Clinical Intake Registered Nurse

Clinical Intake Registered Nurse (RN)

AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.

The Clinical Intake Registered Nurse (RN) provides nursing-focused clinical review and coordination for patients referred for specialty pharmacy, home infusion, and ambulatory infusion services. This role reviews clinical records and nursing orders, identifies safety concerns and outstanding requirements, conducts pre-infusion readiness and patient education calls, and coordinates nursing service requirements with Pharmacy and regional Nursing leadership. The Clinical Intake RN serves as the clinical liaison between pharmacy intake and regional nursing operations to support safe, timely therapy initiation, complete clinical documentation, and effective patient transitions to infusion services. This is a non-hands-on nursing position. The RN does not administer infusion therapy, perform in-person nursing visits, independently modify prescribed therapy, or perform functions reserved for pharmacists or other authorized practitioners.

This position is fully remote

Schedule: Monday to Friday, 8:00am to 4:30pm PST

Salary: $103,000 Annually DOE

Duties and Responsibilities

• Review patient referrals, medical records, diagnoses, laboratory results, medication histories, allergies, infusion history, and vascular access documentation.
• Identify incomplete, conflicting, or outdated clinical information and potential patient safety concerns.
• Determine anticipated nursing assessment, monitoring, education, and service requirements.
• Prioritize referrals based on clinical urgency and anticipated therapy start dates.
• Review nursing orders for completeness, accuracy, and consistency with the prescribed treatment plan and state and Medicare regulations.
• Coordinate retrieval and clarification of orders for infusion administration, vascular access care, laboratory collection, monitoring, and other nursing services.
• Track outstanding clinical requirements and ensure discrepancies are resolved or escalated before advancing the referral.
• Ensure order changes and clarifications are appropriately authorized and documented.
• Conduct telephone or virtual readiness and education calls with patients and caregivers before therapy initiation.
• Review prescribed therapy, administration schedule, medication storage, premedications, hydration, anticipated infusion duration, potential adverse effects, and symptom reporting.
• Assess patient and caregiver understanding using teach-back or other approved methods.
• Identify barriers to safe therapy initiation and coordinate additional education or clinical clarification as needed.
• Evaluate prescribed administration requirements, including infusion rates, titration, duration, hydration, monitoring, and anticipated nursing visit time.
• Review vascular access type, placement documentation, maintenance requirements, and anticipated nursing care needs.
• Identify discrepancies involving infusion equipment, pump programming, supplies, medication delivery, or nursing instructions.
• Communicate specialized nursing requirements and unresolved concerns to the appropriate clinical personnel.
• Coordinate nursing requirements for parenteral nutrition (PN/TPN), IVIG/SCIG, antimicrobial therapy, hydration, biologics, enzyme replacement, and other specialty infusion therapies.
• Identify therapy-specific monitoring, laboratory, vascular access, education, and nursing competency requirements.
• Collaborate with pharmacists, prescribers, nutrition support clinicians, and regional nursing personnel to resolve clinical concerns.
• Recognize concerns involving clinical stability, previous infusion reactions, comorbidities, vascular access, administration complexity, and required monitoring.
• Escalate medication-related concerns to the intake pharmacist or prescriber and nursing practice or service concerns to Nursing leadership.
• Initiate nursing readiness holds in accordance with organizational policy when critical nursing requirements remain unresolved.
• Document concerns, communications, actions, and resolution status
• Coordinate with regional nursing operations to communicate anticipated visit frequency, duration, acuity, monitoring, and specialized competency needs.
• Facilitate introduction of patients to the appropriate Regional Director of Nursing.
• Provide complete clinical handoffs that include relevant history, prescribed therapy, vascular access, education, identified risks, and outstanding concerns.
• Confirm handoff acknowledgment according to established workflow and escalate barriers that may delay or compromise therapy initiation.
• Maintain accurate, timely clinical documentation in designated pharmacy and clinical information systems.
• Adhere to applicable nursing practice requirements, pharmacy regulations, ACHC accreditation requirements, organizational policies, and confidentiality standards.
• Report clinical discrepancies, near misses, and patient safety concerns.
• Participate in clinical audits, workflow improvement, development of standardized intake tools, and initiatives to reduce preventable delays, corrections, and unnecessary medication or supply deliveries.

Scope of Practice and Accountability The Clinical Intake RN is accountable for nursing-focused clinical review, patient education, nursing order coordination, documentation, and appropriate clinical escalation within the RN's scope of practice. The RN does not independently prescribe or modify therapy, authorize medication dispensing, or perform functions reserved for pharmacists or other authorized practitioners. Medication-related concerns are referred to the appropriate licensed professional. Hands-on assessments, infusion administration, and ongoing field nursing services remain the responsibility of qualified field nurses and regional Nursing leadership.

Required Qualifications

• Graduated from an accredited nursing program; Associate Degree in Nursing required and Bachelor of Science in Nursing preferred.
• Active, unrestricted California RN license in applicable state(s) of practice, with additional licensure is required.
• Minimum of three years of clinical nursing experience.
• Two or more years of infusion nursing, home infusion, specialty pharmacy, ambulatory infusion, or related experience preferred.
• Experience reviewing clinical records and provider orders, identifying clinical concerns, coordinating care, and providing patient education.
• Experience with TPN, IVIG/SCIG, biologics, antimicrobials, or other complex infusion therapies.
• Familiarity with vascular access devices, infusion pumps, home infusion operations, and ACHC accreditation requirements.

Preferred Qualifications

• CRNI or other relevant specialty certification.
• Experience with remote patient education and interdisciplinary clinical coordination.

AmeriPharma's Mission Statement

Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is continuously required to sit and talk or hear. The employee is occasionally required to stand, walk, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and the ability to adjust focus.

EEO Statement

The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or based on disability or any other legally protected class.