Call Center Registered Nurse – MOI Orthopedic Clinic – Columbia

University of Missouri Health Care • Columbia, MO

58d • $30 - $44 • Onsite

About The Position

MU Health Care is looking for a dedicated and compassionate registered nurse in to play a pivotal role in delivering exceptional patient care. As a vital member of our team, you will utilize your strong organizational and leadership skills to assess patient needs, implement effective interventions, and create personalized care plans. Join us in upholding the highest standards of nursing care, shaping positive patient outcomes, and making a lasting impact on healthcare.

Requirements

• Missouri Board of Nursing RN or Nurse Licensure Compact multi-state RN. When primary state of residency changes, compact state RNs must apply under new state of residency within thirty (30) days.

Nice To Haves

• Additional license/certification requirements as determined by the hiring department.

Responsibilities

• Determine appropriate clinical details to enter/extract data for scheduling, rescheduling, and/or cancelling exams.
• Entering patient and/or provider data into electronic medical system; maintain physician privilege list and/or payer requirements, etc.
• Maintains and enhances an up-to-date level of knowledge regarding professional telephone nursing practices.
• Proactively provides service recovery as needed; utilizes message center to communicate and resolve scheduling issues with providers/patients.
• Process incoming and outgoing patient and/or clinical staff calls for scheduling, rescheduling, cancellations, and/or conduct phone interviews for pre-procedure screening purposes, as a follow-up of patient discharge, and assessment of real or potential acute chronic health problems, utilizing customer-service-friendly skills and stellar phone etiquette.
• Process verbal and written physician, department, and payer requests by obtaining clinical data for scheduling and certifying services; act as a liaison for provider/patient as necessary.
• As appropriate, maintains low abandonment rate and wait time based on call volume; provides timely follow-up as required; maintains established productivity standards.
• Provides information to providers and/or patients regarding prescribed procedures, medications, and therapies, utilizing appropriate physician consultation; understands and explains medical terminology and procedures; identifies patient, family, physician, organization, and community resources for patients and physician consults and referrals.
• Records, communicates, and documents data from phone calls to ensure a high quality of care, effective continuity of care, and prudent risk management for the organization.
• Validates payer source, obtains pre-certification and/or prior authorization by obtaining clinical data and reviewing insurance eligibility criteria and/or Medicare guidelines, and, as necessary, recommends appropriate level of care.
• May complete unit/department specific duties as outlined in department documents.

Benefits

• Health, vision and dental insurance coverage starting day one
• Generous paid leave and paid time off, including nine holidays
• Multiple retirement options, including 100% matching up to 8% and full vesting in three years
• Tuition assistance for employees (75%) and immediate family members (50%)
• Discounts on cell phone plans, rental cars, gyms, hotels and more

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees