Ambulatory Nursing Supervisor, OBGYN - Full-Time, Days

Be a part of a world-class academic healthcare system at UChicago Medicine as an Ambulatory Nursing Supervisor with our OBGYN team in DCAM - Hyde Park . This position is a 100% onsite opportunity. You will need to be based in the greater Chicagoland area. Experts at the University of Chicago Medicine provide a broad range of general and specialized obstetrics and gynecology services. From preventive gynecologic exams and prenatal care to minimally invasive surgery and high-risk pregnancy care, our team offers the latest advancements in reproductive health and wellness. UCMC/BSD is committed to a patient-centric, efficient health care delivery system that focuses on quality, safety, service, and operational excellence. The Ambulatory Nursing Supervisor is responsible for administrative and patient care activities across two sites and a broad portfolio of pediatric and adult specialty practices. This position provides consistent, unified nursing leadership across Comer Children's Hospital and the Cottage Grove Avenue Clinic, overseeing clinical operations in the following specialty areas: Essential Job Functions Provides unified clinical leadership and direct supervisory oversight of nursing and clinical staff across Comer Children's Hospital and the Cottage Grove Avenue Clinic. Manages Human Resources activities for direct reports including hiring, scheduling, performance appraisals, competency validation, and ongoing performance management. Applies consistent standards of clinical practice and conduct across all specialty practices at both sites. Provides administrative management coverage in the absence of Practice Administrators. Monitors and coordinates patient flow across all specialty clinics at both sites. Ensures that clinical staff are appropriately assessing patients, performing triage, and documenting findings accurately and in a timely manner in Epic. Addresses variation in workflow or documentation standards across specialties to maintain consistency and quality. Confers with physicians and advanced practice providers across all specialty areas concerning the care and treatment of individual patients. Evaluates patient acuity across the full continuum of specialty care (pediatric and adult) on a daily basis and intervenes as needed to ensure patient safety and appropriate clinical response. Works closely with Ambulatory Medical Directors and Practice Administrators at both Comer and Cottage Grove to oversee all quality and safety initiatives. Thoroughly evaluates new procedures, programs, or treatment protocols to address regulatory, compliance, staffing, and equipment needs. Actively participates in UCMC Practice Councils and represents Ambulatory Nursing at multi-site and system-level quality forums. Works closely with Practice Administrators and Medical Directors at both sites to address patient and provider satisfaction concerns. Investigates patient concerns, implements service recovery protocols, and reviews patient educational materials across all specialty areas to ensure adherence to UCMC professional and quality standards. Establishes, coordinates, and maintains comprehensive training and orientation programs for all new clinical personnel at both sites, including Medical Assistants, LPNs, & RNs.. Coordinates onboarding activities across 16+ specialty practice areas with attention to specialty-specific clinical protocols and scope of practice. Coordinates activities with Research Nurses as applicable. Ensures all clinical staff at both sites attend, participate in, and complete mandatory educational programs and in-service requirements per The Joint Commission (TJC/JCAHO) regulations. Monitors compliance and achieves 100% completion of annual competencies. Administers and documents competency testing across all specialty disciplines. Ensures non-clinical and clinical practice staff are communicating effectively across both sites so that patients are roomed in a timely manner, clinical questions are addressed promptly, and referrals between specialty areas are handled efficiently. Serves as an operational liaison between Comer and Cottage Grove site teams. Rounds throughout all specialty practice areas at both sites to inspect the environment of care for cleanliness, maintenance of equipment, supply inventory, and adherence to infection control standards. Monitors telephone pools directed to nursing staff for medication refills and symptom management. Sets standards for callback turnaround times and monitors compliance through Epic pools and messaging. Take corrective action as needed. Performs other duties as requested by senior management. Required Qualifications Bachelor of Science in Nursing Five or more years of nursing experience, with a minimum of two years in a supervisory or leadership capacity in an ambulatory, multi-specialty, or academic medical center setting. Current Illinois Registered Nurse (RN) license Basic Life Support (BLS) certification Preferred Qualifications Master of Science in Nursing, MBA, or MHA Experience leading teams across multiple sites or departments is strongly preferred. Familiarity with pediatric and adult patient populations Nursing leadership or ambulatory care certification (e.g., Ambulatory Care Nursing – RN-BC) Position Details: Job Type/FTE: Full Time (1.0 FTE) Shift: Days - 9:30 am - 6 pm Work Location: Onsite - DCAM - Hyde Park Unit/Department: OBGYN CBA Code: Non-Union

RN

Nurse Associate (RN), Pediatric Allergy/Pulm, Full-Time, Days

UChicago Medicine Hyde Park, IL

$83,470.40 - $155,126.40 / year

Be a part of a world-class academic healthcare system at UChicago Medicine as a Nurse Associate (RN) in our Pediatric Allergy/Pulm Clinic. In this role you will partner with the rest of the clinical team to provide patients the highest quality of care. In this role, the Nurse Associate (RN) is responsible for coordinating diagnostic and therapeutic regimens for a specified group of patients, and maintains cohesiveness between clinical research, physicians, and patients. The Nurse Associate coordinates physician activities with referring physicians, nursing staff, hospital administration, ancillary services, support services, insurance companies and other departments/sections and agencies as needed, and assists the physician with a wide range of activities necessary to manage clinical research programs. In addition, the Nurse Associate functions as a liaison between physicians, patients, and families, assists physicians with bedside procedures, and provides patient care in the clinic with the physician as necessary. Essential Job Functions: Conducts, responds to, follow up on, and triages patient phone calls to the physician as appropriate Assists physician in clinic or procedure area with patient examinations, diagnostic tests and/or therapeutic procedures. Continuously monitors vital signs of patients under conscious sedation throughout procedure Counsels patients concerning lifestyle modifications, medication regimens, side effects, and interactions using an appropriate psychosocial communication level Communicates to clinics coordinators follow-up appointments, ancillary and/or pre-operative testing and scheduling needed for patient Arranges patient admissions; coordinates ordering of tests/procedures with fellows, attendings, and other nursing staff Assists physicians in coordination of research programs by screening patients for acceptance into clinical research and outcome programs. Maintains office file notes, reviews charts, enters data for sectional demographic data base, assists in summarization and analysis of data Required Qualifications: Must have experience working in a community health setting Associate Degree in Nursing; BSN degree or higher preferred. Associate Degree Nurses are required to enroll in a BSN program within six (6) to nine (9) months of hire, and make progress toward and complete their BSN degree within 30 months. ADN nurses receive 100% tuition reimbursement towards a BSN degree from an accredited program. Must be an actively licensed Registered Nurse in the state of Illinois Must have a minimum of two years' experience working as an RN Active BLS certification from the American Heart Association (AHA) Position Details: Job Type/FTE: Full-Time (1.00FTE) Shift: Days, Monday-Friday, 8:30am-4:30pm Work Location: Onsite Unit/Department: Pediatric Allergy/Pulm CBA Code: NNU

RN Manager, Clinical Revenue Integrity and Appeals, Full Time - Days

UChicago Medicine Hyde Park, IL

$124,700 - $145,400 / year

Be a part of a world-class academic healthcare system, UChicago Medicine , as a RN Manager for the Revenue Cycle Department. The Manager, Clinical Revenue Integrity & Appeals is responsible for providing operational leadership and oversight of a team of Registered Nurses dedicated to supporting clinical revenue integrity and reimbursement optimization across the health system. This role oversees nursing staff who partner with physicians, case management, utilization management, patient access, coding, revenue cycle, and payer organizations to prevent avoidable denials and maximize reimbursement through comprehensive clinical review, medical necessity validation, and evidence-based appeal development. The Manager ensures timely, accurate, and compliant review of complex payer requests, third-party audits, prior authorization denials, and post-payment clinical denials. This leader develops standardized processes, monitors performance metrics, identifies denial trends, and collaborates across clinical and revenue cycle departments to improve documentation, reduce revenue risk, and enhance financial outcomes while maintaining compliance with regulatory and payer requirements. This is a system-level leadership position responsible for establishing consistent practices across all hospitals and ambulatory entities within the organization. Essential Functions Provides direct leadership, coaching, and performance management for a team of Registered Nurses responsible for clinical revenue integrity and payer appeal activities. Establishes standardized workflows, productivity expectations, quality standards, and service level agreements for assigned functions. Develops departmental goals, monitors key performance indicators, and implements process improvements to enhance operational effectiveness and reimbursement outcomes. Fosters collaboration between Revenue Cycle, Utilization Management, Patient Access, Case Management, Coding, Clinical Documentation Integrity, Compliance, and physician leadership. Recruits, develops, mentors, and retains a high-performing team while promoting professional development and continuous learning. Serves as a subject matter expert on payer medical necessity requirements and clinical denial prevention strategies. Oversees nursing review of commercial, governmental, and recovery audit requests to ensure accurate and timely clinical responses. Ensures clinical documentation supports billed services and coordinates with appropriate stakeholders to develop audit responses. Identifies recurring audit trends and collaborates with operational and physician leaders to implement corrective actions that reduce future audit exposure. Oversees clinical review of first-level denials for elective services requiring prior authorization. Ensures staff evaluate clinical documentation against payer medical policies and applicable coverage criteria. Directs the preparation of clinically sound reconsideration requests and appeals designed to obtain authorization prior to service whenever possible. Collaborates with Patient Access, Financial Clearance, Scheduling, and clinical departments to minimize avoidable authorization denials and treatment delays. Oversees development of comprehensive clinical appeals for post-service medical necessity denials utilizing evidence-based guidelines, payer policies, physician documentation, and nationally recognized clinical criteria. Ensures appeals are submitted accurately and within payer filing deadlines. Coordinates multidisciplinary efforts to maximize reimbursement for medically necessary services. Coordinates communication between nursing staff, physicians, advanced practice providers, and operational leaders when additional documentation is required to support medical necessity. Facilitates acquisition of supplemental clinical information necessary for peer-to-peer reviews, reconsiderations, and formal appeals. Partners with physician advisors and utilization management leaders to improve documentation practices and reduce preventable denials. Provides education to clinical departments regarding payer expectations, documentation opportunities, and denial prevention initiatives. Ensures all activities comply with organizational policies, payer contracts, CMS regulations, accreditation standards, and applicable federal and state requirements. Conducts quality reviews of clinical determinations, appeal letters, and audit responses to ensure consistency and effectiveness. Analyzes denial trends, appeal success rates, audit outcomes, turnaround times, and financial recovery opportunities. Develops action plans and collaborates with operational leaders to address root causes of recurring denials. Prepares executive reports and dashboards summarizing operational performance, financial impact, and improvement initiatives. Required Qualifications Bachelor's degree in Nursing (BSN) required. Five (5) years of progressive clinical experience in acute care, utilization management, case management, revenue cycle, clinical appeals, or related healthcare operations. Demonstrated knowledge of medical necessity criteria, utilization review, payer authorization requirements, and clinical documentation standards. Experience with commercial and governmental payer appeals, clinical denials, and audit management. Current Registered Nurse (RN) license in good standing required. Certification in Case Management (CCM), Utilization Review (CPUR or equivalent), Revenue Cycle (CRCR, CRCE), or related professional certification preferred. Skills Experience in an integrated health system or academic medical center. Knowledge of CMS regulations, InterQual®, MCG®, and payer medical policies. Strong understanding of medical necessity review, utilization management, payer reimbursement methodologies, and healthcare regulations. Demonstrated ability to interpret clinical documentation and apply evidence-based criteria to support reimbursement. Excellent analytical, problem-solving, and critical thinking skills. Exceptional written communication skills with experience developing persuasive clinical appeal narratives. Ability to build collaborative relationships with physicians, nursing leadership, operational leaders, and payer representatives. Strong project management, organizational, and process improvement capabilities. Proficiency with electronic health records, payer portals, utilization management systems, and revenue cycle applications. Ability to analyze data, identify trends, and translate findings into operational improvements. Position Details Job Type/FTE: Full Time (1.0 FTE) Shift: Days, Monday-Friday Unit/Department: Revenue Cycle Integrity Work Location: Flexible Remote (Will need to commit to being onsite when needed) CBA Code: Non-union

Clinical Nurse Specialist, Full-Time Days

UChicago Medicine Hyde Park, IL

$134,190 - $156,555 / year

Join UChicago Medicine, as a Clinical Nurse Specialist (CNS) in our Nursing Administration department. The Clinical Nurse Specialist (CNS) is a Master's or Doctorate prepared Advanced Practice Nurse with APRN Illinois licensure and certification in a specialty area of nursing. In addition to being the expert clinician in a specialty area, the Clinical Nurse Specialist is also an educator, consultant, researcher, role model, patient advocate, change agent, leader, and cost-effective practitioner. In collaboration with the medical staff and nursing staff, the Clinical Nurse Specialist provides clinical support to improve patient care, engagement and clinical outcomes. The Clinical Nurse Specialist elevates the standard of professional nursing practice at UCM by developing, coaching and mentoring nurses to become expert clinicians and leaders. Essential Job Functions Collaborates with the multi-disciplinary team in the health status assessment, the provision of nursing care, and the development and implementation of the plan of care for patients and families with complex and/or unique patient care needs. Identifies ethical issues in practice and increases awareness of the staff and its impact on ethical decision-making Role models and mentors behaviors to establish an environment that promotes excellence in patient care, ethical decision-making and patient advocacy. Integrates national standards of care, best practice and benchmarking data into policies, procedures, guidelines, protocols, and clinical competencies. Collaborates with the patient, family, and multi-disciplinary team to develop, implement, and evaluate patient education programs based on individual learning needs. Collaborates with leadership team to develop models of contemporary cost-effective patient care. Identifies the expected outcomes of clinical nursing practice, both in general and for specific patient populations; recommends care and operational processes aimed at achieving the defined outcomes; oversees outcomes assessment initiatives. Collaborates to develop appropriate patient care protocols relating to the physical, psychosocial, and developmental needs of neonatal, pediatric, adolescent, adult, and geriatric patients; collaborates with the multi-disciplinary team to educate staff on the utilization of these guidelines and/or protocols; and evaluates the effectiveness of these protocols in nursing practice. Demonstrates leadership in operationalizing the mission, vision, and philosophy of nursing at the University of Chicago Medical Center In collaboration with the leadership team, recommends practice changes and protocols to achieve compliance with standards and regulations of licensing, regulatory, and accrediting agencies. Influences the development of and compliance with medical center policies, procedures and protocols. Role models, teaches, and/or mentors professional nurses in their nursing practice, and accountability for their role within the healthcare team. Initiates or participates in multi-disciplinary teams to develop and implement programs that focus on patient care issues and positive clinical outcomes. Initiates consultation with other members of leadership team to optimize resource utilization and patient care delivery. Demonstrates leadership in creative problem-solving strategies. Uses creative, innovative systems to role model, teach, coach, and/or mentor nursing staff. Enhances staff competence by providing clinical consultation and educational offerings in area of expertise. Assesses staff learning needs, initiates creative learning opportunities for staff i.e. Nursing Grand Rounds, Journal Club, conferences, etc. Assesses care team members' abilities to provide patient education and supports the development of the staff in patient education and engagement. Assesses and evaluates the team members' abilities to transfer learnings into nursing practice with intentional focus on high quality, safe care. Recommends to leadership team the core competencies/minimum credentials and certifications for staff nursing practice in specific areas. Encourages and promotes staff involvement in professional organizations and activities. Collaborates with key hospital and unit leadership in developing and monitoring standards of care and quality indicators based on Hospital CQI data. Develops and implements patient focused CQI tools which assess and evaluate patient outcomes. Communicates relevant research/EBP findings and CQI data to staff. Promotes utilization of research/EBP findings and CQI data by making appropriate recommendations for change in policies, procedures, protocols and practice Implements evidence-based practice findings in clinical practice. Provides mentorship to other health care providers in using and evaluating research findings and CQI data to develop best practice. Provides mentorship to other health care providers in using and evaluating research findings and CQI data to recommend and implement best practices. May participate in independent and/or collaborative research opportunities. Participates in the UCM Nursing and Evidence-Based Practice Research Committee by reviewing research protocols, as appropriate. Consults with leadership group regarding management issues as requested. Consults with patients and the multidisciplinary team to make expert clinical recommendations and appropriate referrals in the development of the treatment plan. Consults in area of clinical expertise to facilitate the achievement of intra- and interdisciplinary best practice. Consults with care team members to recommend solutions to achieve their learning needs. Consults with care team members to tailor the delivery of care to meet the diverse needs and strengths of staff members, patients, and families. Consults with professional and lay personnel within the Hospitals and the community. Fulfills requirements for maintaining advanced practice certification and licensure. Advances the knowledge of the health care community at large and the practice of nursing through presentations, publications, and involvement in professional organizations. Collaborates with the clinical peer group to coordinate educational offerings, establish standards of care, and develop strategies that improve professional clinical practice. Promotes the role and scope of practice of the CNS at local, state, national and /or international levels Performs other duties as requested Required Qualifications Master's Degree in nursing from an accredited program required Application for Credentialing Application for Privileges and Delineation of Privileges, as applicable Preferred Qualifications DNP or PhD preferred Minimum 3 - 5 years’ experience in clinical specialty area Previous experience in advanced practice role preferred Position Details Job Type/FTE: Full-Time, 1.0 FTE Shift: Days Unit/Department: CBA Code: Non-Union

Clinical Nurse Specialist, Full-Time Days

UChicago Medicine Hyde Park, IL

$134,190 - $156,555 / year

Join UChicago Medicine, as a Clinical Nurse Specialist (CNS) in our Nursing Administration department. The Clinical Nurse Specialist (CNS) is a Master's or Doctorate prepared Advanced Practice Nurse with APRN Illinois licensure and certification in a specialty area of nursing. In addition to being the expert clinician in a specialty area, the Clinical Nurse Specialist is also an educator, consultant, researcher, role model, patient advocate, change agent, leader, and cost-effective practitioner. In collaboration with the medical staff and nursing staff, the Clinical Nurse Specialist provides clinical support to improve patient care, engagement and clinical outcomes. The Clinical Nurse Specialist elevates the standard of professional nursing practice at UCM by developing, coaching and mentoring nurses to become expert clinicians and leaders. Essential Job Functions Collaborates with the multi-disciplinary team in the health status assessment, the provision of nursing care, and the development and implementation of the plan of care for patients and families with complex and/or unique patient care needs. Identifies ethical issues in practice and increases awareness of the staff and its impact on ethical decision-making Role models and mentors behaviors to establish an environment that promotes excellence in patient care, ethical decision-making and patient advocacy. Integrates national standards of care, best practice and benchmarking data into policies, procedures, guidelines, protocols, and clinical competencies. Collaborates with the patient, family, and multi-disciplinary team to develop, implement, and evaluate patient education programs based on individual learning needs. Collaborates with leadership team to develop models of contemporary cost-effective patient care. Identifies the expected outcomes of clinical nursing practice, both in general and for specific patient populations; recommends care and operational processes aimed at achieving the defined outcomes; oversees outcomes assessment initiatives. Collaborates to develop appropriate patient care protocols relating to the physical, psychosocial, and developmental needs of neonatal, pediatric, adolescent, adult, and geriatric patients; collaborates with the multi-disciplinary team to educate staff on the utilization of these guidelines and/or protocols; and evaluates the effectiveness of these protocols in nursing practice. Demonstrates leadership in operationalizing the mission, vision, and philosophy of nursing at the University of Chicago Medical Center In collaboration with the leadership team, recommends practice changes and protocols to achieve compliance with standards and regulations of licensing, regulatory, and accrediting agencies. Influences the development of and compliance with medical center policies, procedures and protocols. Role models, teaches, and/or mentors professional nurses in their nursing practice, and accountability for their role within the healthcare team. Initiates or participates in multi-disciplinary teams to develop and implement programs that focus on patient care issues and positive clinical outcomes. Initiates consultation with other members of leadership team to optimize resource utilization and patient care delivery. Demonstrates leadership in creative problem-solving strategies. Uses creative, innovative systems to role model, teach, coach, and/or mentor nursing staff. Enhances staff competence by providing clinical consultation and educational offerings in area of expertise. Assesses staff learning needs, initiates creative learning opportunities for staff i.e. Nursing Grand Rounds, Journal Club, conferences, etc. Assesses care team members' abilities to provide patient education and supports the development of the staff in patient education and engagement. Assesses and evaluates the team members' abilities to transfer learnings into nursing practice with intentional focus on high quality, safe care. Recommends to leadership team the core competencies/minimum credentials and certifications for staff nursing practice in specific areas. Encourages and promotes staff involvement in professional organizations and activities. Collaborates with key hospital and unit leadership in developing and monitoring standards of care and quality indicators based on Hospital CQI data. Develops and implements patient focused CQI tools which assess and evaluate patient outcomes. Communicates relevant research/EBP findings and CQI data to staff. Promotes utilization of research/EBP findings and CQI data by making appropriate recommendations for change in policies, procedures, protocols and practice Implements evidence-based practice findings in clinical practice. Provides mentorship to other health care providers in using and evaluating research findings and CQI data to develop best practice. Provides mentorship to other health care providers in using and evaluating research findings and CQI data to recommend and implement best practices. May participate in independent and/or collaborative research opportunities. Participates in the UCM Nursing and Evidence-Based Practice Research Committee by reviewing research protocols, as appropriate. Consults with leadership group regarding management issues as requested. Consults with patients and the multidisciplinary team to make expert clinical recommendations and appropriate referrals in the development of the treatment plan. Consults in area of clinical expertise to facilitate the achievement of intra- and interdisciplinary best practice. Consults with care team members to recommend solutions to achieve their learning needs. Consults with care team members to tailor the delivery of care to meet the diverse needs and strengths of staff members, patients, and families. Consults with professional and lay personnel within the Hospitals and the community. Fulfills requirements for maintaining advanced practice certification and licensure. Advances the knowledge of the health care community at large and the practice of nursing through presentations, publications, and involvement in professional organizations. Collaborates with the clinical peer group to coordinate educational offerings, establish standards of care, and develop strategies that improve professional clinical practice. Promotes the role and scope of practice of the CNS at local, state, national and /or international levels Performs other duties as requested Required Qualifications Master's Degree in nursing from an accredited program required Application for Credentialing Application for Privileges and Delineation of Privileges, as applicable Preferred Qualifications DNP or PhD preferred Minimum 3 - 5 years’ experience in clinical specialty area Previous experience in advanced practice role preferred Position Details Job Type/FTE: Full-Time, 1.0 FTE Shift: Days Unit/Department: CBA Code: Non-Union

Registered Nurse (RN) - Full-time Nights

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