Specialty Nurse- Prior Authorization

Overview

Functions as a clinician, educator and resource for patients within their specialty of care.

Why UnityPoint Health?

• Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
• Benefits – Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
• Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
• Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
• Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.
  
  

Hear more from our team members about why UnityPoint Health is a great place to work at https://dayinthelife.unitypoint.org .

Responsibilities

Key Accountability

• Function as a clinician, educator and resource for patients within their specialty of care
• Triage incoming patients ensuring compliance with established admission/acceptance criteria. Direct appointments and referrals as determined by the current criteria.
• Develop, implement and evaluate the standards of practice and care for the patient population.
• Demonstrates competence in the clinical skills necessary to carry out assigned job duties.
• Responsible for tracking system for follow-up appointments related to office visits, laboratory tests and procedures to regularly follow patients monitoring disease status.
• Answer questions and provide teaching to patients and family members.
• Provide appropriate and timely documentation in the patient’s electronic health record using standardized workflows and processes.
• Thoroughly understand testing (lab and procedures) values and relationship to patient status with accountability to take next steps, as appropriate to scope and licensure.
• Responsible for the development and ongoing coordination of care for patients.
• Act as a consultant both within the institution and to outside agencies or groups.
• Consult with individuals, families, community agencies or colleagues from associated disciplines or with nursing.
• Conduct or facilitate implementation of research studies and translate research findings into nursing practice.
• Preauthorize care/procedures with insurance companies.
• Be aware of what is happening in clinic/department and the organization by attending clinic/department meetings, reading emails and regularly checking information on the organization’s intranet site.
• Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.
• Balance team and individual responsibilities; be open and objective to other’s views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests.
• Perform other duties as requested by Clinic Administrator to facilitate the smooth and effective operations of the office.
  
  

Qualifications

• Current RN licensure to practice as a registered nurse
• CPR certification
• Mandatory Reporter certification
• Area of Interest: Nursing;
• FTE/Hours per pay period: 0.4;
• Department: Cardiology Clinic;
• Shift: 2 days a week;
• Job ID: 122830;