"Alerted.org

Job Overview

Process appropriate infusion therapy referrals by checking benefit information and acquiring initial authorization as needed to begin patient service or to seek an alternate plan when services are not covered. Communicate effectively with contacts to assure appropriate admission to Fairview Home Infusion services.

Responsibilities

+ Initiate calls to receive prior authorization information for services prior to service delivery

+ Takes initiatives to problem solve all questionable referrals to assure appropriate infusion therapy admissions and identify payer sources

+ Follow up on pending unresolved coverage issues. Document and communicate to appropriate providers and internal departments accurate clinical information, benefit/authorization, and reauthorization information on current or potential patients. Utilize computer (CPR +/Pathways) to enter and maintain accurate/real time physician orders, patient benefit information and to effectively communicate with referral staff, liaisons, social workers, physicians, clinics, HCH teams or departments, case managers, staffers, billing/benefit staff and all others needing to make service-related decisions.

+ Coordinate the delivery of nursing services for infusion therapy when the patient resides outside the Twin City metropolitan area.

+ Responsible for identifying and contracting with appropriate nursing agencies that will deliver care to patients that receives infusion therapy services. Responsibilities include coordinating discharge planning, educating patients/caregivers, educating appropriate home care agencies, serving as a resource to referral sources and providing necessary follow-up to involved parties. Utilizes clinical expertise and advanced nursing skills in providing quality infusion therapy services to patients.

+ Clinical resource for all nursing issues related to patients in service at FHI.

+ Assure fast, easy access to FHI services as an expert infusion therapy resource for referral sources, nursing agencies, patients and FHI staff.

+ Identify and contract with nursing agencies outside the metropolitan area that will provide quality nursing care to patients who receive infusion therapy services from Fairview Home Infusion.

+ Provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.

Required Qualifications

+ Graduate of an approved school of professional registered nursing

+ Has access to and responsibility for patient medical records and must use and promote discretion in disclosure of patient information.

+ MN Registered Nurse (RN) License

Preferred Qualifications

+ Bachelors Degree in Nursing

+ Computer database management, keyboarding, email/GroupWise experience

+ OCN or CRNI

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status