Hospital Admitting Nurse Onsite Part Time Days

1 day ago


Los Angeles, California, United States Guidehouse Full time

Job Summary:

The Hospital Admitting Registered Nurse will facilitate patient medical and financial clearance using nursing knowledge, clinical judgment, and communication skills to assist in resolving difficulties surrounding patient access and authorization of services.

Key Responsibilities:

  • Consistently and accurately utilizes medical acceptance criteria to screen Emergency Room patients in a way to ensure optimal efficiency in the patient Access operations.
  • Performs clinical review of all inpatients to determine medical acceptance following the Miliman guidelines and communicates with patients, and physicians who fail to meet medical criteria for acceptance.
  • Uses excellent oral communication and listening skills to communicate with patient, physician and clinical staff regarding obstacles to access or financial clearance.
  • Responds to voicemails within one business day and answers phone calls in a timely manner.
  • Completely and accurately documents communications with payors, patients, and the treatment team.

Requirements:

  • Minimum four years related experience. To include at least two years experience in nursing or one-year related nursing experience in utilization review/insurance/case management/medical clearance.
  • Graduation from an accredited school of nursing.
  • Current State of California Professional Nursing License (RN)
  • Ability to read and comprehend English.
  • Current BLS certification from American Heart Association OR ability to obtain within 90 days of start.

Preferred Qualifications:

  • Two years experience in utilization review with external payors within a hospital or insurance setting.
  • Highly organized with strong communication skills, oral and written.
  • Confidence to communicate and outreach to other community health care organizations and personnel.
  • Demonstrates sound judgment, decision making and problem-solving skills.
  • Ability to apply principles of process improvement.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program


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