[Hiring] Nurse Auditor @Trinity Health

Role Description

The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or assistance to patients under the supervision & direction of a registered nurse or other designated health care professional in accordance with level of experience, education, policies & procedures.

Essential Functions:

• Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
• Performs clinical care activities (direct or indirect) for patients within the “scope of practice” laws & training received.
• Cares for patients safely by assisting in clinical care services or engaging in administrative activities (e.g., maintaining records or supplies) that enhance or improve coordination, preparation & flow of the care experience.
• Knows, understands & incorporates basic or essential area of practice (document, coordinate, communicate) & training standards.
• Uses clear, effective, respectful language & communication methods / means.
• Performs work in a safe, engaging, & supportive manner; influences the responsible use of resources; accountable for continuous self-development & supporting the growth of others.
• Maintains a working knowledge of applicable federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines.

Functional Role:

• NS IV – licensed: Licensed role (direct or indirect healthcare); provides nursing interventions or clinical knowledge application in decision-making.
• Participates in the planning, implementation & / or evaluation of & solutions for care.
• Performs delegated focused / holistic care autonomously according to care plan.
• May administer medication & carry out the therapeutic treatment within scope of license (state & TH policy).
• Performs direct & essential care or supportive activities as part of an interdisciplinary team with a deeper understanding, including theoretical knowledge.
• Demonstrates a level of independence to perform activities with general oversight.
• Advocates for patients & informs / counsels patients & families about illness & care details.
• May serve as a knowledge resource, role model & mentor or lead / coordinate / supervise direct & essential care activities or role-based service responsibilities of unlicensed / licensed / certified healthcare professionals within licensed scope of practice.

Qualifications

• High school diploma or GED.
• Completion of an accredited program associated with license.
• License in the applicable state(s) of engagement.
• Valid driver’s license where required by assignment.

Requirements

• Four (4) + years of nursing experience.
• Must possess a demonstrated knowledge of revenue cycle & denial management functions.
• Knowledge of & experience in case management & utilization management.
• Customer service background is required.

Benefits

• Pay Range: $32.5171-$48.7757.

Company Description

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.