Clinical Review Nurse

Location & Details

• Location:
  
  3901 Parkway Circle, Suite 100, Springdale, AR, 72762, United States
• Job Category:
  Nurse, LPN, RN
• Employee Type:
  Non Exempt - Full Time
• Manage Others:
  No

• Name:
  Leanna Horner
• Email:

Be the voice that helps patients navigate their cancer care journey.

As a Clinical Review Nurse, you will serve as a critical link between providers, patients, and insurance carriers, ensuring treatment plans are reviewed efficiently and accurately. Your clinical expertise, attention to detail, and commitment to excellence will help remove barriers to care and support the best possible outcomes for our patients.

Highlands Oncology began in 1996 with three physicians and a desire to change the face of oncology care in our community. Dr. Malcolm Hayward, Dr. Dan Bradford, and Dr. Thad Beck knew that patients do better at home, in the community where they live and work, and where their support system is already in place. In furthering that goal, Highlands has grown with the region from a single location 26 years ago, to 6 locations in Northwest and Northcentral Arkansas today employing more than 800 diverse team members.

As Northwest Arkansas continues to grow, so must the services and providers available in the region. Highlands Oncology is committed to remaining on the cutting edge to ensure our community has access to the very best cancer care. What we have is something quite unique right here in our own backyard with a caring multidisciplinary team focused on treating patients like family.

Job Summar y:
The patient access clinical review nurse is responsible for checking medical records for appropriate criteria and providing the proper documentation. If needed, the nurse will collaborate with providers to ensure that all information needed is on record and ready for patient appointments. Clinical Review Nurses will enter orders for required testing prior to appointment per provider orders and based on patient diagnosis.

Job

Duties / Responsibilities:

• Review and analyze patient medical records, ensuring accuracy, completeness, and compliance with relevant regulations and guidelines.
• Collaborate with healthcare professionals to determine any testing or imaging requirements prior to first patient appointment.
• Must possess strong clinical skills and the ability to collaborate with the physicians.
• Be willing to learn, or already have, extensive knowledge of specialty.
• Will collaborate with the physician and other healthcare members.
• Enter physician orders in the EMR based on diagnosis.
• Will work closely with other members of the healthcare team in an appropriate and professional manner.
• This position requires the employee to possess a combination of nursing skills, mental alertness, and knowledge, as well as the ability to get along with others.

THIS POSITION REQUIRES A NURSE - LPN or RN - LICENSE MUST BE ACTIVE AND VALID IN THE STATE OF ARKANSAS.

Required Skills/Abilities:

• Proficiency in medical terminology, healthcare regulations (e.g., HIPAA), and quality assurance processes.
• Strong attention to detail to review and assess medical records accurately and identify any discrepancies or issues.
• Effective written and verbal communication skills to provide feedback to healthcare providers and collaborate with multidisciplinary teams.
• Maintain continuing education hours to maintain nursing licensure.
• Demonstrates ongoing professional growth through and participation in relevant education.
• Adheres to clinic standards, policies, and procedures, as well as being cost effective.
• Able to work independently, as well as a team member.
• Maintains a high standard of professional performance, behavior, and appearance.
• Must be proficient in basic computer skills and utilization of MS…