Registered Nurse 2

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The University of Miami/UHealth Department of Medicine has an exciting opportunity for a Full Time Registered Nurse 2 to work in the UHealth Campus

Core Job Summary

The Registered Nurse 2 provides day-to-day clinical nursing support for the division, including telephone triage, clinical InBasket management, medication and treatment coordination, laboratory and diagnostic follow-up, specialty medication and infusion support, and clinical escalation. The RN works collaboratively with rheumatology physicians, the APRN, Nurse Navigator, Patient Navigators, CBORs, pharmacies, infusion services, payers, and other healthcare teams to ensure timely and safe resolution of clinical patient-care needs.

Core Responsibilities

• Manages and prioritizes Rheumatology clinical InBasket work, including patient calls, patient advice requests, results, staff messages, CC'd charts, refill-related clinical requests, and provider-directed clinical messages.
• Performs telephone and electronic clinical triage for patients reporting symptoms, changes in condition, medication concerns, or other clinical needs.
• Recognizes urgent or emergent symptoms and escalates appropriately to the physician, APRN, emergency services, or other appropriate level of care.
• Communicates with patients regarding provider-directed clinical recommendations, laboratory results, diagnostic testing, medications, and treatment plans within established nursing protocols.
• Reviews and coordinates medication refill requests and medication clarification requests according to established protocols and provider direction.
• Manages and escalates critical or abnormal laboratory results and other time-sensitive clinical findings.
• Coordinates clinical requirements associated with specialty medications, including documentation of medical necessity, prior-authorization clinical information, denials, appeals, and supporting documentation.
• Initiates and coordinates specialty medication appeals and supports peer-to-peer review requests, including gathering clinical history and required documentation for provider review.
• Coordinates radiology authorization denials and peer-to-peer requests requiring clinical information or provider intervention.
• Provides clinical nursing support for infusion therapy, including review of required laboratory testing, treatment-related clinical questions, infusion orders/issues, and communication with the provider and infusion team.
• Coordinates with CTU and external infusion providers regarding treatment-related clinical issues.
• Manages clinical components of site-of-care infusion denials, working with health-plan case managers, infusion RN coordinators, physicians, and approved infusion facilities.
• Coordinates specialty laboratory testing, including appropriate clinical documentation and communication with specialty laboratories when required.
• Supports Patient Assistance Program (PAP) and medication-access processes when nursing or clinical documentation is required, including provider forms and medical-necessity information.
• Coordinates specialty medication issues with internal and external specialty pharmacies, including medication clarification, denial/refill issues, vacation overrides, and other treatment-access concerns.
• Responds to Secure Chat and other clinical communications from physicians and internal staff regarding active patient-care needs.
• Provides clinical guidance to CBORs and Patient Navigators when an administrative inquiry requires nursing assessment or appropriate clinical routing.
• Assists with clinical patient escalations that cannot be resolved by CBOR or Patient Navigator staff.
• Documents nursing assessment, interventions, communications, escalation, and resolution in the patient's medical record according to established policies.
• Ensures 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.

Additional information

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Core Qualifications

• Bachelor's degree in relevant field
• Minimum 2 years of relevant work experience
• Certification and Licensing: Valid State of Florida Registered Nurse (RN) license
• BLS from the American Heart Association

Knowledge, Skills and Attitudes

• Ability to maintain effective interpersonal relationships.
• Ability to communicate effectively in both oral and written form.
• Skill in collecting, organizing and analyzing data.
• Proficiency in computer software (i.e. Microsoft Office).

Pay and benefits

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Job Status: Full time

Employee Type: Staff