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clinical research associate Chicago, IL

University of Illinois

Full Time Chicago, IL 75863 - 50305 USD ANNUAL Today

Job description

Health Care Utilization Review Coordinator - Continuum of Care

Hiring Department: Continuum of Care

Location: Chicago, IL USA

Requisition ID: 1019416

FTE : 1

Work Schedule – Monday - Friday

Shift : Days

# of Position: 1

Posting Date: 6/9/2023

About the University of Illinois Chicago

UIC is among the nation’s preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI). Through its 16 colleges, UIC produces nationally and internationally recognized multidisciplinary academic programs in concert with civic, corporate and community partners worldwide, including a full complement of health sciences colleges. By emphasizing cutting-edge and transformational research along with a commitment to the success of all students, UIC embodies the dynamic, vibrant and engaged urban university. Recent “Best Colleges” rankings published by U.S. News & World Report, found UIC climbed up in its rankings among top public schools in the nation and among all national universities. UIC has nearly 260,000 alumni, and is one of the largest employers in the city of Chicago.

Description:

Position Summary
The HURC II is accountable for coordinating and facilitating patient services across the various levels of contium utilizating relationship-base care model as the framework. The HURC II takes initiative to improve patient outcomes by integrating Shared Leadership, Evidence Based practice and Magnets Five Models of Care into clinical practice. Through therapeutic relationships with patients families, self and their families in navagating through health care system based on individual patient population needs. In addition to the care facilatation, the HURC II will perform related duties including Utilization management aspects of securing and validating payor authorizations for clinical services which support the care continum and fulfills unit and organizational goals.

Duties & Responsibilities

Collaborates with the patient, family, physicians, RNs and multidisciplinary team to assure appropriate safe, cost effective, timely and efficient services.

Collaborates and communicates with Payors the appropriate CLOC, continued stay review, and provide discharge summaries.

Identifies variations in the utilization of benefits with Payors to funt the continuing or alternative care when needed.

Applies approved utilization acuity criteria to monitor appropriateness of CLOC, continued stays, retro reviews and documents finding based on departments standards.
Perform other related duties and participate in special projects as assigned.

Qualifications:

Minimum 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 RN experience.

Current AHA BLS/CPR and other required unit specific certifications

Effective communication skills (oral and written) that facilitate therapeutic relationships between patients, family, and health care providers

Intermediate computer skills with the ability to become proficient in the Electronic Health Record (EHR) with on-the-job training

Excellent attendance, interpersonal skills and work history required.

Preferred Qualifications
BSN preferred
ACM or CCM preferred

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, COVID-19 vaccination requirement, and employment eligibility review through E-Verify.

The university provides accommodations to applicants and employees. Request an Accommodation

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