Job Description

Schedule

Full Time: 40 hours per week day shift; 50% remote

General Summary

Performs primary duty of triage/clinical screening reviews of patient charts to determine appropriate scheduling for Digestive Health diagnostic and screening surgical procedures. Assists in scheduling and registering patients. Uses exceptional customer service practices. Represents WellSpan in a professional and positive manner.

Duties and Responsibilities

Essential Functions:

• Assists in determining the plan of care for Digestive Health patients based upon sound nursing judgement, clinical knowledge, skills, and experience.
• Triages all Digestive Health Appointment Request work queues within the Electronic Health Record – Epic for all hospital entities across the organization.
• Evaluates orders and determines specific patient needs for appropriate scheduling in accordance with policy and procedure guidelines.
• Assesses patient’s health status based upon presenting symptoms and follows defined protocols. Determines the urgency for care and directs the Enterprise Surgical Schegistrars to the most appropriate procedure to be scheduled.
• Reviews physician recommendations and patient health history to ascertain appropriate pre-admission testing and verify insurance coverage and eligibility.
• Works with physicians, patients, and facilities to schedule in-patient and out-patient procedures across the organization.
• Serves as a clinical resource to the Enterprise Surgical Schegistrars to assist with questions.
• Contacts physician offices or other WellSpan departments when necessary to obtain additional information on behalf of the patient to ensure continuity of care.
• Uses the In Basket messaging function in Epic to communicate with clinical and front office teams, when necessary, to ensure appropriate care of patients.
• Demonstrates a commitment to patients and staff by complying with all applicable safety regulations. Comprehends the impact of medical errors and methodology that will lead to the reduction of errors through the reporting of actual or potential errors. Identifies opportunities to standardize processes and “error proof” systems that will lead to increased safety. Participates in safety education programs and their root cause analyses as required.
• Assists in answering incoming phone calls to the center when necessary. Places outbound phone calls when necessary. Provides exceptional customer service at all times by identifying and addressing patient needs in a professional, positive, and caring manner.
• Conducts patient interviews by telephone to collect accurate demographic and financial information to complete registrations in advance for their scheduled services for all locations across the organization.
• Works with appropriate sources to coordinate precertification requirements with PROs, HMOs and other contractual third parties.
• Creates estimates, informs, and educates patients of any financial responsibility for services, as well as collect payments during the scheduling and registration process. Explains insurance coverages and requirements for pre-certifications/pre-authorizations, as applicable.
• Schedules, registers, and creates estimation within one contact whenever possible.
• Enters and maintains detailed information on confidential records for patients.
• Provides necessary information to patients such as preparation instructions, directions to sites, and any other instructions when speaking with the patient.
• Manages automated call system daily for scheduling phone calls.
• Understands and demonstrates knowledge of insurance and enters information appropriately into the Electronic Health Record. Verifies insurance coverage utilizing Real Time Eligibility (RTE).
• When scheduling, using the electronic provider order, understands the steps needed to schedule and register the appropriate service, paying attention to the details of the patient’s diagnosis, physician verbiage, and department specifications.
• Uses the secure messaging function in Epic to communicate to patients.
• Uses appropriate resources available to provide general information to patients as needed.
• Promotes the active engagement of all employees and supports recognition of staff accomplishments.

Common Expectations:

• Maintains professional growth and development, including licensure and required certifications.
• Maintains appropriate records, reports, and files as required for the department.
• Adheres to established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Completes all Epic training via classroom and virtual settings, as well as new hire department training.
• Participates in educational programs and staff meetings required for the department.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

• Diploma Program From an accredited LPN program. Required or
• Associates Degree From an accredited LPN program. Required

Work Experience:

• 1 year Previous clinical nursing experience. Required

Licenses:

• Licensed Practical Nurse Upon Hire Required or
• Licensed Practical Nurse Multi State License Upon Hire Required

Knowledge, Skills, and Abilities:

• Typing and basic computer skills.
• Excellent communication and interpersonal skills.

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)

WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.