Clinical Eligibility Nurse (RN)

Clinical Eligibility Nurse

Location : Woodmere, NY

Reports To : Director of Clinical Operations

Supervises : SVI Scheduling Coordinator

Schedule : Full-Time, Monday–Friday

About Integra Vascular

Integra Vascular provides patient-focused, preventative vascular care to residents of our communities and long-term care facilities. Our mission is to minimize unnecessary wounds, hospitalizations, and travel through early diagnosis and exceptional onsite treatment. Guided by our commitment to clinical excellence, we deliver cutting-edge vascular care that improves function, comfort, and quality of life for every patient we serve.

Position Overview

The Clinical Eligibility Nurse plays a key role in ensuring the safe and appropriate scheduling of patients for mild interventional SVI (Superficial Venous Insufficiency) treatments such as Varithena, Venaseal, and radiofrequency ablation. Working from Integra Vascular’s Woodmere office, this position requires a clinically skilled Registered Nurse who can review patient records, determine eligibility for treatment, and coordinate the scheduling workflow in partnership with the Brooklyn OBL team.

The Clinical Eligibility Nurse serves as the bridge between clinical review and operational execution, overseeing the SVI Scheduling Coordinator to ensure that all approved patients are efficiently scheduled for procedures in compliance with clinical and administrative standards.

Key Responsibilities

• Review patient records, diagnostic imaging, and referring physician notes to assess eligibility for SVI treatments.
• Verify that all necessary clinical documentation and diagnostics are complete prior to scheduling.
• Communicate directly with referring providers, facility contacts, and internal teams to clarify clinical findings or missing documentation.
• Maintain and update the master SVI patient list, ensuring accurate tracking from review to procedure.
• Oversee the SVI Scheduling Coordinator and provide clinical guidance regarding patient prioritization and scheduling order.
• Collaborate with the Director of Clinical Operations to forecast procedural volume and optimize scheduling efficiency for SVI days at the Brooklyn OBL.
• Ensure all scheduled cases meet medical necessity and internal compliance criteria.
• Support adherence to state and federal healthcare regulations, as well as Integra Vascular’s internal standards.
• Monitor and report on eligibility trends, procedural approval rates, and scheduling metrics to identify opportunities for process improvement.
• Serve as the primary point of contact between the clinical review process and scheduling operations.
• Work closely with the clinical and administrative teams to ensure a seamless patient experience from referral to treatment.
• Participate in team meetings and provide feedback on workflow enhancements.

Qualifications

Benefits