Manager Prior Authorization Rn Jobs in Madison, WI

Fort HealthCare is a patient-centered hospital and healthcare system serving individuals, businesses and families in Jefferson, Dane, and Walworth Counties, and we are seeking a RN to join our Surgical Associates Clinic team.

Shift:
48 hours per bi-weekly pay period
Part time
Monday, Thursday, and Friday
8:30 am - 5:00 pm

Fort HealthCare is proud to be named a 16-time award winner of the Top Workplace award for Southeastern Wisconsin, a 6-time award winner of the USA Top Workplaces award, and a 2-time winner of their Top Workplaces Culture Excellence award for Purpose & Values.

Our Mission Statement is our daily guide to provide the best health care possible. We promote it widely for all we serve to read, understand and to help our public hold us accountable for the promises we make.
Our Mission Statement - Improve the Health and Well-being of Our Community
Our Vision Statement provides each of us at Fort HealthCare with a goal. It is our motivation to improve constantly upon the level of care we provide, and the quality of services delivered.
Our Vision - Be the Healthiest Community in Wisconsin.

We offer competitive pay and benefits, education, and resources you need to perform your job and ample opportunities for professional growth.

The RN performs as a professional nurse in patient care, triage, and education, working under the supervision of the clinic physician/Nurse Practitioner/Physician Assistant and the Clinic Manager. The RN utilizes the nursing process (assessment, planning, intervention, and evaluation) in all patient encounters. The RN possesses the ability to interact, assess, and treat all ages (infant, children, adolescent, adult, and geriatric)

Responsibilities of this position include:

• Performs triage duties relating to telephone and direct patient care by obtaining appropriate information with attention to detail and accuracy. Makes nursing assessment utilizing, theory, judgement, and patient information. Implements appropriate care using nursing assessment and or provider preferences.
• Ensures all nurse lead visits are appropriately performed and documented. Included, but not limited: to OB intakes, Medicare wellness visit, immunization/medication visits, blood pressure/weight checks, and wound care treatments. Will promptly report changes in conditions to attending provider.
• Possesses knowledge of tests and procedures as they relate to specific specialties. Recognizes significant values and works with the provider to notify the patient of results and arrange for follow up activities. Possesses a working knowledge of all medical procedures/exams and specialized equipment utilized within the clinic as it relates to the specific specialty of the office. Will be accountable in complying with Universal Protocol policies. Has the ability to utilize protective devices as needed to maintain integrity of medical treatments, as necessary. Is responsible for executing scheduled cleaning/maintenance of equipment and has knowledge of medical equipment repair processes. Is able to handle decontamination and sterilization requirements of all clinic equipment.
• Establishes teaching protocols for patient education, family counseling, general public information, and staff. Possesses the ability to perform educational assessment and patient/family teaching whenever needed and can communicate instructions to patients/families that are clear and concise. Instructions are geared to the level of a neonate (Guardian), pediatric, adolescent, adult, and/or geriatric patient’s level of understanding. Follows through with comprehensive documentation.
• Rooms patients and reviews health history; addresses preventative maintenance issues as related to the neonate, pediatric, adolescent, adult, and geriatric patient. Accurately collects and records data as appropriate at the patient contact and requirements of Meaningful Use and The Joint Commission. Performs or helps the team to coordinate the orderly and efficient flow of patients.
• Assists with appointment scheduling of office visits/referrals/diagnostic testing/therapies/surgery. Responsible for working with the pre-authorization department and/or insurance companies to initiate referrals and obtain approvals, pre-certifications, and prior authorizations for medical care and treatment.
• Administers medication by all routes (including intravenous as necessary) as ordered by the provider. Demonstrates and understands administration techniques. Recognizes the implications of dosages, interactions, side effects, adverse effects, routes of administration of drugs as they apply to individual patients. Adheres to all Fort HealthCare Medication policies.
• Communicates and/or completes provider orders to outside sources (i.e. pharmacy, other clinics, hospital, nursing homes, etc.) Also assists in the completion of various medical forms (i.e. RTW, school forms, DOT, worker’s compensation, surgical consent, etc.).
• Conducts proper biohazard waste disposal and follows components of the Bloodborne Pathogen Exposure Control Plan.
• Willingness to support nursing needs in other clinics or departments as needed.

Requirements for this position include:

• Associates Degree in Nursing required
• Bachelors Degree in Nursing preferred
• One year in hospital, clinic preferred
• Current Wisconsin Nursing license (RN); BLS Certificate required

Benefits:

• Competitive pay
• 401(k) with employer match
• Generous PTO Plan
• Daycare
• Health insurance
• Vison insurance
• Dental insurance
• Disability insurance
• Flexible Spending
• Comprehensive Wellness Plan
• Life insurance
• Pharmacy discount
• Tuition assistance
• Employee Assistance Program
• Free parking
• Employee gym