Initiate calls to receive prior authorization information for services prior to service delivery

Takes initiatives to problem solve all questionable referrals to assure appropriate infusion therapy admissions and identify payer sources

Follow up on pending unresolved coverage issues. Document and communicate to appropriate providers and internal departments accurate clinical information, benefit/authorization, and reauthorization information on current or potential patients. Utilize computer (CPR +/Pathways) to enter and maintain accurate/real time physician orders, patient benefit information and to effectively communicate with referral staff, liaisons, social workers, physicians, clinics, HCH teams or departments, case managers, staffers, billing/benefit staff and all others needing to make service-related decisions.

Coordinate the delivery of nursing services for infusion therapy when the patient resides outside the Twin City metropolitan area.

Responsible for identifying and contracting with appropriate nursing agencies that will deliver care to patients that receives infusion therapy services. Responsibilities include coordinating discharge planning, educating patients/caregivers, educating appropriate home care agencies, serving as a resource to referral sources and providing necessary follow-up to involved parties. Utilizes clinical expertise and advanced nursing skills in providing quality infusion therapy services to patients.

Clinical resource for all nursing issues related to patients in service at FHI.

Assure fast, easy access to FHI services as an expert infusion therapy resource for referral sources, nursing agencies, patients and FHI staff.

Identify and contract with nursing agencies outside the metropolitan area that will provide quality nursing care to patients who receive infusion therapy services from Fairview Home Infusion.

Provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.