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Valley Health System

Insurance Nurse

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Job Information
Post Date: Today Type: Full time
Start Date:2009-11-19 06:16:30 AM+ Salary:- n/a -
Location: NJ - Paramus Job Reference: - n/a -
Facility:

Valley Health System
Job Details
     
Insurance Nurse
Department:Admission Services
Schedule:Contingent (<20 hrs/week)
Shift:Day
Hours:8- 4:30 Thursday's & Friday's & other coverage as needed
Level:VME.300
Job Details:
  • RN Required
  • 1 year of experience required
  • Summary: To monitor and maintain a centralized process for all insurance claims for the Agency and function as the liaison between the Home Care Coordinator, Intake Coordinator, clinical and billing staff member, and insurance case manager/representative. Education: Graduate form an accredited School of Nursing with a Bachelors Degree in Nursing preferred. Experience: Computer and keyboard skills. At least one year of experience in public health nursing required. Prior experience in a managed care environment preferred. Special Skills: Current State of New Jersey license (or legal permission to work from the New Jersey Board of Nursing). Demonstrates effective interaction and communication (oral, writing, presenting) skills. Ability to work accurately and pay attention to details, often changing from one task to another without loss of efficiency or composure. Ability to function competently in stressful situations and a changing work environment related to changing patient needs, including working with patients with acute, chronic, and complex disease processes and those who are dying. Ability to work cooperatively within the health-system; with patients and family members; and with multidisciplinary team members (i.e., physicians, Rehab, etc.). Ability to utilize effective time management to set priorities, perform job related responsibilities, and respond quickly to emergency situations. Ability to use critical thinking and clinical reasoning skills to effectively problem-solve and deliver care. Supervision Expected: None Supervision Received: Supervision by the Director of Clinical and Professional Services. Working Conditions: Office environment. Exposure to normal office hazards with little exposure to excessive noise, dust, temperature, and the like. Requires exertion of up to 20 pounds of force occasionally, up to 10 pounds of force frequently, and a negligible amount of force constantly to lift, carry, push or otherwise move objects. Frequent reaching and/or working with hands and fingers. Occasional standing and/or working. Must be able to extend hands and arms in any direction; seize, hold, grasp, turn or otherwise work with hands; and pick-up, pinch or otherwise work with fingers. Must be able to perceive characteristics of objects, through the eyes with or without corrective lenses; and perceive the nature of sounds by the ear. Occasionally requires stooping, kneeling, crouching, and constant talking and listening. OSHA: Bloodborne Pathogen Category I Employees in this job description are expected to have contact with bloodborne pathogens and as such they are required to be oriented and annually trained under the Federal Occupational Safety and Health Administration''s Bloodborne Pathogen Standard (CFR 1910.1030)
 
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