The Population Health Desk RN is a registered nurse who is responsible for incoming calls and transferred calls from patients, physicians, and healthcare organizations. Using nursing knowledge and departmental protocols, the Population Health Desk RN will assess the patient and will follow triage guidelines and protocols to offer appropriate options for care. The RN will escalate concerns/high acuity cases according to guidelines to Population Health providers and medical director. The Population Health Desk RN will document appropriately in EPIC to ensure accurate departmental record keeping.
The Population Health Desk RN will facilitate referrals to primary care providers, specialists, healthcare facilities, community resources, and facilities. Supports benefit verification and prior authorizations for health care services/procedures that require authorization per payor/plan requirements. Collects pertinent information needed for medical review from referring provider to ensure service decisions are determined within appropriate timeframes.
The Population Health Desk RN will own and modify triage and authorization workflows and will educate staff about triage and authorization processes. The Population Health Desk RN will be flexible and adapt to changes in policy and procedures, new techniques, and additional responsibilities as assigned to meet changing business needs.
Job Title: Registered Nurse (RN) – Desk Population Health
Clinic Location: Main Campus
Department: Desk Population Health
Job Type: Full Time
Salary Range: $72,010 – $88,962 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Required: Associates of Science in Nursing
Preferred: Bachelor of Science in Nursing
Required: Progressive clinical RN experience for adult and/or pediatric patients (5+ years total).
1 year of experience specifically working with insurance (HMO, PPO, and POS) companies to obtain authorizations and pre-certification for medical services.
Two years of experience with capitated payment arrangements. Familiarity and application of CPT, ICD-10, and HCPS codes
Preferred: Certified Coder
2+ years in ambulatory/primary care setting
Required: RN from an approved school of nursing with current license to practice professional nursing in the State of Texas
Required: Basic PC skills including Windows Operating System. Typing skills of 30 WPM. Experience with EMRs and medical records.
Preferred: Prior Experience with EPIC EMR
Required: Excellent communication skills. Ability to multi-task and prioritize responsibilities.
Working Environment: Office
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance