Job Details
Recognize patients' rights and responsibilities and support them in the performance of job duties; respect patient's rights to privacy and confidentiality. - Provide a clinical review of all new specialty (and other therapies assigned) referrals to determine if the payers criteria has been met. - Provide guidance and support to the Financial Services and Intake Teams (and others assigned) to improve the initial and reauthorization process. - Provide guidance and support to staff as it relates to improving their understanding of how the time frame between referral and authorization can decrease. - Documentation and communication of each evaluation will be verbal, email, and in the EMR. - Manage, improve, and define the core relationship between the field team (pharmacy, intake, financial services, nursing and sales) in the specialty admissions/intake process. - Identify and plan opportunities to increase IG volume and capture rate. - Participate in strategic planning to identify opportu...Clinical, Specialist, Nurse Manager, Authorization, Support, Communications, Healthcare