Overview
Order Managment Unit RN Full-time Days Jobs in Remote Work at Northwestern Medicine
Benefits
$10,000 Tuition Reimbursement per year ($5,700 part-time)
$10,000 Student Loan Repayment ($5,000 part-time)
$1,000 Professional Development per year ($500 part-time)
$250 Wellbeing Fund per year($125 for part-time)
Annual Employee Merit Increase and Incentive Bonus
Paid time off and Holiday pay
Pay Starting at: $34.00 + per hour based on experience
Remote work from Illinois, Wisconsin, Indiana, and Iowa
Description
Hours are 8am-4:30pm Monday-Friday
Remote position although a Mandatory 4-6 weeks of in person training Monday-Friday in Grayslake, IL
The Orders Management Unit RN 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:
Responsible for outpatient orders as it relates to completeness of the order, meeting medical necessity and communicating with physician offices for updated orders.
Collaborates with the department manager to develop goals and objectives for area(s) of responsibility which are aligned with the strategic plan and/or organizational goals.
Maintains customer relations within area(s) of responsibility with patients, families, physicians, volunteers and other employees.
Ensures departmental compliance with regulations, statutes and other applicable laws regarding operation and record retention.
Maintains patient satisfaction scores consistent with the organizational goal.
Ensures that orders received are compliant with hospital and regulatory guidelines.
Utilizes the appropriate tools to ensure the ordered service meets medical necessity requirements as defined by Medicare.
Collaborates with clinical departments to ensure that correct Current Procedural Terminology (CPT) codes are used when checking for medical necessity on original and amended orders.
Provides support and teaching to Orders Management Unit (OMU) staff on medical necessity and order management.
Educates referring physicians to improve order completeness.
Participates on clinical teams designed to streamline and automate outpatient order process.
Tracks pending orders and MD queries to ensure timely follow through.
Develops and maintains a proactive communication matrix with identifiable problem-solving feedback loops with Department manager.
Documents focus study trends, processes and other issues surrounding Charge master Referrals
Resource for ABN/waivers within the organization.
Issues and discusses ABNs/waivers to patients, either in person or via telephone respecting patient privacy.
Communicates with ordering physicians medical necessity issues and ABNs/waivers issued.
Performs denial management for infusion cases.
Quality review as evidenced by process improvement projects and documentation assessment for Quality Indicators.
Serves as a resource for physician offices regarding regulatory standards, policies and procedures for outpatient orders.
Serves as a resource for Registration, Scheduling, and Clinical Departments for order completeness, policies and procedures for outpatient orders, medical necessity issues, and regulatory standards.
Assists in processing orders received during high volume times.
Maintains hospital-wide behavioral expectations of Excellence, Integrity, Respect, Teamwork and Innovation.
Qualifications
Required:
Registered Nursing license issued by the St…
Title: Order Managment Unit RN Full-time Days
Company: Northwestern Medicine
Location: Remote Work
Category:
