Utilization review nurse Jobs in Richardson, TX

Job Type

Full-time

Description

Medix Infusion is looking for a dedicated LVN / Clinical Review Nurse to join our team in Addison, TX. As a Clinical Review Nurse, you will play a crucial part in ensuring the accuracy and safety of therapy orders. Your responsibilities will include conducting thorough clinical assessments of medical records to confirm that all necessary therapy requirements are met before patient treatment begins. You will collaborate closely with our Intake, Scheduling, Pharmacy, and Clinical departments to manage patient care effectively, while upholding our commitment to compassionate, high-quality standards.

Medix Infusion is a technology-driven healthcare platform dedicated to enhancing patient care and access to infusion therapies. We specialize in disease management and infusion pharmacy services for chronic and acutely ill patients, especially those in underserved communities. We offer personalized home and in-suite infusion therapies, ensuring convenience and comfort. Our expert team provides a comprehensive range of treatments, including anti-infectives, biologics, IVIG, and other injectables, making each patient's journey as smooth as possible.

Key Responsibilities :

• Clinical Review : Assess therapy orders for accuracy, safety, and completeness. Ensure that all required components are present before patient care.
• Timely Processing : Complete clinical reviews for new referrals promptly to avoid delays in patient care.
• Regulation Compliance : Stay informed about relevant regulations and policies to maintain compliance.
• Data Management : Research and gather additional information as needed, consulting with referring offices, Nurse Practitioners, Nurse Managers, and Medical Directors.
• Patient Counseling : Provide guidance over the phone about medications, side effects, and infusion experiences.
• Documentation : Accurately record information in the EMR system, including the medication table.
• Support : Serve as a resource for non-clinical staff within the Patient Services Department and assist with orientation and training of new team members.
• Professional Conduct : Exhibit courteous, compassionate, and professional behavior consistently.
• Additional Duties : Complete follow-up tasks as assigned and attend departmental meetings and in-services.

Required Qualifications :

Physical Demands :

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and / or move up to 50 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

Confidentiality Agreement :

All employees must uphold confidentiality and patient care principles to the fullest extent. Breaches of these principles will result in immediate termination.

Why Join Us?

Medix Infusion offers a dynamic work environment, opportunities for professional growth, rewarding career challenges, and competitive compensation. We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status, or other characteristics protected by law.

Medix Infusion will only employ individuals who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of pre-employment screenings.