• Medication Authorizations Nurse Manager

    Posted Date 1 week ago(12/7/2018 5:50 PM)
    Requisition ID
    2018-45418
    Category
    Nursing - Outpatient
    Position Type
    Regular Full-Time
    Department
    MYEL Myeloma Insurance
    Shift
    Day Shift
    Post End Date
    12/22/2018
  • Overview

    Schedule: Full-Time, 8:00am - 4:30pm

     

    The Medication Authorizations Nurse Manager is responsible for managing a team of nurses, coders and insurance benefit reps that are tasked with obtaining prior authorizations on chemotherapy medications.  As well as, actively partners with physicians and service line staff to ensure timely authorizations are obtained, work on appeals for denied charges in relation to high dollar medications.

     

    Responsibilities

    Under the direction of the Practice Manager, the Nurse Manager models integrity and ethics. Instrumental in cultivating a positive team approach. Inspires a shared strategic vision and purpose. Manages medication authorization nursing staff as well as insurance verification staff on a daily basis, including scheduling, duty assignments, disciplinary actions, and ongoing and annual evaluations. Is responsible for maintaining productivity standards and managing within defined budget. Maintains good human relations by interacting appropriately and professionally during conflict or stressful situations in a manner that facilitates constructive resolutions. Participates in selection, interviewing, hiring and orientation of new nursing staff (licensed and unlicensed). Ensures that staff understand hospital wide policies and procedures, safety and disaster plans and respond to them appropriately. Serves as a mentor and encourages individual growth for all direct reports. Coaches staff and holds them accountable to effective prioritization of duties, management of time, critical decision-making, scope of practice, role fulfillment and appropriate documentation. Maintains up-to-date knowledge of front line processes. Is operationally responsible and must be accessible for 24x7 services if provided by the team they manage.

     

    Qualifications

    Required: Graduate of an accredited Nursing Program with Bachelors in Nursing, or Master's in Nursing.  Valid RN License, 1 year of Registered Nursing Oncology and/or Case Management experience.  Excellent communication skills, basic computer skills, strong work ethics and accountability.

     

    Preferred: 2 years or more nursing experience with current BLS.  Experience working with insurance companies and chemotherapy medications.

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