Po siti on Hi ghli ghts: - Position: Staff Nurse – Cross Care Continuum - Location: Evanston Hospital - Full Time/Part Time: Full Time - Hours: Days with Rotating weekends - Required Travel: N/A What you will need: - License: Current professional Nursing Licensure in the State of IL required - Education: Graduate of a NLN accredited school of nursing required; BSN strongly preferred - Certification: BLS/CPR Certification for the Healthcare Provider required - Experience: Prior nursing experience The purpose of this job: - Minimum of 2 years recent acute care nursing experience required; 1 year of care management experience or 2 years of critical care experience preferred. Previous experience in Utilization Management, Managed Care or chronic disease management highly preferred. Experience with Electronic Medical Record (EMR) platform preferred. Knowledge of InterQual or MCG criteria is preferred. What you will do: - Facilitates payor authorization processes and ensures that the patient type assigned is accurate. - Facilitates the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement. - Works with the CDI team to ensure that documentation accurately reflects severity of illness and intensity of service. - Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient progression. - Addresses/resolves system problems impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge so that length of stay is optimized. - Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge. - Monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective. NorthShore University HealthSystem (NorthShore) is an integrated healthcare delivery system consistently ranked as a Top 15 Teaching Hospital in the U.S. The NorthShore system, headquartered in Evanston, Ill., includes six award-winning hospitals – Evanston, Glenbrook, Highland Park, Northwest Community Skokie, and Swedish. NorthShore comprises three exemplary physician networks, totaling more than 4,250 doctors across immediate, primary, specialty and complex care; and 170+ office locations and 35+ immediate care centers. NorthShore has an established reputation with more than 17,000 team members system-wide. NorthShore is committed to excellence in its academic mission and supports teaching and research as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore was the first health system in Illinois to receive Magnet® designation—the highest, most prestigious honor that demonstrates excellence in nursing and high standards in patient care. The system earned Magnet re-designation in 2019. When you work for NorthShore, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. At NorthShore University HealthSystem, diversity, equity and inclusion are at the core of our mission to support our team members and patients - irrespective of race, ethnicity, age, gender, sexual orientation or socioeconomic status. We believe that by recognizing and embracing our differences we create an organization that welcomes all to contribute and grow. We invite all candidates to our team, as we continue to build on the incredible value our diverse talent brings to our organization, our community and our patients. Please explore our website (www.northshore.org) to better understand how NorthShore delivers on its mission "to preserve and improve human life" through superior clinical care, academic excellence and innovative research. NorthShore is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor. #ZRN HEC #COREHIRE