RN - Appointment Business Center
University of Arkansas for Medical Sciences
Clinical Staff - Nursing
The RN Appointment Business Center role provides professional nursing support to patients through centralized appointment scheduling and access services. The RN uses clinical knowledge to assess patient needs, determine appropriate appointment types and urgency, coordinate care with providers and clinical teams, and ensure patients receive timely access to the appropriate services.
Minimum Qualifications:
- 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.
Additional Information:
- 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.
- Perform other duties as needed.
PHYSICAL REQUIREMENTS
Stand: Frequently
Sit: Frequently
Walk: Occasionally
Bend, crawl, crouch, kneel, stoop or reach overhead: Frequently
Lift and carry weight: 25 lbs
Push and pull weight: 25 lbs
Use hands to touch, handle or feel: Frequently
Talk: Continuously
Hear: Continuously
Taste or smell: Occasionally
Read, concentrate, think analytically: Continuously
Physical Environment: Inside Medical Facility Environment
Salary Information:
Commensurate with education and experience
Required Documents to Apply:
List of three Professional References (name, email, business title), Resume
Optional Documents:
Proof of Veteran Status
Recruitment Contact Information:
Please contact View email address on click.appcast.io for any recruiting related questions.
All application materials must be uploaded to the University of Arkansas System Career Site
Please do not send to listed recruitment contact.
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
Constant Physical Activity:
Feeling, Hearing, Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting, Talking
Frequent Physical Activity:
Grasping, Reaching, Standing, Walking
Occasional Physical Activity:
Crouching, Kneeling, Lifting, Pulling, Pushing, Stooping
Benefits Eligible:
Yes
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