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   Current UPMC employees must apply in HR Direct

Nurse Liaison - Full Time - $10k Sign On Bonus!

Description

UPMC Williamsport is currently seeking a full-time Nurse Liaison!  This position will be primarily located at UPMC Williamsport working with patients transitioning from acute to post-acute care in our rehab facilities.  The typical schedule will be Monday - Friday, 7:30 a - 4p or 8a - 4:30p, depending on the daily activities.
 
A generous $10,000 sign-on bonus is being offered!

The Nurse Liaison initiates the clinical management effort in coordination with multi-disciplines in order to effectively influence attainment of desired clinical outcomes. Promotes a collaborative healthcare intake process and facilitates proper allocation of resources. Serves as functional team leader to Pre-Arrival and Scheduling Representatives.

Responsibilities:

 

  • Assist in the design and implementation of a program that elicits desired outcomes on an organizational level.
  • Interpret third party payor contract requirements and recommend, design and implement procedures for compliance with regulations and standards.
  • Negotiate with insurance vendors, medical directors, and third party payors when appropriate in order to facilitate the delivery of care in the most appropriate setting.
  • Maintain knowledge of SI/IS criteria for commercial, Medicare, and Medicaid insurance products.
  • Interpret complex medical data to analyze applicability of review criteria to ensure optimal patient care while maximizing reimbursement.
  • Demonstrate patient assessment skills and knowledge of patient acuity levels.
  • Use knowledge of insurance criteria and regulations in order to expedite appropriate use of resources and compliance with third party payer contracts.
  • Interpret insurance contract guidelines and expectations and make recommendations for compliance.
  • Communicate and work with physicians, physician office personnel, associates, case managers, third party payer review personnel, and others in order to expedite the intake/utilization review process to avoid negative financial impact on the facility.
  • Display dynamic communication skills (verbal and written) in dealing with trainees, associates, and internal/external customers.
  • Serve as a change agent, coach, mentor, team builder and facilitator.
  • Maintain creativity in making process recommendations.
  • Effective critical thinking, problem solving and decision making skills.
  • Possess self-motivated spirit and seek educational opportunities to increase professional competency.
  • Handle a high degree of pressure, heavy workloads, multiple requests, numerous interruptions, and short deadlines in a positive manner, establishing priorities for effective work completion.
  • Adapt quickly to changing conditions, assimilating new processes into job functions and taking ownership.
  • Display effective time management and organizational skills to identify, prioritize and reach goals and objectives faster and easier, cope with multiple demands in a timely manner, and overcome changing priorities.
  • Successfully plan, monitor, support and improve multiple activities.
  • Maintain strict confidentiality within and outside the organization.
  • Actively live and demonstrate University of Pittsburgh Medical Center Health System core values.
  • Serve as a role model to others.

Qualifications

Bachelor's Degree from an accredited school of nursing/allied health preferred.
3 years acute care or Case Management/Utilization Review experience required.
1 year Senior Communities (long term care) experience required.
Knowledge of 3rd party payer review criteria.
Patient assessment skills and knowledge of patient acuity levels.

Licensure, Certifications, and Clearances:
  • Registered Nurse (RN)
  • Act 34
  • OAPSA

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Total Rewards

    More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

    Our Values

    At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

       Current UPMC employees must apply in HR Direct

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