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Academy of Managed Care Pharmacy

RN Intake Specialist

Academy of Managed Care Pharmacy, Ormond Beach, Florida, United States, 32174

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Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose‑minded team. All while understanding that

together

we are even better.

All the benefits and perks you need for you and your family:

Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well‑being Resources

Mental Health Resources and Support

Pet Benefits

Schedule: Full time

Shift: Day (United States of America)

Address: 770 W GRANADA BLVD, ORMOND BEACH, FL 32174

Job Description: Answers and directs incoming inquiries about Home Care Services, prioritizing customer service. Communicates, coordinates, and disseminates information in a timely and pleasant manner. Ensures prescribing physicians meet all criteria and submit requests for new physicians to be entered into the system. Processes referrals for Start of Care (SOC) within twenty‑four (24) hours of the call. Facilitates referrals for infusion therapy, coordinating financial reimbursement, medication dosage, frequency, and delivery time to the patient’s home. Maintains current knowledge of reimbursement guidelines and confers with Performance Improvement staff/supervisors as needed. Completes insurance verification and relays information to appropriate staff, accepting referrals based on knowledge of accepted insurance/managed care plans. Documents all pertinent patient information in the electronic record, including code status and infection control precautions. Ensures physician coverage for patient care and proper completion of insurance intake forms for nurses to reference for subsequent visits. Submits monthly reports of referral sources data and admission statistics, including when hospital‑referred patients decline care. Functions as Patient Care Representative at hospital as requested. Assists with Performance Improvement functions as requested. Other duties as assigned.

The expertise and experiences you’ll need to succeed: QUALIFICATION REQUIREMENTS: Associate’s of Nursing (Required), Bachelor’s of Nursing, Basic Life Support - CPR Certificate (BLS) - RQI Resuscitation Quality Improvement, Registered Nurse (RN) - EV Accredited Issuing Body

Pay Range: $31.53 - $52.24

This facility is an equal opportunity employer and complies with federal, state and local anti‑discrimination laws, regulations and ordinances.

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