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Patient Access Intake RN – Cancer Center – Phoenix, AZ

UnitedHealth Group

Phoenix, AZ
Job Code:
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Job Details

757586 Patient Access Intake RN Cancer Center Phoenix AZ

Patient Access Intake RN – Cancer Center – Phoenix, AZ (757586)

Position Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
The Patient Access Intake RN reviews patients records to secure the appropriate scheduling of University of AZ Cancer Center (UACC) patients. Facilitate the patients’ medical and financial clearance using oncology nursing knowledge, clinical judgment and communication skills to resolve any barriers with scheduling or financial clearance of the patient. This position will be part of the Intake team offering clinical support to the team as necessary in identifying clinical needs of the patient.
Primary Responsibilities:
  • Answer patient questions regarding care (e.g., medication, treatment) and benefits
  • Discuss patient care specifics with peers or providers involved in overall patient care and benefits
  • Leverage appropriate clinical terminology when communicating with physicians and other medical professionals
  • Provide summary clinical and ancillary information to plan Medical Director for review and decision making
  • Communicate clinical findings and present rationale for decisions to medical professionals and members at the appropriate level for understanding
  • Advocate with physicians and others for appropriate decisions (e.g., patient level of care changes) regarding patient betterment (e.g., care and service coverage, safety)
  • Comply with HIPAA guidelines related to Personal Health Information (PHI) when communicating with others.
  • Leverage experience and understanding of disease pathology (e.g., conditions, normal course of care for a condition) to review chart/clinical information, ask appropriate questions, and identify appropriate course of care in a given situation
  • Perform assessment that includes a review current and prior patient conditions (e.g., treatment history), documents and evaluations (e.g., discharge summaries), and relevant social and economic situations to identify patients' needs (e.g., level of care, referrals)
  • Research and identify information needed to perform assessment, respond to questions, or make recommendations (e.g., navigate Knowledge Library resources, and websites and databases such as FDA, National Cancer Center, NIH)
  • Interview patients/family members (e.g., ask questions, listen, mirror statements) or other providers to obtain information needed to make decisions (e.g., placement, level of care recommendations, etc.)
  • Identify inconsistencies or illogical information in patient responses, provider orders or patient history information and take appropriate action
  • professional judgment, take initiative to follow up, and manage conversations to make sound conclusions/recommendations regarding patient care or coverage
  • knowledge of pharmacological and clinical treatment protocol to determine appropriateness of care and instruct patients as needed
  • information about patient condition and benefit applicability/limitations of coverage to make recommendations
  • Collects complete and accurate financial data during intake process to ensure appropriate financial screening
  • knowledge of drug formularies covered by benefits in decision making
  • Work collaboratively with peers/team members and other levels or segments within scope Optum, UHC or UBH  (e.g., Case Managers, Field Care Advocates) to identify appropriate course of action (e.g., appropriate care, follow up course of action, make referral)
Required Qualifications:
  • Current, unrestricted RN license 
  • 4+ years of clinical RN experience and/or experience in utilization review
  • Experience in an oncology setting
  • Proficient in PC use, Microsoft applications (Word, Excel, Outlook) and working knowledge of hospital department computer systems
Preferred Qualifications:
  • Utilization review, insurance, case management or medical clearance in a provider practice, hospital or insurance setting.
  • Oncology Certified Nurse (OCN)
  • BSN
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: RN, Oncology, UACC, Cancer, OCN, Phoenix, AZ, Arizona

Job Details

  • Contest Number757586
  • Job TitlePatient Access Intake RN – Cancer Center – Phoenix, AZ
  • Job FamilyNursing
  • Business SegmentOptumInsight

Job Location Information

  • Phoenix, AZ
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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