RN-Prior Authorization/Referral Procedure and Insurance Coor

RN, Prior Authorization / Referral / Procedure and Insurance Coordinator - Hematology Oncology Clinic

UnityPoint Health Des Moines - John Stoddard Cancer Center

Shift: Full-Time, Monday-Friday, 8a-4:30p

Benefits Eligible

Functions as a clinician, educator and resource for patients within their specialty of care and up to their licensure in scope of practice. Facilitates all facets of the patient referral process and pre-authorization of insurance payments prior to appointments.

At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.
• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.
• With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

• Coordinates and develops ongoing patient care, including appointments, communication, and instruction.
• Function as a clinician, educator and resource for patients within their specialty of care.
• Assist provider and clinical staff with patient prep for examinations, treatments, and minor clinic procedures.
• Delivers high quality care utilizing the nursing process while demonstrating knowledge and clinical skills in accordance with established policies, procedures, and standards of care throughout the clinic and across the health care continuum.
• Maintain flexibility by demonstrating an ability and willingness to perform a variety of duties and accept changes or additions to assignments.
• Thoroughly understand testing (lab and procedures) values and relationship to patient status with accountability to take next steps, as appropriate to scope and licensure.
• Utilize critical thinking in making independent judgements and maintains responsibility and accountability for the knowledge of conditions of assigned patients.
• Builds and maintains positive working relationships with patients, physicians, and all others.
• Perform other duties as requested by Manager of Oncology Services to facilitate the smooth and effective operations of the hosp/clinics.
• Maintains knowledge of clinical protocols to facilitate timely and complete work up of patients.

Education:

• Graduate of an accredited program in professional nursing
• BSN degree preferred

Experience:

• Two years of nursing experience required
• Five years of nursing experience preferred
• Two years of experience in the oncology setting preferred
• Experience with insurance verifications/pre-authorizations preferred

License(s) / Certification(s):

• Current licensure in good standing to practice as a Registered Nurse in Iowa
• Valid driver's license when driving any vehicle for work-related reasons
• Basic Life Support (BLS) certification or obtain certification within three months from date of hire
• Mandatory Report Certification

Knowledge / Skills / Abilities:

• Excellent customer service and communication skills. Organized with attention to detail. Familiar with office equipment and proficient in computers
• Strong verbal and written communication skills
• Ability to take initiative and exercise independent judgement, decision-making and problem-solving expertise
• Writes, reads, comprehends and speaks fluent English
• Multicultural Sensitivity
• Critical Thinking Skills
• Customer/patient focused
• Ability to work as a member of a multi-disciplinary team
• Ability to understand and apply guidelines, policies and procedures.
• Ability to direct others, exercise judgement in problem situations.
• Basic knowledge of Current Procedural Terminology (CPT) and International Classification of Disease (ICD-10) coding preferred

Other:

• Use of usual and customary equipment used to perform essential functions of the position