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UTILIZATION MANAGEMENT COORDINATOR - EMERGENCY DEPARTMENT
Cook County Health
| UTILIZATION MANAGEMENT COORDINATOR - EMERGENCY DEPARTMENT Job Number: 00121971 Job Posting : Mar 21, 2019, 9:16:41 PM Closing Date : Ongoing Full-time Collective Bargaining Unit: None Posting Salary: COMPETITIVE Organization: Health and Hospital Systems JOB SUMMARY : LOCATION: JOHN H. STROGER HOSPITAL / INTEGRATED CARE - CHICAGO, IL. SHIFT: VARIES
The Utilization Management Coordinator, Emergency Department (UMC) serves an important role to support Cook County Health & Hospitals System (CCHHS) goals of efficient, effective, patient-centric care. Using the electronic medical record (EMR) and consulting with the treatment team, the UMC determines if the patient is in the appropriate level of care and if clinical milestones are being met in a timely manner. The UMC provides timely feedback to the treatment team and makes appropriate referrals to other care coordination components for those patients who have barriers to discharge or whose condition requires a different level of care. The successful UMC has a sound clinical foundation, knowledge of utilization management, and critical thinking skills to support effective, timely communication regarding case status. This position requires days, evenings and weekend hours.
This position is exempt from Career Service under the CCHHS Personnel Rules. Typical Duties
o Translate signs, symptoms, lab values, diagnostic testing results, to a MCG guideline. For example the UMC is able to discern the origin of shortness of breath based on history, clinical presentation, vital signs and test results to select the appropriate guideline.
o Document all relevant information in case notes
o Detects and documents trends and in clinical and functional status data to assess patient progress
o Readmissions within 30 days
o Failure to meet guidelines (either on initial or concurrent review)
o Multiple social determinants impacting care or treatment
o Active MH or SUD
o Those requiring on-going care coordination
o Managed Care Required care coordination
o Planned re-admission requiring pre-certification
Minimum Qualifications
Preferred Qualifications
VETERAN PREFERENCE PLEASE READ
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must :
OR A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW. Benefits Package
For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/
MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION
*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
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