Senior Healthcare Utilization & Discharge Coordination Specialist

UIC; Chicago, Northern (IL, KY); Hybrid; USD 130,000 - 142,000; Full time

Job summary

UIC in Chicago seeks a Health Care Utilization Review Coordinator (HURC) to coordinate patient services across the continuum using Relationship-Based Care. You will join an interdisciplinary team and help optimize discharge planning, utilization management, and referrals to the appropriate level of care.

The role requires a BSN, an active Illinois Registered Nurse license, and at least five years of Medical-Surgical experience.

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, or department 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. Collaborates with the interdisciplinary team when delays occur in consults, treatments, discharge planning, or procedures to facilitate timely, cost-effective delivery of patient services.
• 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

Clinical nursing

Patient advocacy

Communication skills

Education

BSN degree

RN license (IL)

Job description

UIC in Chicago seeks a Health Care Utilization Review Coordinator (HURC) to coordinate patient services across the continuum using Relationship-Based Care. You will join an interdisciplinary team and help optimize discharge planning, utilization management, and referrals to the appropriate level of care.

The role requires a BSN, an active Illinois Registered Nurse license, and at least five years of Medical-Surgical experience.