Geisinger Health System Clinical Access Specialist Registered Nurse in DANVILLE, Pennsylvania
JOB TITLE: Clinical Access Specialist Registered Nurse
LOCATION: Justin Drive II
DEPARTMENT: Patient Placement Services
WORK SCHEDULE: Days/Evenings
WORK TYPE: Full Time
Performs initial, concurrent and retrospective medical record review (clinical documentation) to determine medical necessity for acute care admission based on the application of nationally recognized acute care criteria, federal and state mandates and regulatory body requirements.
Reports to Director, Care Management / Utilization Review.
COMPETENCIES AND SKILLS:
Demonstrates knowledge of payor practices and regulatory mandates.
Demonstrates exceptional ability to retrieve clinical information from medical chart/documentation.
Demonstrates working knowledge of third party payers and pre-certification process.
Demonstrates the ability to review medical clinical documentation for sustained periods of time with high level of concentration.
Demonstrates the ability to collaborate with other members of the healthcare team and
providers in a positive, professional, progressive and assertive manner.
Demonstrates excellent written and oral communication skills.
Demonstrates computer literacy.
EDUCATION AND/OR EXPERIENCE:
RN license or eligible for licensure in the state of Pennsylvania required. Bachelor’s degree in nursing preferred.
Minimum 3 to 5 years acute care experience required.
Experience with Utilization Review preferred.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office or clinical environment.
Must allow for 7 days per week, 24 hour per day scheduling.
Weekend, holiday rotation, and on call may be required.
Flexibility in site or work.
Travel may be required.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION : We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org , or connect with us on Facebook at http://www.facebook.com/geisingerhealth , Instagram at https://www.instagram.com/geisingerhealth/ , LinkedIn at https://www.linkedin.com and Twitter at http://www.twitter.com/geisingerhealth .
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.