Care Coordinator – Utilization Review Nurse (RN) role, the Risk, Patient Safety & Compliance department, Registry - PRN, Days, University of Chicago Medicine in Hyde Park, Chicago, IL
We're hiring a Care Coordinator - Utilization Review Nurse (RN) for the Risk, Patient Safety, & Compliance department for a Registry - PRN, Days shift for the University of Chicago Medicine in Hyde Park, Chicago, IL. Note: This position will provide coverage for weekends.
Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine, in an innovative and thought-provoking role as a Care Coordinator with our Utilization Review division. Our employees deliver world-class care in an environment where opinions are respected, decision-making is rewarded and teamwork is the order of the day. Our staff is encouraged to achieve their career goals, which in turn benefits all of our patients and the University of Chicago Medicine as a whole.
In this role, the Care Coordinator, as part of a multidisciplinary team, including physicians, and payers, ensures the patient's progress in the acute episode of care through post discharge and is quality driven while being efficient and cost effective. The Care Coordinator works with the attending and consulting physicians to facilitate effective and efficient transition through the process of hospitalization. The Care Coordinator works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers as contracted. The Care Coordinator seeks the expertise of social workers to resolve psycho-social patient care issues and to develop complex patient transition/discharge plan as needed. The incumbent interacts with patients, family members, healthcare professionals, community, and state agencies in this effort. The Care Coordinator serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information. The Care Coordinator is responsible for maintaining hospital compliance with the Quality Improvement Organization (QIO) series and CMS guidelines. In addition, the Care Coordinator provides case review information to third party payers, assists in the denial and appeals process, and assesses quality, levels of care and identifying and reporting potential risk management issues. The incumbent performs duties and tasks in accordance with performance standards established for the job. The incumbent is responsible for participation in and completion of all patient safety initiatives appropriate to the position. The incumbent conducts all job responsibilities per the Mission and Values.
Care Coordinator – Utilization Review Nurse (RN) Education and Experience Requirements:
- Must have a Bachelor's degree in Nursing from an accredited academic body.
- Must be a licensed Registered Nurse with a valid, unrestricted State license.
- Must have a minimum of five years' experience working in a clinical setting as a Registered Nurse.
- Must have experience working in case management, utilization review, or care coordination.
- Certification in Case Management preferred. (i.e. CCM, CCCTM, etc.)
Why Join Us?
We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, The University of Chicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.
Bring your career to the next level at a hospital that is thriving; from patient satisfaction to employee engagement, we are at the Forefront of Medicine. Take advantage of all we have to offer and #BringYourPassiontotheForefront,
University of Chicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: www.uchospitals.edu/jobs
The University of Chicago Medical Center is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
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