Appeals and Denials RN
Appeals and Denials RN
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Salary Not Disclosed
1 Vacancy
Job Description
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Closing Date:
Type of Position:
Clinical Staff - Nursing
Job Type:
Regular
Work Shift:
Sponsorship Available:
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 $50000
- 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 theApply link/button.
The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law including age race color national origin disability religion protected veteran status military service genetic information sex sexual orientation or pregnancy. Questions or concerns about the application of Title IX which prohibits discrimination on the basis of sex may be sent to the Universitys 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.
For general application assistance or if you have questions about a job posting please contact Human Resources at .
Department:
ICE CORE PA Cancer Medical Authorization
Departments Website:
Summary of Job Duties:
The Appeals and Denials Nurse is responsible for the efficient and accurate review of medication authorization requests to ensure compliance with national standards. This role involves evaluating requests applying clinical expertise to support high-quality patient care preparing and maintaining documentation and conducting audits of patient records. The nurse will also assist management with various tasks as needed contributing to the overall effectiveness of the medication authorization process.
Qualifications:
Minimum Qualifications:
- Bachelors Degree Associates Degree or Diploma RN with Major: Registered Nurse.
- Minimum of 1 year of RN experience
- Valid Registered Nursing License
- Current BLS
Preferred Qualifications:
- BSN
- Minimum of 3 years of RN experience
- CCM OCN or other oncology related national certification.
- Experience in Prior Authorizations and Billing
- Oncology Experience
- Appeals and Denials Experience
Additional Information:
Responsibilities:
- The Registered Nurse III will promote wellness; improve outcomes and self-care within a defined population of patients.
- The RN III will provide patients who have chronic conditions the support education and assistance in the prevention and/or maintenance of their disease and/or health and wellness state.
- Will work with the individual patient their families and providers of care to develop and implement individual health plans and provide support to the patient in self-management.
- Coordinate care and/or follow-up for patients who receive care in outpatient facilities.
- Coordination of prescription refill requests and patient education coordination in collaboration with physician staff.
- Commitment to patient outcomes results in high levels of performance despite workload changes.
Salary Information:
Required Documents to Apply:
Optional Documents:
Special Instructions to Applicants:
Recruitment Contact Information:
Please contact for any recruiting relatedquestions.
All application materials must be uploaded to the University of Arkansas System Career Site
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
Frequent Physical Activity:
Grasping Reaching Standing Walking
Occasional Physical Activity:
Crouching Kneeling Lifting Pulling Pushing Stooping
Benefits Eligible:
YesEmployment Type
Full-Time
