Nurse Advisor

2 weeks ago


Columbia, South Carolina, United States MU Health Care Full time
About the Job

MU Health Care is seeking a skilled and compassionate Telephone Nurse Advisor to join our team. As a key member of our Digestive Health Center, you will play a vital role in providing exceptional patient care and support over the phone.

Job Summary

This is a full-time position that requires a strong commitment to quality care and excellent communication skills. You will be responsible for providing clinical support to patients and healthcare providers, including scheduling, rescheduling, and canceling exams or surgical procedures.

Responsibilities
  • Determines appropriate clinical details to enter/extract data for scheduling, rescheduling, and canceling exams or surgical procedures.
  • Enters notes for pre-certification and follow-up, including patient discharge surveys by utilizing electronic and telephonic systems.
  • Enters patient and provider data into an electronic system.
  • Maintains physician privilege list and payer requirements.
  • Proactively provides service recovery as needed.
  • Utilizes message center to communicate and resolve scheduling issues with providers/patients.
  • Processes incoming and outgoing patient and clinical staff calls for scheduling, rescheduling, and cancellations.
  • Conducts phone interviews for pre-procedure screening purposes, follows up on patient discharge, and assesses real or potential acute chronic health problems.
  • Provides information to providers and patients regarding prescribed procedures, medications, and therapies, by utilizing appropriate physician consultation.
  • Records, communicates, and documents data from phone calls to ensure a high quality of care, effective continuity of care, and prudent risk management for the organization.
  • Validates payer source and obtains pre-certification and prior authorization by obtaining clinical data and reviewing InterQual criteria and Medicare guidelines, and, as necessary, recommends appropriate level of care.
Requirements
  • Missouri Board of Nursing RN or Nurse Licensure Compact multi-state RN.
  • One (1) year of RN experience.
About MU Health Care

MU Health Care is a growing academic health system in mid-Missouri comprised of multiple hospitals - including the region's only Level 1 Trauma Center and region's only Children's Hospital - and over 90 specialty clinics located throughout the region.

As an MU Health Care employee, you'll be part of an exceptional team committed to our mission of saving and improving lives.

Our core values of inclusion, respect, service, discovery, responsibility, and excellence foster a collaborative work environment where you can grow your career.


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