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 MARCH 18TH!!!
***** 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.
- 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.
