UR Bed Planner RN-Nursing Throughput Part Time Evenings

Northwestern Memorial Healthcare•Palos Heights, IL
•$41 - $65

About The Position

The Case Manager RN UR/Bed Planner reflects Northwestern Medicine’s mission, vision, and values and follows its Code of Ethics, Corporate Compliance Program, policies, procedures, and applicable regulatory and accreditation standards. This role assesses admission status and level of care through medical record review, coordinates bed placement and patient throughput, and collaborates with physicians, nursing operations, and other teams. The clinical admission nurse does not provide direct patient care. The position is part time, 20 hours per week (0.5 FTE), on the evening shift.

Requirements

  • Registered Nursing license issued by the State of Illinois.
  • Bachelor of Science in Nursing.
  • Two to five years of patient care experience in a hospital setting.
  • Ability to multitask quickly and accurately process multifactorial stimulation.
  • Critical-thinking skills, decisive judgment, and ability to work with minimal supervision.
  • Past experience in admissions, utilization review activities, discharge planning, and/or case management.

Nice To Haves

  • Utilization Review experience.
  • Master of Science in Nursing.
  • Membership in a professional nursing organization.
  • Certification in Case Management (ACM).

Responsibilities

  • Determine the appropriate level of care and admission status using approved criteria, guidelines, managed care rules, and insurance benefits.
  • Collaborate with attending physicians on appropriate hospital status orders and consult with physicians when assigning admission level of care status.
  • Assign patients to appropriate units based on clinical assessment while balancing organizational resources, and coordinate bed placement with unit charge nurses.
  • Collaborate with the nursing operations leader on throughput issues and serve as an access-point resource for physicians, staff, and patients.
  • Respond to and assign bed requests and transfer orders in the electronic medical record.
  • Document unusual occurrences and patient relations issues and make appropriate referrals to risk management, infection control, and quality departments.
  • Evaluate and analyze quality and utilization cases, admission and discharge criteria, observation and one-day stays, readmissions within 30 days, and Medicare and diagnosis-related criteria.
  • Stay current on Medicare rules and regulations concerning hospital admission status.
  • Review medical records for admission appropriateness and work with Emergency Room and attending physicians to divert unnecessary admissions.
  • Monitor and document avoidable days and recommend changes to services or processes.
  • Respond to denials management RN requests for appeal assistance.
  • Use downtown bed-placement procedures when applicable.
  • Assist with data collection and reporting for throughput and bed placement.
  • Perform chart audits as requested by the manager or director.

Benefits

  • Tuition reimbursement
  • Loan forgiveness
  • 401(k) matching
  • Lifecycle benefits
  • A wide range of benefits intended to support physical, emotional, and financial well-being and provide protection for unexpected life events
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