UR Bed Planner RN-Nursing Throughput Part Time Evenings

Northwestern Memorial Healthcare • Palos Heights, IL

18d

About The Position

The Case Manager RN UR/Bed Planner supports Northwestern Medicine’s mission, vision, and values and complies with its ethics, compliance, regulatory, and accreditation requirements. This role determines appropriate levels of care and admission status using approved criteria, guidelines, managed care rules, and insurance benefits, coordinating clinical needs with operational processes. The clinical admission nurse does not provide direct patient care; chart review is used to assess admission status and level of care.

The role assigns patients to suitable units while balancing organizational resources, coordinates bed placement with unit charge nurses, and collaborates with nursing operations leaders on throughput. It serves as an access point for physicians, staff, and patients and responds to bed requests and transfer orders in the electronic medical record. The position also reviews utilization and quality cases, supports appropriate admissions and discharge processes, monitors avoidable days, assists with denial appeals, and contributes to throughput data collection, reporting, and chart audits.

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 appropriate levels 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 on admission level-of-care status.
• Use chart review to assess the appropriateness of admissions and admission status.
• Assign patients to appropriate units based on clinical assessment while balancing organizational resources.
• Coordinate bed placement with unit charge nurses and collaborate with nursing operations leaders on throughput issues.
• 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, making referrals to risk management, infection control, and quality departments as appropriate.
• Evaluate and analyze quality and utilization cases, admission and discharge criteria, observation and one-day stays, readmissions within 30 days, Medicare criteria, and diagnosis-related criteria.
• Stay current on Medicare rules and regulations for hospital admission status.
• Work with the Emergency Room and attending physicians to divert unnecessary admissions.
• Monitor and document avoidable days and recommend changes in services or processes.
• Respond to requests from the denials management RN for appeal assistance.
• Use applicable downtown procedures for bed placement.
• 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

What This Job Offers

• Job Type: Part-time