Clinical Infusion Nurse
North Texas Institute of Neurology & Headache
Registered Nurse (RN)/Licensed Vocational Nurse (LVN/LPN) – Clinic and Biologics Infusion Nurse North Texas Institute of Neurology, Headache & Rheumatology (NTINH/NTIR) At North Texas Institute of Neurology, Headache & Rheumatology, our team is dedicated to delivering the highest quality patient care with integrity, compassion, and collaboration. We strive to create a welcoming and supportive environment for every patient we serve. With two convenient locations in Frisco and Plano, Texas, NTINH/NTIR proudly serves patients across the region, throughout Texas, and from multiple states nationwide. We are seeking a full-time Registered Nurse (RN) or Licensed Vocational Nurse (LVN/LPN) to join our team as a Clinic and Biologics Infusion Nurse . This is an excellent opportunity to become part of a collaborative team focused on providing comprehensive, patient-centered care to patients with neurological and rheumatologic conditions, and on improving the health and well-being of our community. Schedule Full-time, 40 hours per week Monday through Friday (no weekends or night shifts) Typical hours: 7:45 AM – 3:45 PM Clinic-based position Key Responsibilities The Clinic and Biologics Infusion Nurse will play a vital role in delivering biologic and specialty infusion therapies and supporting daily clinic operations. Responsibilities include: Infusion and Clinical Care Performing pre- infusion assessments, including vital signs, symptom review, and screening for active infection, recent illness, vaccines, pregnancy, and other contraindications Reviewing required labs and screenings (such as CBC, CMP, TB, and hepatitis B) before treatment, and escalating abnormal results to the provider Verifying provider orders, dosing, weight-based calculations, and infusion rates Preparing and administering biologic and specialty infusion s (such as infliximab, rituximab, ocrelizumab, tocilizumab, abatacept, IVIG, and CGRP-targeted therapies) under provider orders Giving premedications as ordered Placing peripheral IV lines and accessing and maintaining port-a-caths Monitoring patients throughout treatment and titrating infusion rates according to protocol Recognizing and managing infusion reactions, including hypersensitivity and anaphylaxis, under emergency protocols Giving subcutaneous and intramuscular injections and teaching patients how to self-inject Disconnecting IVs, providing post- infusion observation, and giving discharge instructions Teaching patients about their therapy, possible side effects, infection precautions, and follow-up care Clinic Duties Supporting providers during clinic visits, including rooming patients, taking vital signs, and reconciling medications Answering patient phone calls and portal messages, triaging clinical concerns, and routing them to providers Processing refill requests and coordinating with specialty pharmacies Following up with patients on lab results, missed doses, and treatment tolerance Helping with in-office procedures and clinical tasks as directed Administrative and Coordination Duties Working with the prior authorization and billing teams to confirm benefits verification and active authorizations before each infusion Tracking authorization expirations, visit limits, and re-authorization deadlines, and providing clinical documentation when needed Scheduling and coordinating infusion appointments, chair time, and recurring treatment cycles Coordinating with drug manufacturers, copay assistance programs, and patient assistance programs Managing infusion drug inventory, including ordering, receiving, cold-chain and refrigerator temperature logs, and expiration checks Accurately recording drug name, NDC, lot number, dose, waste, start and stop times, and patient response in the electronic medical record (EMR) to support compliant billing Keeping infusion suite supplies and emergency equipment stocked and checked Following infection control, OSHA, and clinic safety standards Performing additional duties as needed Required Qualifications Active Registered Nurse (RN) license in the State of Texas Current BLS certification Preferred Qualifications LVN/LPN or Bachelor of Science in Nursing (BSN) Previous experience with biologic or specialty infusion therapy, ideally in neurology, rheumatology, or an ambulatory infusion setting Experience accessing port-a-caths Experience recognizing and managing infusion reactions Familiarity with prior authorizations, benefits verification, and buy-and-bill workflows ACLS certification CRNI or other infusion nursing certification is a plus Medical, dental, and vision insurance 401(k) with 3% company match after one year of employment North Texas Institute of Neurology & Headache #J-18808-Ljbffr North Texas Institute of Neurology & Headache
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