
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 managing clinical documentation, laboratory results, medication refill requests, patient communications, prior authorization coordination, and document management.
• Act as a bridge between patients, healthcare providers, pharmacies, insurance companies, and other members of the healthcare team.
• Alleviate provider inbox workload by autonomously managing clinical workflows and coordinating patient care.
• Address patient phone calls, portal messages, and clinical inquiries promptly.
• Evaluate patient concerns and direct urgent matters to the appropriate healthcare provider.
• Educate patients on medications, treatment plans, and necessary follow-up care.
• Accurately document patient interactions in the Electronic Health Record (EHR).
• Handle prescription refill requests and coordinate with pharmacies.
• Investigate and resolve issues related to medication access, prior authorization challenges, insurance denials, formulary restrictions, and unavailable medications.
• Review laboratory and diagnostic reports and communicate results to patients.
• Organize follow-up testing and appointments as needed.
• Monitor outstanding results to ensure timely provider review.
• Maintain oversight for high-risk and abnormal test results, including escalation, patient communication, and documentation of outcomes.
• Manage patient records and complete required clinical forms and medical documentation.
• Assist providers in patient care coordination and workflow management.
• Monitor patient follow-up requirements and identify gaps in care.
• Valid 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.
• Proficient in using electronic health records (EHR).
• Ability to swiftly learn the eClinicalWorks electronic health record system.
• Experience in care coordination for uninsured or underserved populations and patients with substance use disorders is preferred.
• Prior experience in primary care, family practice, occupational health, or ambulatory care is preferred.
• Strong communication, organizational, and problem-solving abilities 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 required.
• Completion of Federal and State Criminal Background Checks and Drug Screen is required.
• Influenza vaccination is a requirement for employment.
• Must complete an I-9 form and provide documentation of identity and eligibility to work in the United States upon accepting employment.
• Bilingual proficiency (English/Spanish) is advantageous, but not required; applicants who may perform translation duties will need to undergo a language assessment.
• Options for full-time or part-time employment.
• Remote work opportunities available following training and satisfactory performance.
Horizon Connect @ Wall BCBSNJ
The Baldwin Group
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