RN - Neuro Prior Auth (uasys)

uasys    Little Rock    2024-12-11

Job posting number: #161283 (Ref:R0065512)

Job Description

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View Orignal JOB on: nursingjobs.site

 


Closing Date:

01/10/2025


Type of Position:

Nursing (Non-Classified)


Job Type:

Regular


Work Shift:

Day Shift (United States of America)

Sponsorship Available:

No


Institution Name:

University of Arkansas for Medical Sciences


The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
 

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

  • Health: Medical, Dental and Vision plans available for qualifying staff and family
  • Holiday, Vacation and Sick Leave
  • Education discount for staff and dependents (undergraduate only)
  • Retirement: Up to 10% matched contribution from UAMS
  • Basic Life Insurance up to $50,000
  • Career Training and Educational Opportunities
  • Merchant Discounts
  • Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening.  To apply for the position, please click the Apply link/button.

The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

At UAMS we value Diversity, Equity and Inclusion.
 

For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.


Department:

ICE | CORE PA ABC Nurses


Department's Website:


Summary of Job Duties:

This RN position primarily focuses on coordinating patient care, ensuring the authorization of prescriptions, surgeries, and refills, and providing education in collaboration with physicians. Responsibilities also include maintaining knowledge of third-party payer policies, conducting retroactive reviews, and offering support and education to staff on prior authorization matters. The role emphasizes nursing ethics, with a commitment to safe, compassionate care, while collaborating with interdisciplinary teams and contributing to leadership and staff development. Additional duties include participation in professional practice, unit activities, and maintaining strong customer service through effective communication and collaboration.


Qualifications:

Minimum Qualification:

  • Graduate of an accredited Nursing Program with Associates Degree, Nursing Diploma, Bachelors in Nursing, or Master's in Nursing

  • Valid RN License

  • 1 year of Registered Nursing experience

  • Excellent communication skills

  • Basic computer skills

  • Strong work ethics and accountability.

Preferred Qualifications:

  • 3 years or more nursing experience

  • Current BLS.

  • Current ACLS for Procedural Area


Additional Information:

RESPONSIBILITIES:

  • Coordinates authorization of new prescriptions/Surgeries and refill requests along with patient education coordination in collaboration with physician staff.

  • Provides medical information for all 3rd party payers (Commercial Insurance, Medicaid).  

  • Develops and maintains knowledge base of pharmaceutical companies policies and procedures, third party payer requirements, and any changes that impact the approval process; maintains current knowledge of all federal and state regulatory mandates and requirements including but not limited to Insurance regulation and requirements, Medicare, Medicaid. 

  • Work Queue review, documentation, and completion.

  • Successfully completes annual competency test and any additional competency testing required to validate required skills. 

  • Performs retroactive reviews when necessary to verify medical necessity of ordered medication or surgeries. 

  •  Communicates findings of reviews verbally or in writing through designated channels in a timely manner.

  • Acts as resource to provide information /education to UAMS staff on prior authorization review issues.

  • Participates in and contributes to departmental, hospital, and community in-service and continuing education programs.

  • Stays current in trends in the industry by referencing of professional literature or publications, including Web-based information.

  • Maintains current knowledge of Joint Commission guidelines.  

  • May perform other duties as assigned


Salary Information:

Commensurate with education and experience"


Required Documents to Apply:

License or Certificate (see special instructions for submission instructions), List of three Professional References (name, email, business title), Resume


Optional Documents:

Proof of Veteran Status


Special Instructions to Applicants:


Recruitment Contact Information:

Please contact askrecruitment@uams.edu for any recruiting related questions.


All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS  

Please do not send to listed recruitment contact.


Pre-employment Screening Requirements:

Annual TB Screening, Criminal Background Check


This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity.  The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. 


Constant Physical Activity:

Feeling, Hearing, Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting, Talking, Walking


Frequent Physical Activity:

Grasping, Reaching


Occasional Physical Activity:

Crouching, Kneeling, Sharps, Standing, Walking


Benefits Eligible:

Yes

Employer Info

Job posting number:#161283 (Ref:R0065512)
Application Deadline:2025-01-10
Employer Location:uasys
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