U

University of Miami

Research university in Coral Gables, FL

Registered Nurse 2

Full-Time
No salary listed
Mid
Bachelor's
Miami, FL, USA
Hybrid
Medical, Clinical & VeterinaryNursing & Frontline Patient Care
Company Does Not Provide H1B Sponsorship

About the job

Requirements
  • A bachelor's degree in a relevant field.
  • At least 2 years of relevant work experience.
  • A valid State of Florida Registered Nurse (RN) license.
  • Basic Life Support certification from the American Heart Association.
  • Ability to maintain effective interpersonal relationships.
  • Ability to communicate effectively in oral and written form.
  • Skill in collecting, organizing, and analyzing data.
  • Proficiency with computer software, including Microsoft Office.
Responsibilities
  • Manage and prioritize Rheumatology clinical InBasket work, including patient calls, advice requests, results, staff messages, copied charts, refill-related clinical requests, and provider-directed messages.
  • Perform telephone and electronic clinical triage for patients reporting symptoms, changes in condition, medication concerns, or other clinical needs.
  • Recognize urgent or emergent symptoms and escalate them appropriately to a physician, Advanced Practice Registered Nurse, emergency services, or another appropriate level of care.
  • Communicate provider-directed clinical recommendations, laboratory results, diagnostic testing, medications, and treatment plans to patients within established nursing protocols.
  • Review and coordinate medication refill and clarification requests according to established protocols and provider direction.
  • Manage and escalate critical or abnormal laboratory results and other time-sensitive clinical findings.
  • Coordinate clinical requirements for specialty medications, including medical-necessity documentation, prior-authorization clinical information, denials, appeals, and supporting documentation.
  • Initiate and coordinate specialty medication appeals and support peer-to-peer review requests by gathering clinical history and required documentation for provider review.
  • Coordinate radiology authorization denials and peer-to-peer requests requiring clinical information or provider intervention.
  • Provide clinical nursing support for infusion therapy, including reviewing required laboratory testing, addressing treatment-related clinical questions and infusion orders or issues, and communicating with the provider and infusion team.
  • Coordinate with CTU and external infusion providers regarding treatment-related clinical issues.
  • Manage clinical components of site-of-care infusion denials by working with health-plan case managers, infusion registered nurse coordinators, physicians, and approved infusion facilities.
  • Coordinate specialty laboratory testing, including appropriate clinical documentation and communication with specialty laboratories when required.
  • Support Patient Assistance Program and medication-access processes when nursing or clinical documentation is required, including provider forms and medical-necessity information.
  • Coordinate specialty medication issues with internal and external specialty pharmacies, including medication clarification, denial and refill issues, vacation overrides, and other treatment-access concerns.
  • Respond to Secure Chat and other clinical communications from physicians and internal staff regarding active patient-care needs.
  • Provide clinical guidance to CBORs and Patient Navigators when an administrative inquiry requires nursing assessment or appropriate clinical routing.
  • Assist with clinical patient escalations that cannot be resolved by CBOR or Patient Navigator staff.
  • Document nursing assessment, interventions, communications, escalation, and resolution in the patient's medical record according to established policies.
  • Ensure closed-loop resolution of assigned clinical work, recognizing that complex cases, including appeals, infusion coordination, and specialty medication issues, may require multiple contacts over several days.

About the company

The University of Miami is a private research university focused on education, discovery, and service, with undergraduate, graduate, and professional programs.

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