Clinical Reviewer at Medix Infusion

Addison, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Jan, 26

Salary

0.0

Posted On

23 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Assessment, Medical Records, Collaboration, Communication, Problem Solving, Patient Care, EMR System, Medication Guidance, Training, Regulatory Compliance, Compassion, Teamwork, Data Interpretation, Mathematical Calculations, Diverse Patient Awareness, Quality Standards

Industry

Hospitals and Health Care

Description

Description Medix Infusion is seeking a detail-oriented and compassionate Clinical Review Nurse to join our team. As an Clinical Review Nurse, you will be responsible for conducting comprehensive clinical assessments of medical records to ensure accuracy, safety, and compliance with therapy requirements before patient treatment begins. You will work closely with our Intake, Scheduling, Pharmacy, and Clinical teams to facilitate seamless patient care and uphold our high standards of quality and safety. Medix Infusion is a technology-driven healthcare platform dedicated to enhancing patient care and access to infusion therapies. We specialize in disease management and infusion pharmacy services for chronic and acutely ill patients, especially those in underserved communities. We offer personalized home and in-suite infusion therapies, ensuring convenience and comfort. Our expert team provides a comprehensive range of treatments, including anti-infectives, biologics, IVIG, and other injectables, making each patient’s journey as smooth as possible. Key Responsibilities: Evaluate therapy orders for completeness, accuracy, and safety before patient care begins. Conduct clinical reviews of new referrals promptly to prevent delays in treatment. Maintain knowledge of applicable regulations and policies to ensure compliance. Collaborate with referring offices, Nurse Practitioners, Nurse Managers, and Medical Directors to verify and obtain necessary medical information. Provide telephone-based guidance on medications, potential side effects, and infusion procedures. Accurately record and update patient information in the EMR system, including medication tables. Act as a resource for non-clinical staff, assist with onboarding, and train new team members. Maintain a compassionate and patient-focused approach while fostering a collaborative work environment. Complete follow-up tasks, participate in team meetings, and contribute to continuous process improvement. Required Qualifications: LVN or RN with at least two years of clinical experience. Experience in medical or utilization review is preferred. Minimum of two years of clinical experience, preferably in medical or utilization review. Proficiency in Microsoft Office, Microsoft Teams, email, and self-service payroll software. Strong communication, teamwork, and problem-solving abilities. Awareness and understanding of diverse patient backgrounds and healthcare needs. Ability to perform basic mathematical calculations and interpret clinical data. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff. Confidentiality Agreement: All employees must uphold confidentiality and patient care principles to the fullest extent. Breaches of these principles will result in immediate termination. Why Join Us? Compassionate Team: Join a dedicated team focused on exceptional patient care. Supportive Environment: Thrive in a positive work culture with growth opportunities. Excellent Culture: Rated highly by our employees (NPS Score). Patient-First Approach: We treat others as we want ourselves or our families treated. Integrity: We are committed to doing the right thing in all situations. Team-Oriented: Work in a collaborative environment with an emphasis on positive intent. Medix Infusion offers a dynamic work environment, opportunities for professional growth, rewarding career challenges, and competitive compensation. We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status, or other characteristics protected by law. Medix Infusion will only employ individuals who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of pre-employment screenings.

Responsibilities

The Clinical Reviewer will evaluate therapy orders for completeness, accuracy, and safety before patient care begins. They will conduct clinical reviews of new referrals promptly to prevent delays in treatment and collaborate with various teams to ensure compliance and quality care.