Prior Authorization Rn Jobs in Idaho (NOW HIRING)

Job Duties:
1. Patient/Caregiver Teaching
The RN/LPN will demonstrate the ability to provide patient/family/caregiver teaching that is age-appropriate and adapted for individual learning needs.
2. Patient Intake & Documentation of Clinical Care
RN/LPNs handle preparing exam rooms, assisting patients to exam rooms, preparing patients for age/gender appropriate patient assessments, documentation of clinical intake, monitoring, patient interventions, and care outcomes. RN/LPNs are responsible to document all care and communication provided to (or about) patients.
3. CLIA-Waived Lab Testing
RN/LPNs handle performing clinic-based CLIA-waived lab testing in compliance with all regulations and quality assurance requirements. RN/LPNs perform venipuncture and capillary blood drawings in the clinic and prepare blood samples for laboratory processing. All clinical personnel handle staying up to date on blood collection policies, procedures, and protocols, as well as maintaining competency for each test performed.
4. Administer in-Office Diagnostic Tests
RN/LPNs perform a variety of in-office diagnostic tests, including but not limited to EKGs, vision and hearing screenings, etc. under the direct supervision of the healthcare provider.
5. Assist Healthcare Provider During Exams & Procedures
RN/LPNs aid the provider during examinations and procedures as needed and within their scope of practice. RN/LPNs may also perform the duties of a medical scribe and complete documentation during patient examinations and procedures as directed by the healthcare provider. This may include entering orders and referrals.
6. Vaccines for Children (VFC) Program
RN/LPNs will understand and follow the requirements of the VFC program and aid the provider in obtaining vaccine information from the IRIS program as needed. RN/LPNs will be familiar with vaccine schedules and screen patients according to protocol prior to the administration of all immunizations. RN/LPN personnel will be proficient in administering childhood vaccines and completing the administrative requirements of the childhood vaccine program.
7. Adult Vaccinations
RN/LPN personnel will be proficient in administering adult vaccines under the direct supervision of the healthcare provider. RN/LPNs will be familiar with the CDC recommendations for adult vaccines and will aid the provider in obtaining vaccine information from the CDC, USPSTF, and other resources as needed.
8. Medication Prior Authorizations
RN/LPNs will handle performing medication prior authorizations with the patient's insurance company.
9. Medication Injections
RN/LPN personnel will be proficient in administering subcutaneous, intramuscular, and intradermal injections under the direct supervision of the healthcare provider.
10. Inventory Control and Medical Supplies
RN/LPNs will handle scanning/ordering medical supplies and monitoring inventory of medical supplies in compliance with applicable Joint Commission and Rural Healthcare guidelines. RN/LPNs will identify supplies that may improve the safety and quality of care and bring recommendations to the attention of the clinical lead and/or director for review.
11. Online Incident Reporting
RN/LPNs will handle reporting any variances, near misses, or patient complaints regarding clinical care using the organization's online incident reporting software. Reporting is a duty and obligation of the employee to promote safe patient care, a safe working environment, support process improvement, and increase patient satisfaction.
12. EHR Clinical In-box
Processes both incoming and outgoing electronic documents in the EHR clinical in-box. This includes but is not limited to patient cases/phone calls/portal, processing and labeling incoming medical records, refill requests, consult notes, lab results, and other correspondence.
13. Misc.
Aid overall function of office by monitoring front office area and waiting room for safety, security, privacy, and/or patient concerns. Promptly contacts 9-1-1 for emergency situations. Promptly notifies proper staff and leadership in the event of an incident or complaint AND uses the online reporting system and/or EHR to document as per protocol. Relays necessary non-urgent information to team leads and/or director (i.e., office supplies needed, malfunction of equipment, etc.)
Benefits offered:

• Comprehensive Health Care Coverage: Enjoy access to top-tier medical, dental, vision, and life insurance plans, all conveniently provided through our extensive network of trusted local providers.
• Secure Retirement Plans: Participate in our Roth/401k retirement plans with employer matching, securing your financial future and retirement goals.
• Championing Work-Life Balance: Benefit from flexible schedules and a supportive environment that values your well-being, allowing you to maintain a healthy balance between work and life.
• Invest in Your Future: Take advantage of our generous educational and tuition reimbursement programs, supporting your continuing education and pursuit of higher degrees.
• Time Off Benefits: Ample time off, providing you with the necessary time to recharge and attend to personal and family needs.
• Student Loan Forgiveness: As a non-profit organization, time spent at Gritman Medical Center qualifies you for the Public Service Loan Forgiveness (PSLF) program.
• Rewarding Excellence: Earn extra compensation for achieving advanced credentials and specialized certifications, demonstrating your commitment to professional growth and expertise.
• Competitive Compensation: Receive competitive market-based pay that recognizes your skills and experience.
• Family Friendly Amenities: Access our convenient childcare facility, ensuring peace of mind and convenience for working parents.
• Professional Development Opportunities: Engage in on-site classes, seminars, and skills fairs to enhance your knowledge and skills, fostering continuous growth and advancement.

Requirements:

• Education: Must be a graduate from an accredited school of nursing with at least an AS in Nursing.
• Licenses/Certifications: Must be a Licensed Registered Nurse in Idaho or possess a compact state license and have an active BLS.
• Required Skills and Abilities:
  • Critical thinking skills
  • Flexibility
  • Ability to work effectively in a team
  • Self-motivation
  • Excellent communication and problem-solving skills
  • Ability to work under high pressure
  • Effective time management for self and others
• Preferred Qualifications: Associates of Science in Nursing (ASN) preferred.

Functional Demands:

• Populations Served:
  • Serves all age groups: neonates, pediatrics, adolescents, adults, and geriatrics.
  • Includes all genders, races, ethnicities, sociopolitical and demographic groups, various marital statuses and sexual preferences, developmental and physical abilities, religions, and nationalities.
  • Populations may have impairments affecting any or all body systems and senses.
• Physical Demands:
  • Considerable patient lifting, positioning, and transferring.
  • Prolonged standing or walking.
  • Frequent reaching, stooping, bending, kneeling, and crouching.
  • Requires good manual and finger dexterity.
  • Visual requirements include the ability to see near and far, depth perception, color differentiation, and focusing ability.
  • Essential hearing, speech, and sense of touch.
  • Occasional repetitive motion activities.
• Environmental Conditions:
  • Regular exposure to bloodborne and other infectious diseases.
  • Contact with patients in varied conditions.
  • Possible exposure to patient elements like accidents, injuries, and illnesses.
  • Faces varying and unpredictable situations, including potentially violent or angry patients and families.
  • Work in emergency and crisis situations.
  • Occasionally works irregular hours or shifts.
  • Frequently manages multiple demands and tasks simultaneously.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.