MICHIGAN Registered Nurse REMOTE - Telehealth Pt Assessment

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.

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. EQUIPMENT IS NOT PROVIDED FOR REMOTE STAFF, YOU MUST HAVE YOUR OWN COMPUTER.

• Current Registered Nursing License (RN) with the State of Michigan (MI ONLY - NLC'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.