Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Nurse Practitioner or Physician Assistant – Oncology
Wilson, North Carolina
MUST:
Registered Nurse Practitioner or Physician Assistant
Must have 2-3 years of NP/PA experience
Oncology experience required
Graduate from an accredited Nurse Practitioner program, Masters Degree in Nursing
Current license/registration to practice in the state of NC
CPR certification
Advanced Oncology Nurse Certification preferred
DUTIES:
The candidate will perform the important task of educating patients about preventative care and prescribed treatments related to cancer care.
Conduct physicals; order tests schedule the infusions in the treatment of the patients care.
Provide diagnosis, treatment, consultation, and follow up care of patients corresponding with the appropriate level of training.
Prevention of illness and disability.
Management of illness and disability.
Diagnosing, treating, and managing acute and chronic illness.
Guidance and counseling of individuals and families.
*Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.
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