Nurse Liaison
Location: Pittsburgh Pennsylvania
Description: UPMC is at the momment seeking for Nurse Liaison right now, this occupation will be placed in Pennsylvania. Further informations about this occupation opportunity kindly see the descriptions. UPMC Oncology Hematology Associates is hiring a full-time Nurse Liaison to help support the OHA00-Hillman Department for its UPMC Cancer Centers Shadyside location. The Nurse Liaison initiates the clinical man! agement effort in coordination with multi-disciplines in order to effectively influence attainment of desired clinical outcomes and promotes a collaborative healthcare intake process and facilitates proper allocation of resources. The Nurse Liaison serves as functional team leader to Pre-Arrival and Scheduling Representatives. The position will work Monday through Friday, standard daylight hours.
Responsibilities
- Assist in the design and implementation of a program that elicits desired outcomes on an organizational level.
- Interpret third party payor contract requirements and recommend, design and implement procedures for compliance with regulations and standards.
- Negotiate with insurance vendors, medical directors, and third party payors when appropriate in order to facilitate the delivery of care in the most appropriate setting.
- Maintain knowledge of SI/IS criteria for commercial, Medicare, and Medicaid insurance produc! ts.
- Interpret complex medical data to analyze applica! bility of review criteria to ensure optimal patient care while maximizing reimbursement.
- Demonstrate patient assessment skills and knowledge of patient acuity levels.
- Use knowledge of insurance criteria and regulations in order to expedite appropriate use of resources and compliance with third party payer contracts.
- Interpret insurance contract guidelines and expectations and make recommendations for compliance.
- Communicate and work with physicians, physician office personnel, associates, case managers, third party payer review personnel, and others in order to expedite the intake/utilization review process to avoid negative financial impact on the facility.
- Display dynamic communication skills (verbal and written) in dealing with trainees, associates, and internal/external customers.
- Handle a high degree of pressure, heavy workloads, multiple requests, numerous interruptions, and short deadlines in a positive manner, es! tablishing priorities for effective work completion.
- Adapt quickly to changing conditions, assimilating new processes into job functions and taking ownership.
- Display effective time management and organizational skills to identify, prioritize and reach goals and objectives faster and easier, cope with multiple demands in a timely manner, and overcome changing priorities.
- Bachelor's Degree from an accredited school of nursing/allied health preferred.
- Three to five years of progressive nursing in an acute care setting with at least one year of experience in utilization review or managed care required.
- Extensive knowledge of clinical symptomology and related treatment required.
- Knowledge of 3rd party payer review criteria.
- Patient assessment skills and knowledge of patient acuity levels.
Registered Nurse
CPR within 30 days of ! beginning employment
Salary Range:
24.06
3! 2.06
40.07
UPMC is an equal opportunity employer.
- .
If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to UPMC.
If you interested on this occupation just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Wed, 09 Oct 2013 02:22:42 GMT
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.