RN Utilization Review & Care Coordination Specialist

Community First Medical Center is seeking a Case Manager – Utilization Review RN to deliver clinically based case management and utilization review across the patient care continuum in Chicago, IL. You will collaborate with physicians, social workers, revenue cycle staff, and third-party payers to ensure appropriate utilization and safe patient transitions. The role emphasizes discharge planning, medical necessity decisions, and ongoing care coordination with emphasis on regulatory compliance