Northwestern Medicine Winfield , IL 60190
Posted 1 week ago
Benefits
$10,000 Tuition Reimbursement per year ($5,700 part-time)
$10,000 Student Loan Repayment ($5,000 part-time)
$1,000 Professional Development per year ($500 part-time)
$250 Wellbeing Fund per year($125 for part-time)
Matching 401(k)
Excellent medical, dental and vision coverage
Life insurance
Annual Employee Salary Increase and Incentive Bonus
Paid time off and Holiday pay
Pay Starting at: $36.00+ per hour based on experience
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Description
Full time, 10a-10p every third weekend 12-8. Working in the Emergency Department.
The Utilization Management RN reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Utilization Management nurse role is to ensure that health care services are administered with quality, cost efficiency, and within compliance by continuously reviewing the EMR and collaborating with the health care team.
Responsibilities:
Concurrent review of patients clinical information for efficiency and correct level of care and admission status
Interface with payers concurrently and after discharge to obtain authorization
Concurrent denials management
Collaborates with the denials management team
Ongoing review of pre-certification requests for medical necessity
Monitor the activities of clinical and non-clinical staff
Collaborates with the health care team and payers to assist with coordinating patients discharge planning needs
Employ effective use of knowledge, critical thinking and skills
Work in an intensive, fast-paced environment with minimal supervision
Ability to stay organized and interact well with others in any situation
Provide updates to Director of Utilization Management for review
Watch this video for more information
Be Part of Better: What It's Like to Work at Northwestern Medicine - YouTube
: https://youtu.be/TqEULZ0fc9o
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Qualifications
Required:
Bachelor's degree in Nursing
State licensure as a Registered Nurse (RN)
Preferred:
Master's degree
Minimum 2 years of prior experience in Utilization Management
Utilization Management or Case Management certification
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Northwestern Medicine