Summary
Responsible for facilitating access to Medical Center services. Utilizes effective communication and documentation with physicians, physician staff, health care facilities, patients and patient representatives to collect and analyze pertinent clinical data as related to the procedure(s) scheduled, intervening to prevent problems that could result in adverse patient outcomes or delayed/cancelled procedures. Provides exemplary customer service and interacts in a professional, courteous manner with co-workers, physicians, patients and the public.
PRINCIPAL JOB FUNCTIONS:
1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.
2. *Performs multi-resource appointment scheduling for inpatient/outpatient diagnostic and therapeutic services received from physician and/or physician staff. Obtains patient information including medical necessity/diagnosis, demographics, and pertinent clinical information as related to the procedure(s) scheduled. Collects and documents information beyond that listed in procedural questionnaire based on critical assessment of patient history.
3. *Integrates physical, mental and cultural considerations in scheduling of patient procedure(s), coordinating services to ensure the Medical Center is patient ready upon customer arrival.
4. *Collaborates with physician office staff to educate the patient/patient representative on preparation and understanding of scheduled procedure(s); clearly communicates instructions to patient and/or patient representative.
5. Provides recommendations and education to physician office staff commensurate with scope of practice in scheduling of procedure(s).
6. *Reviews and evaluates outpatient orders received from the physician and/or physician staff; uses clinical judgment /critical thinking to follow-up on appropriateness and completeness of physician orders as they relate to procedure(s) ordered.
7. *Receives and documents verbal physician orders.
8. Screens/determines appropriateness of level of care and admission status; notifies appropriate department(s) based on assessment of patient needs.
9. Enters order sets for procedures while coordinating with physician offices and performing departments. Reviews for accuracy to ensure all orders needed are entered and available.
10. Documents pre-certification/authorization/referral information when applicable.
11. *Prepares and provides patients with an estimate, if one is warranted, for their expected services. Collects and/or counsels on expected payment due.
12. *Keeps Patient Service Center and Scheduling Manager informed of issues related to procedures including but not limited to: necessary questionnaire revisions, updates related to departmental requests and need for new or revised procedure(s) build.
13. *Responsible for preceptoring and /or resourcing of peers.
14. *Assesses employee competencies and level of performance; cross trains employees into specialized areas and documents training.
15. Collaborates with management to plan and communicate changes to the work group.
16. *Serves as a liaison in building and maintaining professional relationships between physicians, physician office staff and other health care personnel.
17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
18. Participates in meetings, committees and department projects as assigned.
19. Performs other related projects and duties as assigned.
(Essential Job functions are marked with an asterisk *).
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
1. Knowledge of computer hardware equipment and software applications, including the computer based scheduling system, telephonic communications, and software applications relevant to work functions.
2. Knowledge of hospital operations, including automated health information systems.
3. Knowledge of federal regulations including COBRA, corporate compliance and third party payer requirements.
4. Skill in exercising professional judgment, courtesy and tact in daily interactions with physicians, physician staff and health care facilities.
5. Ability to apply nursing theory, knowledge of anatomy and physiology, procedural indications, and medical/ nursing terminology in processing of calls and faxes from physicians, physician staff, health care facilities, patients and patient representatives.
6. Ability to work in a fast-paced environment.
7. Ability to prioritize work based on analysis of information from physicians, physician staff, health care facilities, patients or family members.
8. Ability to establish therapeutic communication with patients and patient representatives.
9. Ability to establish and maintain effective working relationships with staff across the medical center, medical staff and ancillary departments including diverse patient populations.
10. Ability to maintain confidentiality relevant to sensitive information.
11. Ability to maintain regular and punctual attendance.
EDUCATION AND EXPERIENCE:
Current Registered licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of three (3) years nursing experience required. Experience with hospital/health operations and general background in all areas of nursing practice preferred.
PHYSICAL REQUIREMENTS:
(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)
(DOT) Characterized as light work requiring exertion up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
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