The American Nurses Association (ANA) hailed the decision of the US Food and Drug Administration and US Centers for Disease Control and Prevention (CDC) to include nurses and other health care professionals who have received Pfizer-BioNTech’s COVID-19 vaccine among those prioritized to receive a booster shot six months after their primary series. The agencies based their decision on emerging evidence that indicates a COVID-19 vaccine booster shot can enhance protection against the virus to prevent serious complications and hospitalizations. (story continues below)
We Are Hiring
The Oklahoma Health Care Authority (OHCA) is the State Medicaid Agency of the State of Oklahoma. OHCA is searching for the following:
Medical Review Nurse III – Suspended Claims
The Medical Review Nurse will act as the clinical reviewer of the highest and most complex cases (through claims reviews).
This could include, but is not limited to, complex Caesarean Section (C/S), manual pricing, and Genetic testing claims.
These are reviewed in a retrospective claim scenario.
Responsibilities in–clude: reviewing documentation, evaluating claim processing, research and respond to provider, customer service and provider representatives, as well as making recommendations.
Requires the following:
• A valid RN license AND 3 years of clinical experience, including experience in health care monitoring
(e.g., quality assurance, surveillance and utilization review, auditing, health policy), clinical coding, and reimbursement, clinical review of claims and claims auditing.
• Experience using database applications. • Certified Professional Coder (CPC) certification preferred.
• Advanced health related education, Medicaid, managed care, coding, utilization, policy, and/or quality assurance/improvement is also preferred.
Apply at: www.okhca.org
APPLY TODAY!
Closing Deadline: 10.29.2021
“While we’ve all grown weary from this pandemic, no other group is carrying this burden like our nation’s nurses,” said ANA President Ernest Grant, PhD, RN, FAAN. “I am encouraged that many nurses on the frontlines will be able to receive a COVID-19 vaccine booster. ANA is grateful for the CDC’s decision to include individuals who are at higher risk of infection due to their occupation and work environment, such as nurses and health care professionals. Nurses deserve and must have the highest level of protection available to continue providing safe patient care, administering COVID-19 vaccines, and setting an example for millions of Americans.”
In a survey of more than 4,500 nurses nationwide conducted by ANA in conjunction with the COVID Vaccine Facts for Nurses campaign in July of 2021, 85% of nurses who responded say they are willing to get a booster shot of the COVID-19 vaccine. In addition to being prioritized to receive COVID-19 vaccine boosters, ANA calls for nurses to be included in planning efforts to administer COVID-19 vaccine booster shots and have timely access to up-to-date resources and education. ANA looks forward to anticipated actions related to approval of boosters for the two other authorized COVID-19 vaccines and additional guidance on the administration of booster doses.
As the nation’s nurses continue to feel the burden and strain of this persistent pandemic, ANA boldly continues its advocacy for a whole of government approach to ensure we have a strong nursing workforce today and in the future. Driving greater investment in nursing education, improving work environments, and recognizing nurses’ immeasurable contributions to health care is how we truly demonstrate a greater value on nursing.”
