MICHIGAN Registered Nurse REMOTE – Patient Assessment
Job Type Full-time Description REMOTE or In Office - MUST HAVE VALID MICHIGAN RN LICENSE Our Nursing Team is growing! Great Benefits after 30 days! PTO & Holiday Pay after 90! Summary: Our Staff Nurse's are responsible for conducting patient assessments by phone (ours) to determine individual needs for incontinence supplies. ARE YOU READY TO MAKE A MOVE? APPLY NOW! NEW HIRE ORIENTATION STARTS JULY 8TH
- **** EQUIPMENT IS NOT PROVIDED FOR REMOTE STAFF, YOU MUST HAVE YOUR OWN COMPUTER.
Essential Functions
- Consults by phone with client, primary caregiver, primary care physician or specialist, case managers and other community resources to determine if client qualifies for a particular program.
- Expectation is that Nurse will complete 20-25 assessments daily, on average with 98% accuracy.
- Conducts clinical assessments by phone and documents the client’s medical history. Monitors success rates. All products ordered must be assessed for use and quantity needs per day.
- Identifies appropriate product and quantity needs based on assessment. If formulary product will not meet needs, then reviews needs and potential solutions with Nurse Manager.
- Reassesses if there is a change in a client’s medical condition or an increase in quantity request.
- Obtains prior authorization from the state contract administrator for off-formulary or over-quantity requests.
- Reviews letters of medical necessity to determine if client qualifies for product or quantity requested.
- Reviews accounts for accuracy, reporting any errors to the appropriate department manager/leader.
- Participates in after-hours emergency call rotation.
- Understanding of insurance guidelines.
- Utilize intranet tools to complete assessments.
- Provides education to other J & B employees or external clients regarding products.
Position Type This is a full time REMOTE or in office position 40 hours per week. Monday through Friday, hours of work vary between 8:00am to 6:00pm. Occasional early mornings, evening and weekend work may be required as job duties demand.
Requirements
- Current Registered Nursing License (RN) with the State of Michigan (MI ONLY - CNL'S ARE NOT ACCEPTED)
- 2+ years previous work experience demonstrating patience, compassion and strong communication skills
- Must be great on the computer, able to use multiple databases simultaneously
Preferred Education and Experience
- 3 years of nursing experience
- Knowledge of medical terminology
- Medicare and Medicaid background
- Durable Medical Equipment (DME)
Other Duties All other duties as assigned by management. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are request of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Salary Description $35.00 hr