RN - Appointment Business Center

• 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.

• 3 years or more nursing experience
• Current BLS.
• Current ACLS for Procedural Area

• 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.
• Decisions and actions are based on ethical principles on the ANA.
• Practices with compassion and respect for the inherent dignity, worth and uniqueness of every patient without restrictions or prejudice.

Stand: Frequently

Sit: Frequently

Walk: Occasionally

Bend, crawl, crouch, kneel, stoop or reach overhead: Frequently

Lift and carry weight: 25 lbs

Push and pull weight: 25 lbs

Use hands to touch, handle or feel: Frequently

Talk: Continuously

Hear: Continuously

Taste or smell: Occasionally

Read, concentrate, think analytically: Continuously

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. 

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.