We are seeking aSr. Clinical Nurse Liaisonwho will be responsible for coordinating care for assigned patients to promote the achievement of clinical outcomes. Serves as a functional liaison to Financial Clearance Representatives (pre-service) and Patient Access Specialist (point of service). Acts as the resource/liaison to the providers. This person demonstrates the knowledge and experience required to act as liaison to ensure the functioning of the current processes. These processes include: the day-to-day review, coordination, and management of referral/authorization requests for services requiring clinical background, applying medical necessity criteria. Conducts peer to peer reviews enhancing the gap between financial and clinical. Provides necessary documentation to assist in appeals. Distributes specific payor guidelines/rules affecting drugs and site of service restrictions. Enhances the patient experience throughout all interactions demonstrating knowledge of Johns Hopkins Medicine system and service offerings. Critical to this position is the review of medical records, documentation of authorization statuses and processes, communicating detailed clinical information to relevant parties Using clinical judgment, performs concurrent review to analyze the patient's condition through abstraction of the medical record. Through data analysis: evaluates appropriateness of admission and length of stay using UM criteria, clinical pertinence relative to particular aspects of care, or problems which adversely affect patient care. Responsibilities include medical record review, providing clinical information to the payer, UM data collection and reporting, clinical team interaction, Physician Advisor interaction and special projects which are coordinated and directed by the UM Team Manager. Provide direct patient care based on the nursing process. Collaborate with a multidisciplinary health care team to optimize team performance. Promote improvements in treatment area processes and cost effective use of resources. Accountable for own decisions regarding patient care. Identifies impending changes in patient condition and individual performance issues. Analyzes patient care data to deliver and evaluate care.
Specific Duties & Responsibilities
Practice nursing per clinical protocols and under the nursing scope of practice for the State of Maryland. May perform case management services to patients from initial intake visit through termination of services.
Assist in the development/ updating of unit-based protocols, standardized care maps and/or care plans.
May provide crisis intervention as needed by patients and their family members through each stage of disease.
Identify barriers to service and work with appropriate individuals to remove them.
Interact with faculty and trainees in the management of patients seen in the center, during both clinic session and management outside of clinic.
Responsible for managing patient treatment programs. Serve as a clinical resource on the nursing assessment of the complex patient. Serve as an expert assisting others to prioritize and individualize plan of care.
Develop and manage patient education sessions and materials.
Triage and review incoming phone messages and communicate with doctors or patients as needed.
May oversee case management activities of home care nurses and facilitate communication between family, home care nursing, physician, and patient.
Responsible for managing patient treatment programs.
Review all lab data and triage to the medical staff.
Provide oversight and quality control of all aspects of the operation of the clinical practice.
Serve as patient advocate.
In addition to responsibilities of the clinical nurse, provide nursing support for outpatient clinical area, and supervise clinical nurses
Supervision of Others
May require supervision of 1 MOC.
Equipment, Machine, & Tool Requirements
General physiologic monitoring and patient care equipment such as defibrillator and glucometer monitor.
Must be a Registered Nurse, licensed in the State of Maryland.
Bachelor's degree in nursing or related discipline required.
Require minimum of two years of related nursing experience, with additional experience preferred.
Additional experience may substitute for bachelor's degree and related master's degree may be considered in lieu of experience
Masters in nursing (MSN).
Classified Title: Sr. Clinical Nurse Working Title: Sr. Clinical Nurse Liaison Role/Level/Range: ACRP/04/MF Starting Salary Range: $72,940-$100,380 Annually (Commensurate with experience) Employee group: Part-time Schedule: 20 hours per week- flexible Exempt Status: Exempt Location: Remote Department name: SOM Onc Oncology Professional Fees Personnel area: School of Medicine
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
*JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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