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Surgical Clinical Reviewer-RN

 

Advocate Christ Medical Center is part of Advocate Health Care, one of the nation’s leading health care networks. A not-for-profit, 749-bed, premier teaching institution with more than 1,200 affiliated physicians, Christ Medical Center is one of the major referral hospitals in the Midwest for a number of specialties, including cancer care; cardiovascular services; heart, kidney and lung transplantation; neurosciences; orthopedics; and women’s health. The hospital provides emergency care for more than 100,000 patient visits annually and has one of the busiest Level I trauma centers in Illinois.

 

 

We help people live well.

Surgical Clinical Reviewer-Monday-Friday-Start times flexible between 8 an 9am , Full time, Located at Christ Medical Center

BSN, 4 years Surgical Nursing experience and Coding experience preferred.

 

Position Requirements:
BSN from an accredited school of nursing
Minimum four (4) years experience surgical nursing experience preferred
Knowledge of continuous quality improvement principles and processes preferred

Computer and Internet skills and experience required. Familiarity with MS Office products is essential
Database entry and/or management experience preferred
Statistical knowledge preferred
Quality improvement or patient safety knowledge and experience preferred
Clinical chart review and abstraction experience required
Good time management and organizational skills to prioritize and meet deadlines
Must be detailed oriented and committed to data accuracy
Current Illinois RN license
CPR

Resiliency and flexibility to deal with a changing environment
Ability to work in a fast paced environment with established time constraints
Innovative, self motivated and detailed oriented
Ability to travel for work related objectives
Ability to work at a computer station for up to 40 hours/week
Ability to communicate and interact with all members of the surgical team, administrative staff and patients/patient families in a professional and courteous manner
Ability to travel locally

If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case~by~case basis.

Purpose:
The Surgical Clinical reviewer RN is responsible for insuring the overall quality and completeness of clinical documentation, including appropriate level of care for scheduled inpatient and outpatient procedures. To facilitate the modification of the clinical documentation through concurrent interaction with physicians and their office staff. Maintains reports identifying successes and opportunities for improvement in service line and physician education. Presents findings to the patient care team.



Accountabilities:
Medical record to ensure appropriateness of the procedure, medical necessity and completeness of documentation.
Liaison function with internal departments, physicians and their office staff to insure compliance with regulations and requirements affecting reimbursement to the hospital.
Performs analysis of data collected to identify improvement opportunities
Maintains integrity of data and measures outcomes for performance improvement
Responsible for development and professional growth and practice

About Advocate Health Care

 

Advocate Health Care, named among the nation’s Top 5 large health systems based on quality by Truven Analytics, is the largest health system in Illinois and one of the largest health care providers in the Midwest. Advocate operates more than 250 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, the state’s largest emergency and Level I trauma network, one of the area’s largest home health care companies, and the region’s largest medical group. Advocate Health Care has 4 teaching hospitals and is a not-for-profit, mission-based health system affiliated with the Evangelical Lutheran Church in America and the United Church of Christ.

Posted
09/26/2020
Salary Range
$44,000.00 - 120,000.00
per Year
Salary range estimated by
Location
Oak Lawn, IL 60453, US