Job Description
Bed Management Registered Nurse
Rotating Shift: Covering shifts primarily on weekends with coverage extending into weekdays.
The Clinical Admission Nurse HRLY exemplifies the attributes of an NM nurse, 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.
Responsibilities:
- To serve as an access point resource for physicians, staff, and patients.
- To assist with the most appropriate level of care and admission status.
- To apply approved criteria and guidelines in decision making, as well as managed care rules and practices.
- To ensure a smooth admission experience for patients by coordinating clinical needs with operational processes and insurance benefits.
- Ensures the patient is at the most appropriate level of care for the expressed severity of illness and level of services required.
- Applying national guidelines and clear communication with physicians.
- Assists in easy access to incoming patients by arranging transportation when necessary, coordinating services, and notifying points of entry of patient's impending arrival.
- Queries the admitting physician for additional information as needed to meet medical necessity for admission or appropriate level of care.
- Refers cases to physician advisor for any outlier cases.
- Coordinates admission with registration staff to obtain accurate patient demographics as indicated.
- Refers appropriate cases to patient financial services, risk, peer review, infection control and patient relations.
- Knowledgeable of the available outpatient resources and sites of care within the organization for referral to lesser levels of care when appropriate.
- Coordinates patient activity and flow or movement between levels of care.
- Identifies potential throughput barriers and acts proactively to inform and alert upper management of anticipated delays.
- Reviews clinical against Milliman criteria to help determine patient class and level of care needed.
- Confers with MD to discuss clinical and appropriate level of care when needed.
- EOE Minorities/Women/Disabled/Veterans.
- VEVRAA Federal Contractor.
Qualifications
Required:
- At least two to five years patient care experience in a hospital setting.
- BSN required for all new hires as of 1/1/2011.
- Able to multi task quickly, and process multi factoral stimulation accurately.
- Requires critical thinking skills, decisive judgment, and the ability to work with minimum supervision.
Preferred:
- Past experience in admissions, utilization review activities, discharge planning, and/or case management.
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) 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.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
