• Utilization Review Nurse (RN) - Nights - Emergency Medicine

    Requisition Post Information* : Posted Date 3 weeks ago(10/24/2018 12:23 PM)
    Job ID
    Benefits Eligible
    Full-Time Regular
    CBA Code
  • Job Description

    Utilization Review Nurse (RN), the Risk, Patient Safety & Compliance department, Full Time Nights, University of Chicago Medicine in Hyde Park, Chicago, IL 


    We're hiring a Utilization Review Nurse for the Risk, Patient Safety, & Compliance department for a Full-Time, Nights shift for the University of Chicago Medicine in Hyde Park, Chicago, IL. Note: This position will be supporting our Emergency Medicine and Surgical units.


    Join one of the nation’s most comprehensive academic medical centers, University of Chicago Medicine, in an innovative and thought-provoking role as a Utilization Review Nurse! 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. 


    As a Utilization Review Nurse, you will evaluate the admission process by using established criteria as mandated by hospital, departmental, JCAHO, government and third party payor policies/procedures. The Utilization Review Nurse reviews requests for admission for diagnosis and procedure(s) for inpatient type, as well as facilitate the communications between insurance companies, review agencies and physicians regarding inpatient pre-authorizations and admissions. 


    Required Qualifications:

    • A Bachelor’s degree in nursing, health field or business required.
    • RN with current license in the State of Illinois required.
    • Three years prior nursing experience in a hospital required with previous utilization review experience required.
    • Must have knowledge of governmental and accrediting agency requirements and knowledge of managed care, HMO’s and PPO’s.
    • Solid understanding of Peer Review Organization criteria and standards,  purpose and requirements needed; working knowledge of DRG payment system helpful.
    • Strong organizational and communication skills required.
    • Professional conduct in all situations including clinical department meetings is required.
    • PC experience helpful.

    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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