Clinical Intake Registered Nurse

This is a fully remote position, open to applicants in California.

📋 Description

• Evaluate patient referrals, medical histories, diagnoses, lab results, medication records, allergies, infusion history, and vascular access documentation.

• Recognize any incomplete, conflicting, or outdated clinical information and potential concerns for patient safety.

• Ascertain expected nursing assessments, monitoring, education, and service needs.

• Prioritize referrals according to clinical urgency and expected therapy commencement dates.

• Examine nursing orders for completeness, accuracy, and alignment with the prescribed treatment plan and state and Medicare regulations.

• Facilitate the retrieval and clarification of orders for infusion administration, vascular access care, lab collection, monitoring, and other nursing services.

• Monitor outstanding clinical requirements and ensure that discrepancies are resolved or escalated prior to progressing the referral.

• Conduct readiness and education calls via telephone or virtually with patients and caregivers ahead of therapy initiation.

• Assess prescribed therapy, administration schedules, medication storage, premedications, hydration, expected infusion duration, potential adverse effects, and symptom reporting.

• Evaluate patient and caregiver comprehension using teach-back or other approved methods.

• Review prescribed administration requirements, including infusion rates, titration, duration, hydration, monitoring, and estimated nursing visit time.

• Analyze vascular access type, placement documentation, maintenance needs, and anticipated nursing care requirements.

• Coordinate nursing needs for parenteral nutrition (PN/TPN), IVIG/SCIG, antimicrobial therapy, hydration, biologics, enzyme replacement, and other specialized infusion therapies.

• Collaborate with pharmacists, prescribers, nutrition support clinicians, and regional nursing personnel to address clinical issues.

• Elevate medication-related concerns to the intake pharmacist or prescriber and nursing practice or service issues to Nursing leadership.

• Initiate nursing readiness holds when critical nursing requirements remain unresolved.

• Document concerns, communications, actions, and resolution statuses.

• Coordinate with regional nursing operations regarding anticipated visit frequency, duration, acuity, monitoring, and specialized competency requirements.

• Facilitate introductions of patients to the appropriate Regional Director of Nursing.

• Provide thorough clinical handoffs and confirm acknowledgment of the handoff.

• Maintain precise and timely clinical documentation in designated pharmacy and clinical information systems.

• Comply with nursing practice requirements, pharmacy regulations, ACHC accreditation standards, organizational policies, and confidentiality protocols.

• Report clinical discrepancies, near misses, and patient safety issues.

• Engage in clinical audits, workflow enhancements, standardized intake tools, and initiatives aimed at minimizing preventable delays, corrections, and unnecessary medication or supply deliveries.

• Conduct nursing-focused clinical reviews, patient education, nursing order coordination, documentation, and clinical escalation within RN scope of practice.

• Do not administer infusion therapy, conduct in-person nursing visits, independently modify prescribed therapy, authorize medication dispensing, or perform tasks reserved for pharmacists or other authorized practitioners.

⛳️ Requirements

• Completed an accredited nursing program.

• Associate Degree in Nursing is required.

• Bachelor of Science in Nursing is preferred.

• Active, unrestricted California RN license in applicable state(s) of practice, with additional licensure required.

• Minimum of three years of clinical nursing experience.

• Two or more years of infusion nursing, home infusion, specialty pharmacy, ambulatory infusion, or related experience is preferred.

• Experience in reviewing clinical records and provider orders, identifying clinical concerns, coordinating care, and delivering patient education.

• Familiarity with TPN, IVIG/SCIG, biologics, antimicrobials, or other complex infusion therapies.

• Knowledge of vascular access devices, infusion pumps, home infusion operations, and ACHC accreditation requirements.

• CRNI or other relevant specialty certification is preferred.

• Experience with remote patient education and interdisciplinary clinical coordination.

🏝️ Benefits

• Comprehensive benefits package including medical, dental, vision, and life insurance.

• Competitive salary and overall compensation structures.

• Employee assistance program to help with mental health, legal inquiries, financial counseling, etc.

• Generous PTO and sick leave policies.

• 401k plan.

• Opportunities for career growth and advancement.

• Company-sponsored outings and team-building activities.

• Casual Fridays.