Silver Cross Hospital

Utilization Review Nurse

• Performs medical record review for severity of illness and intensity of service
• Liaison function with external review agencies to ensure compliance with regulations
• Identifies variance from established pathways
• Collects information from clinical medical record for severity of illness and intensity of service and documents such in clinical database
• Monitors all levels of care for appropriateness and communicates variance
• Evaluates plan of care to ensure it is based on accepted standards
• Provides information to external review organizations
• Refers to designated physician advisor those patients not meeting criteria as well as quality of care concerns
• Maintains knowledge and incorporates current standards into practice

General

• Obtains complete, accurate and relevant patient data for the purpose of registration for the Emergency Department population;
• Completes patient insurance verification;
• Performs copay collection.

Patient Services Registrar

• Leads frontline registration operations while performing high-level registration and administrative functions
• Ensures efficient workflow, staff coordination, and quality performance across the registration team
• Serves as the primary point of contact during assigned shifts, supporting both staff and departmental needs
• Perform advanced registration and administrative duties with a high level of accuracy and efficiency
• Coordinate daily workflow by assigning, organizing, and delegating tasks to registration team members
• Develop staff rotations, including workstation assignments, break schedules, and coverage planning
• Act as the first point of contact for staff support, issue resolution, and interdepartmental collaboration
• Monitor registration quality, identify errors, and provide real-time coaching and corrective feedback
• Provide leadership with feedback on employee performance and development opportunities
• Promote a positive and engaged work culture through clear expectations and recognition
• Maintain ownership of productivity, worklists, and performance metrics
• Ensure compliance with organizational policies, procedures, and regulatory standards
• Model professionalism, strong customer service, teamwork, and patient-centered care
• Demonstrate strong organizational, communication, and follow-up skills
• Maintain flexible availability to support operational needs (Monday–Friday with variable hours)

Patient Services Registrar – Lead

Call Center Representative

• Handle 100+ calls/day
• Assist with scheduling office/lab/nurse appointments
• Take detailed messages based on providers' written protocols
• Use independent thinking to determine urgent vs routine matters

Utilization Review Nurse

Patient Services Registrar

Patient Services Registrar – Lead

Patient Services Registrar – Lead

Patient Services Representative II – Call Center