|  Login      Search
You are here: About AFMC > Job Posting
-------

Job Postings

Clinical Review:
Internal Review Coordinator - Registered Nurse (Fort Smith, AR) (Ref: 13-054 Internal Review Coordinator - RN)

JOB TITLE: Internal Review Coordinator - Registered Nurse

LOCATION: Fort Smith, AR

FLSA STATUS: Exempt

GRADE: 24

SCOPE OF POSITION:

Responsible for analyzing patient records to determine legitimacy and necessity of medical services in compliance with government reimbursement policies. Review may be prior authorization, concurrent with service or post service. Review findings may be referred to a physician advisor for final determination.

ESSENTIAL JOB FUNCTIONS:

1. Review each selected record accurately and according to AFMC, state and federal policies and procedures.

2. Write effective and accurate review summaries and submit within appropriate time frame.

3. Refer all cases requiring additional review to the appropriate reviewer on a daily basis.

4. Maintain files for recording and reporting in accordance with established procedures.

5. Perform site surveys as required or directed.

6. Prepare monthly reports and/or statistics as directed.

7. Communicate effectively with internal and external clients.

9. Adhere to format, content and style guidelines, giving consideration to usability and ensuring accuracy, consistency, and quality.

10. Follow AFMC, state and federal protocols regarding data confidentiality/security and HIPAA compliance.

11. Additional duties as assigned.

Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):

Mobility, reaching, bending, lifting, grasping, ability to read and write, ability to communicate with personnel, ability to remain calm under stress and ability to travel as needed. Must be able to lift and transport 25 pounds. Must be capable of performing the essential job functions of this job, with or without reasonable accommodations.

EDUCATION:

Required: Diploma or Associate’s degree in nursing, licensed as a Registered Nurse in the state of Arkansas

Desirable: Bachelor’s degree in nursing

EXPERIENCE:

Required: Three (3) years clinical nursing experience

Desirable: Quality Assurance / Utilization Review and/or coding experience, QIO experience

KNOWLEDGE, SKILLS AND ABILITIES:

Intermediate level computer skills (Excel, Word, Access, PowerPoint and Outlook)

Type 50 wpm

Exceptional skills in business English and spelling are required

Ability to maintain confidentiality

Strong oral and written communication skills

Creativity

Excellent customer service

Ability to meet deadlines

Attention to detail

Flexibility

Knowledge of ICD Coding

Knowledge of HIT/EHR

Medical terminology

Ability to work collaboratively and independently to achieve stated goals

Initiative

Ability to relate professionally and positively with staff, business partners, customers, constituents, recipients and the public

Ability to multitask

Ability to prioritize

Strong organizational skills

Problem solving skills

Professionalism

Project management skills

Ability to read, interpret and apply laws, rules and regulations

Knowledge of quality improvement processes and techniques

Time management skills

Ability to travel, including overnight travel

Regular and punctual attendance

Apply Online    Return

How to Apply with AFMC

To be considered an applicant for a position, complete the apply online form, which is linked under each job description. AFMC conducts drug and nicotine screens, and background checks post-offer.  Upon receipt of your application, AFMC may send you additional documentation to complete. If your qualifications and experience fit with those required for the position, you may be contacted to arrange an interview. The number of interviews can vary. Also, the position may be filled fairly quickly, or possibly remain open for a few weeks. After a decision has been made, the selected candidate will be called with an offer of employment.

The Fair Credit Reporting Act (FCRA) requires that we obtain a separate written consent from the employee before the report is ordered, and we must give written notice to the employee of his or her right under FCRA. If adverse action is taken based on the report, we must give notice to the employee and allow him or her to obtain a free copy of the report. The employee may then dispute and defend its accuracy. Any substance that contains nicotine will produce a positive result on nicotine tests. In addition to cigarettes, this will include chewing tobacco, snuff, nicotine patch, nicotine gum, cigars, etc. All positive results will render applicant ineligibile for employment at AFMC. Those who are denied employment due to a positive nicotine test may reapply to open positions after a period of six months.


EOE/M/F/V/D

Arkansas Foundation for Medical Care is an equal opportunity/affirmative action employer. It is the policy of AFMC to provide equal opportunity for all qualified persons and to not discriminate against any person/applicant for employment because of race, color, religion, national origin, sex, age, disability, veteran status and/or any other status protected by federal, state and/or local law.

***Special Accommodations: If you have a disability and require a reasonable accommodation in the application and/or testing process, you must notify the AFMC Human Resources Department. Requests may be made in person or by telephone (501) 212-8798, by fax (501) 212-8797, by e-mail mdumas@afmc.org or by U.S. mail Attn: Michael Dumas, 1020 West 4th Street, Suite 300, Little Rock, AR 72201.