
Ambulatory Nurse, RN
Posted Oct 30

Posted Oct 30
This is a fully remote position, open to applicants in North Carolina.
• Facilitate patient care by effectively managing clinical documentation, laboratory results, medication refill requests, patient communications, prior authorization coordination, and document management.
• Act as a bridge between patients, providers, pharmacies, insurance companies, and members of the healthcare team.
• Assist in coordinating care for multiple providers within the practice.
• Independently handle relevant clinical workflows and resolve intricate clinical and administrative issues within established protocols.
• Address incoming patient phone calls, portal messages, and clinical inquiries.
• Evaluate patient concerns and direct urgent issues to the appropriate provider.
• Educate patients on medications, treatment plans, and follow-up care.
• Accurately document patient interactions in the electronic health record.
• Manage prescription refill requests in accordance with established protocols.
• Review eligibility for refills, medication history, and provider instructions.
• Collaborate with pharmacies on prescription clarifications.
• Investigate and resolve medication access challenges, such as prior authorization obstacles, insurance denials, formulary restrictions, and unavailable medications.
• Review incoming laboratory and diagnostic reports.
• Communicate normal and provider-reviewed results to patients.
• Coordinate follow-up testing and appointments when necessary.
• Track outstanding results and guarantee provider review.
• Maintain tracking for high-risk and abnormal test results, including follow-up, escalation, patient communication, and documentation of outcomes.
• Manage and uphold patient records within the EHR system.
• Complete clinical forms and medical documentation.
• Assist providers with patient care coordination and workflow management.
• Monitor patient follow-up needs and recognize care gaps.
• Active NC Registered Nurse (RN) licensure in good standing is mandatory.
• A minimum of two (2) years of nursing experience in outpatient, community/health, critical care, or emergency care settings.
• Proficiency in using electronic health records (EHR) is essential.
• Must be able to swiftly learn the eClinicalWorks electronic health record system.
• Experience with care coordination for uninsured or underserved patients and those with substance abuse disorders is preferred.
• Background in primary care, family practice, occupational health, or ambulatory care is preferred.
• Strong communication, organizational, and problem-solving skills are essential.
• Capability to manage multiple priorities in a fast-paced environment is required.
• Proven ability to work independently with minimal supervision while exercising sound clinical judgment and adhering to established protocols, policies, and regulatory requirements is necessary.
• Bilingual (English/Spanish) is a plus but not mandatory.
• Applicants who may serve in a translating capacity will need to take a language assessment.
• Federal and State Criminal Background Checks and Drug Screen are required for all positions.
• Influenza vaccine is a condition of employment.
• New hires must complete an I-9 form and present documentation of identity and eligibility to work in the United States.
• Options for full-time or part-time employment are available.
• Remote work options are available post-training and satisfactory performance.
• Bilingual English/Spanish ability is a plus but not required.
• Equal employment opportunity is promoted.
• Federal and State Criminal Background Checks and Drug Screen are required for all positions.
• Influenza vaccine is a condition of employment.
• E-Verify employment eligibility process is conducted.
Horizon Connect @ Wall BCBSNJ
The Baldwin Group
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