Registered Nurse Clinical Denials and Appeals

Job Description:

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members.

Scope

Prepares for study initiation by gaining an in-depth knowledge of the protocol, developing patient recruitment plans, and developing operational implementation plans for impact to care site resources.

Guides patients and their caregivers to make informed decisions, collaborating with multidisciplinary teams to allow for timely screening, diagnosis, treatment, and increased supportive care across the research continuum. Screens potential patients for protocol eligibility. Presents trial concepts and details to the patients, participates in the informed consent process, enrolls patients to study and patient navigation.

Plans, coordinates, and evaluates nursing care of participants. Oversees patient care in compliance with protocol requirements. Provide clinical services as required including patient assessments. Disburses investigational drug providing patient teaching regarding administration. Maintains investigational drug accountability (if applicable). Responsible for reviewing protocol specific billing guides and submitting billing information to appropriate personnel. Oversees the preparation of orders by physicians to assure that protocol compliance is maintained. Communicates with physicians regarding study requirements, need for dose modification, and adverse event reporting. Participates in data collection, entry, and reporting for the subjects.

In collaboration with the treating physician, reviews patients for changes in condition, adverse events, concomitant medication use, protocol compliance, response to study drug and thoroughly documents all findings. May be responsible for education of clinic staff regarding clinical research.

Participates in required training and education programs as well as monitoring and auditing activities. May work directly with sponsors. May participate in scheduling monitoring and auditing visits, as well as interact with the monitors/auditors while on site.

Minimum Qualifications

Bachelor of Science in Nursing (BSN)

Current licensure as a registered nurse in state of practice

Two years of nursing experience

Experience in Microsoft office and electronic medical record systems

Preferred

Current BLS or ACLS certification

Certification (certification by one of the clinical research associations, i e , SoCRA, ACRP)

IATA Training and Certification

Experience with clinical trial management systems and electronic data capture systems

Experience in clinical research

Knowledge of FDA regulations and GCP

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Accuracy, attention to detail and ability to set priorities and meet deadlines

Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required

Ability to work nights and/or weekends is required for identified positions

Physical Requirements:

Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.- and -Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.- and -Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.- and -Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.- and -Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc).- and -May be expected to stand in a stationary position for an extended period of time.

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$36.35 – $54.53

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.