Utilization Mgmt. RN Care Coordination Full-time 10am-10pm $2,000 Sign-on Bonus

10am-10pm in the Emergency Department at Central DuPage HospitalThe Utilization Management RN reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.The Utilization Management nurse role is to ensure that health care services are administered with quality, cost efficiency, and within compliance by continuously reviewing the EMR and collaborating with the health care team.Responsibilities:Concurrent review of patients clinical information for efficiency and correct level of care and admission statusInterface with payers concurrently and after discharge to obtain authorizationConcurrent denials managementCollaborates with the denials management teamOngoing review of pre-certification requests for medical necessityMonitor the activities of clinical and non-clinical staffCollaborates with the health care team and payers to assist with coordinating patients discharge planning needsEmploy effective use of knowledge, critical thinking and skillsWork in an intensive, fast-paced environment with minimal supervisionAbility to stay organized and interact well with others in any situationProvide updates to Director of Utilization Management for reviewInternal transfers and new grad hires are not eligible for a sign-on bonus—Central DuPage Hospital Employee Testimonial :https://youtu.be/TqEULZ0fc9o#LI-RS1