Registered Nurse (RN) - PCU - Progressive Care Unit
Banner Health
Sun City West, AZ
$19-28/hourOverview
- Start DateASAP
Pay
Benefits
- Wellness and fitness programs
- Medical benefits
- Dental benefits
- Vision benefits
- Health Care FSA
- Discount program
- 401k retirement plan
- Health savings account
Qualifications
Description
Primary City/State:
Sun City West, ArizonaDepartment Name:
SCW-PC6-ClinicWork Shift:
DayJob Category:
Administrative ServicesGreat careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities. Apply today, this could be the perfect opportunity for you.
Banner Medical Group Primary Care providers are committed to providing comprehensive care for patients and their family. Our goal is to build lasting relationships with our patients and create personalized care plans with an emphasis on prevention and wellness.
As a Referral Specialist, you'll work collectively with our referral team to complete outgoing referrals for our primary care providers.
Location: Banner Sun City West Primary Care - 14416 W Meeker Blvd Bldg C Suite 200 Sun City West, AZ 85375
Schedule: Mon-Fri 8:30AM-5:00PM
At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care.POSITION SUMMARY
This position is responsible for coordinating referral orders for a continuation of treatment, such as specialty services and diagnostic testing within a primary care practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for tracking and managing all referrals with the intention and outcome to close any patient care gaps, along with providing documentation to promote team awareness.
CORE FUNCTIONS
1. Schedules appointments for specialty physician services and diagnostic testing per provider request and communicates with the patient on a timely basis for all scheduling requirements
2. Acts as a liaison between patients, providers and staff members for patients’ referral and follow up needs. Provides prompt and professional service for the patients by assisting in educating patient/family and assisting patients with external resources when needed.
3. Provides all pertinent clinical information needed for the payor authorization, the facility or specialist prior to the services being rendered by verifying coverage, obtaining authorization and communicating with receiving facilities
4. Tracks and manages all referrals by monitoring outstanding referrals at 30/60/90 day intervals and following up with patients if appointments are not kept
5. Applies knowledge of medical terminology and maintains up to date knowledge of insurance environment. Utilizes internal and external resources to seek knowledge about regulations regarding various payor sources
6. Collaborates with outside referral sources and other community resources. Maintains an updated list of community resources and networks with colleagues to develop additional referral sources
7. This position has frequent communications with patients, physicians, staff, and third party payers. The position must work with and understand the concepts of managed health care and be able to prioritize tasks within established guidelines with moderate supervision
MINIMUM QUALIFICATIONS
High school diploma/GED or equivalent working knowledge.
Possesses 1 year of direct patient interaction/experience in a medical, insurance, or healthcare related industry.
Knowledge of HIPAA regulations. Strong customer service focus and willingness to problem solve. Effective verbal and written communication skills and the ability to manage competing priorities. Must be proficient with commonly used office software.
Employees working at Banner Scottsdale Sports Medicine, second floor must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
PREFERRED QUALIFICATIONS
Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD-9 and CPT codes.
Additional related education and/or experience preferred.
EOE/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
Privacy Policy
Employer
Banner Health
Our MissionBanner’s nonprofit mission statement serves as the foundational language forour organization. “Making health care easier, so life can be better.” Thismission statement focuses everyone in the organization on a singular purpose– excellent patient care. In addition, our mission guides decision making,defines organizational behavior, set the standards for our day-to-day work,and drives performance.
Our DiversityAt Banner Health, we value and celebrate equity, diversity and inclusion bypromoting and cultivating a culturally rich workforce honored to serve, supportand provide services to our diverse communities. We respect and value thevarious backgrounds and differences among our team members that allowsthem to be who they are. We believe leveraging these unique perspectives,experiences and talents not only enhances our Banner family, but supportsour effectiveness and success as an organization. With a strong focus on ourtalent, culture and community, we provide opportunities internally andexternally through:
Programs focusing on our talent pipeline.
Team Member Resource Groups that offer team member development,community outreach, and resources for well-being.
Diversity, equity and inclusion education available through facilitator ledvirtual platforms.
Collaborating with community partners to bring accurate healthinformation and resources to our underserved communities.
Focusing on health disparities and social determinants of health.