RN Utilization & Discharge Planning Coordinator II

UI Health; Chicago (IL); On-site; USD 58,000 - 130,000; Part time

Benefits offered by this job

Health benefits

Retirement plan

Paid time off

Tuition waivers

Job summary

UI Health in Chicago, IL is seeking a Health Care Utilization Review Coordinator (HURC) to coordinate patient services across the continuum using Relationship-Based Care. The role emphasizes improving patient outcomes through Shared Leadership and evidence-based practice, working with the interdisciplinary team to navigate care pathways.

Responsibilities include discharge planning, utilization management, and referrals to appropriate levels of care, plus collaboration with nurses, physicians,

Qualifications

• Graduation from an accredited professional nursing program.
• Current licensure as a Registered Professional Nurse with the Illinois Department of Financial and Professional Regulation, Division of Professional Regulation.
• Five years (60 months) of Medical Surgical experience.
• BSN (or higher) required of an accredited nursing program.
• Current BLS/CPR and/or other required unit specific certifications.

Responsibilities

• Advocates for patients, families, and their significant others, the community, and the nursing profession.
• Facilitates coordination of patient services in assigned patient care unit by collaborating with the patient, family, physicians, RNs, and multidisciplinary team to assure appropriate safe, cost effective, timely and efficient services.
• Communicates and coordinates with all staff in developing and implementing the discharge planning process including appropriate Clinical Level of Care, continued stay, patient assessment, planning, implementation, interdisciplinary collaboration, and ongoing evaluation.
• Identifies variations in the utilization of benefits with payors to fund the continuing or alternative care plan, where possible
• Documents and reviews risk assessment and discharge planning information in the medical record according to department standards including applying approved utilization acuity criteria and verifying that admitting or referral source has pre-certified and considers budgetary aspects of care.
• Assists in identifying system problems and issues that impede (impeding) diagnostic or treatment progression to the appropriate administrative liaison.
• Facilitates daily communication (e.g. patient rounds, multidisciplinary team meetings and conferences) with the interdisciplinary team to discuss plan of care and assist with expediting care across the continuum
• Maintains expertise through participation in continuing education programs. Serves as experienced resource and patient services facilitation reference for care team members.
• Receives and provides feedback to members of the health care team regarding performance/practice.
• Collaborates with other nurses and physicians to identify, promote and provide positive learning experiences for staff and students.
• Other Duties as Assigned.
• Perform other related duties and participate in special projects as assigned.

Skills

Registered Nurse (RN)

Communication

Interdisciplinary collaboration

Education

BSN or higher

Illinois RN license

Tools

EPIC experience

Job description

UI Health in Chicago, IL is seeking a Health Care Utilization Review Coordinator (HURC) to coordinate patient services across the continuum using Relationship-Based Care. The role emphasizes improving patient outcomes through Shared Leadership and evidence-based practice, working with the interdisciplinary team to navigate care pathways.

Responsibilities include discharge planning, utilization management, and referrals to appropriate levels of care, plus collaboration with nurses, physicians,