• Nurse-Registered Pre Certification Authorization

    Location US-TN-MEMPHIS
    Posted Date 1 week ago(6/14/2018 10:15 AM)
    Position Code
    23120015
    Day Shift
    Yes
    Night Shift
    No
    Rotating Shift
    No
    Evenings
    No
    Status
    Regular Full-Time
    Department
    HS Centr Pat Acc Ctr
  • Overview and Responsibilities

    Coordinates pre-admission and outpatient registration services for patients across the continuum of care, promoting quality care and effective utilization of resources. Provides leadership when dealing with patient pre-admission functions, including inpatient and outpatient services. Coordinates efforts between departments to ensure accurate pre-certification resulting in timely billing of claims.  Evaluates, accesses, plans and facilitates a plan of care. Some overtime and call back required.  Reports directly to  Director of Centralized Patient Access Center.  Performs other duties as assigned.

    Qualifications

     

    3 years of Clinical Experience

    Advanced communication , conflict management , organizational and planning skills; advanced computer literacy skills

    RN license

     

    Preferred

     

    Experience in Utilization /case management

    Certification in CPHQ, CCM, ACM

    Outpatient diagnostic procedures with obtaining pre-certification/authorization experience.

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