Quality Utilization Specialist, Emergency Department, Full-time, Days
3 weeks ago
We are seeking a highly skilled Quality Utilization Specialist to join our team at Northwestern Medicine. This role will play a critical part in ensuring the highest quality patient care and optimal resource utilization in our Emergency Department.
Key Responsibilities- Apply medical necessity criteria and level of care guidelines to ensure appropriate hospital status orders
- Partner with medical staff to ensure accurate and timely status orders
- Monitor bed request orders and recommend changes as needed
- Complete admission reviews and follow-up reviews in a timely manner
- Effectively communicate with third-party review companies and payors
- Collaborate with hospital teams to coordinate bed placement and optimize patient flow
- Develop and implement quality utilization tools and processes
- Participate in departmental and hospital committees and taskforces
- Registered Nurse in the State of Illinois
- Bachelor's degree in nursing
- 2 years of experience in Quality Utilization Specialist or related role
- Mastery of utilization management and level of care guidelines
- Proven leadership skills and analytical skills
- 5+ years of relevant experience
- Master's degree in Nursing
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
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Chicago, Illinois, United States Northwestern Memorial Healthcare Full timeJob SummaryWe are seeking a highly skilled Quality Utilization Specialist to join our team at Northwestern Memorial Healthcare. As a key member of our healthcare team, you will play a critical role in ensuring the highest quality patient care and optimal resource utilization in our Emergency Department.Key ResponsibilitiesApply medical necessity criteria,...
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Chicago, Illinois, United States Northwestern Medicine Full timeJob SummaryWe are seeking a highly skilled Quality Utilization Specialist to join our team at Northwestern Medicine. As a key member of our Emergency Department, you will play a critical role in ensuring the highest quality patient care and optimal resource utilization.Key ResponsibilitiesApply medical necessity criteria and level of care guidelines to...
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Chicago, Illinois, United States Northwestern Memorial Healthcare Full time{"title": "Quality Utilization Specialist Emergency Department", "subtitle": "Join Our Team", "content": "About the RoleThe Quality Utilization Specialist, Emergency Department reflects the mission, vision, and values of Northwestern Memorial Healthcare, adheres to the organization\u2019s Code of Ethics and Corporate Compliance Program, and complies with all...
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Chicago, Illinois, United States Northwestern Memorial Healthcare Full timeJob SummaryWe are seeking a highly skilled Quality Utilization Specialist to join our team at Northwestern Memorial Healthcare. As a Quality Utilization Specialist, you will play a critical role in ensuring that our patients receive the highest level of care while also optimizing our hospital's resources.Key ResponsibilitiesApply medical necessity criteria...
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