RN - Appointment Business Center

University of Arkansas System•Little Rock, AR

3d•Onsite

About The Position

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. An RN in an Appointment Business Center typically combines nursing knowledge with patient access, scheduling, and care coordination. The nurse helps patients receive the appropriate appointments and services while ensuring their clinical needs are addressed.

Requirements

Graduate of an accredited Nursing Program with Associates Degree, Nursing Diploma, Bachelors in Nursing, or Master's in Nursing
Valid RN License
1 year of Registered Nursing experience
Excellent communication skills
Basic computer skills
Strong work ethics and accountability.
Proof of legal authority to work in the United States on the first day of employment.

Nice To Haves

3 years or more nursing experience
Current BLS.
Current ACLS for Procedural Area

Responsibilities

Coordinates authorization of new prescriptions/Surgeries and refill requests along with patient education coordination in collaboration with physician staff.
Provides medical information for all 3rd party payers (Commercial Insurance, Medicaid).
Develops and maintains knowledge base of pharmaceutical companies policies and procedures, third party payer requirements, and any changes that impact the approval process; maintains current knowledge of all federal and state regulatory mandates and requirements including but not limited to Insurance regulation and requirements, Medicare, Medicaid.
Work Queue review, documentation, and completion.
Successfully completes annual competency test and any additional competency testing required to validate required skills.
Performs retroactive reviews when necessary to verify medical necessity of ordered medication or surgeries.
Communicates findings of reviews verbally or in writing through designated channels in a timely manner.
Acts as resource to provide information /education to UAMS staff on prior authorization review issues.
Participates in and contributes to departmental, hospital, and community in-service and continuing education programs.
Stays current in trends in the industry by referencing of professional literature or publications, including Web-based information.
Maintains current knowledge of Joint Commission guidelines.
Decisions and actions are based on ethical principles on the ANA.
Practices with compassion and respect for the inherent dignity, worth and uniqueness of every patient without restrictions or prejudice.