1. STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment The registered nurse collects pertinent data

1. Retrospectively analyzes accounts with payment variances or denials to ensure proper contractual payments amounts and accurate SDK prorations in an effort to achieve department recovery goals. 1.1 Identify trends/payer issues via payment variance function or denial review, documents and summarizes findings. 2. Develop professional working relationships with payer repre

1. New Medical Staff Applications 1.1 Receives and reviews all new applications and communicates with applicant regarding outstanding required documentation within five (5) working days of receipt. 2. Medical Staff Re Appointments 2.1 Responsible for ensuring that re appointment applications are appropriately prepared and distributed to eligible Medical Staff six (6) mont

1. Retrospectively analyzes accounts with payment variances to ensure proper contractual payments amounts and accurate Epic proration in an effort to achieve department recovery goals. 1.1. Identify trends/payer issues via payment variance function, documents and summarizes findings. 1.2. Uses established rebilling, collection and follow up procedures to effectively exped

1. Coordinates and supports all tasks related to patient scheduling. 1.1 Ensures all exams are scheduled appropriately. 2. Ensures all inpatient procedures are scheduled from the order entry queue in a timely manner. 2.1 Includes all required forms associated with the procedures i.e.; Patient safety forms, 3. Ensures all outpatient procedures are scheduled accurately with

1. Coordinates and supports all tasks related to patient scheduling. 1.1 Ensures all exams are scheduled appropriately. 2. Ensures all inpatient procedures are scheduled from the order entry queue in a timely manner. 2.1 Includes all required forms associated with the procedures i.e.; Patient safety forms, 3. Ensures all outpatient procedures are scheduled accurately with