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Hospital Admitting Nurse Onsite Part Time Days
2 months ago
Job Summary:
The Hospital Admitting Nurse Onsite Part Time Days will play a critical role in facilitating patient medical and financial clearance, utilizing nursing knowledge, clinical judgment, and communication skills to resolve difficulties surrounding patient access and authorization of services.
Key Responsibilities:
- Consistently and accurately utilize medical acceptance criteria to screen Emergency Room patients, ensuring optimal efficiency in patient Access operations.
- Perform clinical review of all inpatients to determine medical acceptance following the Miliman guidelines, communicating with patients and physicians who fail to meet medical criteria for acceptance.
- Utilize excellent oral communication and listening skills to communicate with patients, physicians, and clinical staff regarding obstacles to access or financial clearance.
- Respond to voicemails within one business day and answer phone calls in a timely manner.
- Completely and accurately document communications with payors, patients, and the treatment team.
Requirements:
- Minimum four years related experience, including 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.
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
About Guidehouse:
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
