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Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

• With guidance from the Systems Director and Associate Clinical Director, this position will review infusion therapy orders to ensure that a drug is prescribed in accordance with regulatory guidelines. This position will collaborate with providers referring for infusion therapy so orders are processed expeditiously while maintaining regulatory compliance. They will work closely with insurance carriers to make sure they have all appropriate clinical information in order to authorize the service. They will coordinate peer to peer discussions and will gather as much clinical information in advance to expedite the process.

Responsibilities:

• Infusion Drug Evaluation/Authorization—Utilize clinical knowledge and experience to evaluate infusion orders to ensure regulatory compliancePerformance Expectations: Performs clinical review of new infusion orders to determine request meets established guidelines. Triage all infusion orders based on established criteria.Orders that are FDA approved will be forwarded for financial approval non-FDA approved uses will be evaluated against national oncology guidelines. Any drug that falls outside of national oncology guidelines will be discussed with clinical team. Keeps up to date on all changes involving infusion therapy drugs by researching FDA, NCCN and other relevant websitesEnsures strict adherence to established quality control measuresEnsures strict adherence to established infusion guidelines and serves as point of contact when clinicians are questioning the status of a drug’s addition to these guidelines. Financial Clearance Process—Oversees the entire financial clearance process for infusion drugs from beginning to endPerformance Expectations: Works with clinical information systems staff to develop and maintain an online authorization form Ensures that new drugs are added to the form in a timely fashion and that communications are sent hospital-wide when new drugs have been added for clearance Ensures that orders do not go through without financial clearance Assists with all audits. Connects provider teams and insurance companies to facilitate peer to peer review for denialsInformation Management—Maintains proficiency in all departmental and institutional applications and makes recommendations as needed. Performance Expectations: Recommends changes in data collection and reports to better monitor productivity and other operational measures Works with systems analysts to enhance system and improve functionality to meet evolving needs of the program Communicates with clinical team to ensure timely submission of clinical documentation to the insurance company for authorizations Provides clinical information to outside agencies while maintaining HIPAA compliance Obtains written authorizations from insurance companies Maintains infusion service dashboards and metrics Leads scheduled staff meetings and coordinates in-service programs

Credentials:

• Registered Nurse - PA (Required)

• Registered Nurse (PA) and obtain NJ within 6 months of hire

• Chemotherapy Biotherapy (Required)

• ONS Chemotherapy/Biotherapy Certification

• Oncology Certified RN

• Cert RN Infusion

Education or Equivalent Experience:

• Bachelor of Arts or Science (Required)

• Education Specialization:BSNEquivalent Experience:•And 3+ years 3-5 years oncology or infusion experience required

• Master of Arts or Science

• Education Specialization:MSNEquivalent Experience:

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER: 242706