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Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope.
• Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial trends and developes remediation plans and/or workflow resolutions
• Analyze CPT codes with payer policy change to ensure teams stay abreast to all relevant payer policy updates and pre authorization standards
• Collaborate with Revenue Cycle University to develop annual CLN’s and quality assurance processes for Insurance Specialists
• Develops and monitor EPIC reports and work queues to ensure timely response to denied cases and appeals and provides follow-up on cases until resolution has been achieved
• Presents denial metric driven information and workflow opportunities to Patient Access Leadership
• Develops and maintains positive, collaborative, supportive working relationships with all members of the organization
• Daily management of assigned Epic work queues to include DNB and retro authorization
• Assist in the on-going support of data collection, analyzation, and developing/implementing new strategies to ensure an effective authorization/scheduling process
• Participate in development of documents to drive quality improvement, including the design of quality monitoring forms and quality standards. Document and update process, procedures, guidelines, and training materials responsible for optimizing complex scheduling protocols, provider template build, and ad hoc and routine report generation.Serve as a Subject Matter Expert on all area’s within the scope of HCA Precertification.
• responsible for assisting in the design, build, validation, maintenance and support of provider templates for all outpatient scheduling departments.
• recognize and support the templates and fundamentally understand the impact on appointment availability, provider productivity, clinic work flow, clinic staffing, expense and revenue.
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The Clinical Educator II is a nursing professional who is responsible for a variety of training and developmental duties in healthcare. The Clinical Educator II possesses master-level competencies to ensure nurses and unlicensed assistive personnel have the skills and training to succeed in their individualized units or specialty.
The Registered RN is a professional care-giver who, as a member of a multidisciplinary
health care team, assumes responsibility and accountability for a group of patients for a
designated time frame and who supervises and provides care to these patients utilizing the
nursing process including the therapeutic use of self.
Follows established policies and procedures.
Communicates openly with internal customers and supervisors.
Provides excellent customer service interfacing well with all levels of staff, management
and physicians.
Applies Cooper core values.
Other duties as required
Functions in the role of providing a safe environment for patients requiring close observation. Assists in providing direct, indirect, and non-patient care responsibilities. Contributes to quality patient care by serving as a significant member of the health care team.
NEW COMPETETIVE RATES!
Interviews and screen patients prior to MRI procedures to ensure there are no safety
concerns/contraindication.
Performs MRI procedures following the protocols established by the Radiologists.
Begins studies, transfers images, documents patient history and completes studies in
EPIC/ EMR and PACS system
Experience with Cardiac and Pediatrics preferred.
Siemens experience preferred.
Able to correctly apply MRI compatible monitoring system/IV infusion pump to patients
when necessary.
Excellent organizational skills and communication skills needed to effectively orchestrate
daily workflow of patients.
THIS POSITION REQUIRES ROTATING WEEKENDS*
Join an administrative team that supports the Inspira Vineland/Mullica Hill campus .
The position primary provides administrative and clerical support.
Strong computer (Microsoft Office) & communications skills are a must.
Basic analytical support plus database creation and maintenance will be required.
Extreme attention to detail & multi-tasking necessary. Proficiency/Experience with hospital systems preferred.
Provides assessments, (crisis intervention), social work consultation, referrals, short term
counseling to facilitate discharge planning, and complex discharge planning for patients and
their families.
Functions as a member of the Utilization Management
Support and participates in the Patient-centered Medical Home (PCMH) concepts of team- based care.
Assess, plan, implement, coordinate, monitor and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the continuum.
- Delivering direct patient care in primary care office
- Perform Nurse Triage for patients calling the office
- Perform all direct patient care within the scope of an RN
- Participate in PCMH activities which include but are not limited to: hospital discharge follow-up, care planning, coordination of services, and communication between care providers
- Collaborate with patient’s medical/health and community-based providers to establish mutual goal-setting including patients and their families/caregivers, utilizing self-management tools.
- Provide outreach, care management and education for disease self-management per patient centered goals.
- Identify, document, and mitigate patient barriers to improved outcomes.
- Conduct assessments, develop nursing treatment plans and interventions and set goals for treatment plans/behavioral modifications within the scope of licensure in collaboration with other care providers.
- Assists physicians and other team members in developing and implementing evidence based practices and care plans for target health populations.
- Collect data on quality metrics and track as required for improvement efforts.
Participate in process/quality improvement initiatives to achieve targets as defined by organizational/department goals and objectives.
Support and participates in the Patient-centered Medical Home (PCMH) concepts of team- based care.
Assess, plan, implement, coordinate, monitor and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the continuum.
- Delivering direct patient care in primary care office
- Perform Nurse Triage for patients calling the office
- Perform all direct patient care within the scope of an RN
- Participate in PCMH activities which include but are not limited to: hospital discharge follow-up, care planning, coordination of services, and communication between care providers
- Collaborate with patient’s medical/health and community-based providers to establish mutual goal-setting including patients and their families/caregivers, utilizing self-management tools.
- Provide outreach, care management and education for disease self-management per patient centered goals.
- Identify, document, and mitigate patient barriers to improved outcomes.
- Conduct assessments, develop nursing treatment plans and interventions and set goals for treatment plans/behavioral modifications within the scope of licensure in collaboration with other care providers.
- Assists physicians and other team members in developing and implementing evidence based practices and care plans for target health populations.
- Collect data on quality metrics and track as required for improvement efforts.
Participate in process/quality improvement initiatives to achieve targets as defined by organizational/department goals and objectives.
Collaborates with providers in the development, implementation, and evaluation of protocols and processes for the management of target populations that result in improved patient outcomes.
Schedules and maintains independent patient schedule of appointments
Delivering direct patient care in primary care office performing physicals and other care in the scope of RN.
Perform Nurse Triage for patients calling the office
Evaluates aspects of each patient’s condition, diagnoses, medications and support systems to formulate an individualized plan which will lead to successful outcomes in medication self-management, use of a patient-centered record, appropriate primary care and specialist follow-up.
Serves as a guide to the patient and/or family/care, coaching the patient in addressing critical issues and self-management tasks families to achieve maximum levels of wellness and independence.
Coordinates clinical aspects of Medical Home practice across the Cooper Care Alliance group. Works closely with treatment team of providers and other clinical staff.
Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in all age groups
Provides information and guidance to the patient and/or family for an effective care transition, improved self-management skills and enhances patient-practitioner communication
Confers, as appropriate, with providers and other members of the healthcare team regarding the medical plan of care, and post-acute care needs.
Fosters communication among clinical treatment team, patient, family and post-acute providers.
Maintains a working knowledge of, and adheres to applicable federal/state regulations including, but not limited to, laws related to patient confidentiality, release of information and HIPAA.
Performs all duties and responsibilities in accordance with the Nurse Practice Act and in accordance with basic principles and guidelines of professional nursing.
Meets established standards for Registered Professional Nurses continuing education annually.
Responsible for the facilitation and coordination of safe and comprehensive care to all patients presenting to Moorestown/Oncology Multidisciplinary sites. This Oncology Nurse Coordinator is a professional care-giver who, as a member of a multidisciplinary health care team, assumes responsibility and accountability for a group of patients for a designated time frame and who provides care to these patients utilizing the nursing process including the therapeutic use of self.
Clinical application of the knowledge and skill in the following areas: Pharmacology, principals and application of chemotherapy administration, side effects and appropriate nursing intervention, chemotherapy, liaison for patients/families receiving treatment.
This Oncology Nurse Coordinator III will be required to work in multiple areas within Oncology.
Leadership may be remote; requires ability of expanded problem-solving, critical thinking and decision-making at a supervisory level. Will have the unique opportunity to assist in the development and operations of the Cooper Moorestown Multidisciplinary site.
This model focuses on the acute/immediate care needs in the Moorestown and surrounding areas.
Excellent customer service, interpersonal and clinical skills are required.