Radiation Oncology Insurance Reviewer Jobs (NOW HIRING)

Department:
37303 Advocate Christ Medical Center - Oncology: Radiation
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Day shift; Occasional weekend day; no holidays
Pay Range:
$35.50 - $53.25
Major Responsibilities:
Assessment: Demonstrates identified assessment skills.
1)Collects necessary data on all patients to be filed with the Illinois State Cancer Registry.
2)Assists Radiation Oncology staff to identify actual and potential patient care problems.
3)Assesses learning needs of Radiation Oncology staff as well as patients receiving radiation therapy.
4)Assesses, plans, and provides information to Radiation Oncology students.
5)Monitors the physical environment of patients in relation to safety and efficiency of care delivery.
6)Assists with scheduling patients for consultation, follow-up and help with obtaining correct insurance information for registration.
Planning: Plan patient care, utilizing assessment information.
1)Writes and reviews patient education materials and makes modification in collaboration with Supervisor and Medical Director of Radiation Oncology.
2)Reviews and generates nursing policy and procedures in Radiation Oncology.
3)Collaborates with members of the health care team (Radiation Oncology, Medical Physics, all physicians and Hematology Oncology) in planning and initiating referrals to hospital/community resources.
4)Coordinates with pharmaceutical and nutritional support representatives in evaluating products for Radiation Oncology use.
5)Coordinates scheduling of inpatient consults.
Implementation: Implements nursing care in accordance with plan of care, demonstrating skills of appropriate clinical level.
1)Assists Radiation Oncologist with various medical procedures.
2)Functions as role model when giving direct patient care.
3)Intervenes directly and constructively with peer care providers when patient care quality or safety are at risk.
4)Demonstrates leadership skills and follow through in working with Radiation Therapists and ancillary staff.
5)Functions as a nursing resource in Radiation Oncology for technical staff, clerical staff and community.
6)Ensures safe environment and infection control practices among health care team members.
7)Provides and/or coordinates annual inservices on safe environment and infection control practices for the Radiation Oncology staff.
8)Provides accurate documentation to create a permanent record that is consistent with established policy and procedure.
Evaluation: Participates in evaluation of effectiveness of nursing interventions, modifies and updates plan of care as required.
1)Evaluate tools used to document patient needs to meet quality assurance criteria.
2)Collaborates with other health team members in weekly chart rounds of patients undergoing radiation therapy.
3)Evaluates patient needs according to type of treatment received: External Radiation Therapy, High-Dose Rate Brachytherapy, Low-Dose Rate Brachytherapy, Prostate Implanting or Stereotactic Radiosurgery.
Licensure:
Nurse, Registered (RN)
Education/Experience Required:
Graduate from an accredited degree program in nursing (AD or BSN) 4 years clinical experience. (Starting in 2000 a BSN is required for new graduates.)
Knowledge, Skills & Abilities Required:
Clinically appropriate skills. Ability to cooperate and work well with internal and external customers. Communication skills.
Current licensure in the State of Illinois as a Registered Nurse
Physical Requirements and Working Conditions:
Ability to demonstrate a commitment to patient focused care. Ability to work under stressful conditions and in difficult situations. May be exposed to hazardous materials and life-threatening disease. Ability to perform lifting/transfer activities related to patients. Ability to recognize needs and behaviors of specific age group patients. Standard precautions for radiation safety as per IDNS.
If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.
Addendum: Please designate the appropriate level of access for the job/position description. Part I This position requires: (check one) Level of Access 1. No access to patient information. 0 2. Access to the fact that the patient is present at the facility 0 3. Access to patient demographic information 0 4. Access to patient demographic and insurance information And this position also requires access to the following limited clinical information (list specific portions of the record the associate needs to have access to) 0 5. Access to patient demographic and insurance information except ...... And this position also requires access to the entire patient clinical record excluding (list specific portions of the record the associate does not have access to) 0 6. Access to the patient demographic and insurance information And this position also requires access to the entire patient clinical record X Part II Behavioral health access: (check one) 1. This position does not require access to patient behavioral health/psychiatric clinical information X 2. This position requires access to patient behavioral health/psychiatric clinical information 0 Part III This position requires: (check one) 1. Access to current information about patients 0 2. Access to historical information about patients 0 3. Access to both current and historical information about patients X Part IV This position requires: (check all that apply) 1. Access to patient information located in the following information systems indicate all required Allegra 0 CareNet 0 Electronic Medical Record 0 IDX X Midas 0 PharmNet or other Pharmacy systems 0 RadNet and/or other radiology systems X TSI or Eclipsys Decision Support 0 Other 0 Other 0 Other 0 Other 0
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.