and facilitates movement through the healthcare continuum by implementing processes that ensure timely and proactive care coordination and discharge planning. Integrates department services with other departments and medical staff initiatives. This will include implementation of procedures consistent with the goals and objectives of the Health System. The duties and responsibilities are established to assure efficient Utilization Management and Discharge Planning and staff productivity processing that directly affects UI Health's financial status. Expert knowledge of internal and external staff productivity modalities and positive communication with medical and house staff & UI Health personnel will assist in assuring success

Duties & Responsibilities

Collect and analyze length of stay data. Develop useful reports related to Transitions of care, LOS, denials, initial and concurrent reviews, and initial authorization among other areas
Supervise and audit initial and ongoing medical records as required by CMS Conditions of Participation
Attend daily huddles, weekly Clinical High Risk rounds, and support staff and multiple departments and nursing units with throughput and discharge barrier elimination
Trains, orients, coaches, evaluates effectiveness and competence of staff to promote safety and quality
Assist the Director with training, supervising, and developing staff to provide quality and efficient utilization review and discharge planning services to UI Health patients
Collect and analyze data for staff productivity. Develop reports that track departmental goals. Evaluate effectiveness and adequacy of procedures, quality, and recommend and implement modifications (CQI).
Ensures compliance with recommendations and requirements from external agencies such as accreditation, certification/licensing and other regulatory bodies.
Assist Director with assigning staff duties and functions as departmental contact in the absence of the Director.
Function as staff preceptor and resource person. Provide excellent customer service and model leadership
Perform other related duties and participate in special projects as assigned.

Qualifications:

Minimum Qualifications

Bachelor's Degree in Nursing required
Current license as a Professional Registered Nurse from the State of Illinois required.
Minimum of five (5) years Utilization Management and Discharge Planning experience required.
Proficiency in Data Analysis and training experience.
Knowledge of Payer Reimbursement Processing

Preferred Qualifications

Supervisory experience preferred.
Preferred candidate has experience working with both providers and payor sources.

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Industry

Hospitals & Medical Centers

* Ladders Estimates

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