Clinical Intake Registered Nurse

AmeriPharma • Laguna Hills, CA

5h • Remote

About The Position

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. The 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 acts as a 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. The 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. Hands-on assessments, infusion administration, and ongoing field nursing services remain the responsibility of qualified field nurses and regional Nursing leadership.

The position is fully remote and is scheduled Monday to Friday, 8:00 a.m. to 4:30 p.m. PST. Salary is $103,000 annually, depending on experience.

Requirements

• Graduated from an accredited nursing program; an Associate Degree in Nursing is required.
• Active, unrestricted California RN license in applicable state(s) of practice; additional licensure is required.
• Minimum of three years of clinical nursing experience.
• 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.

Nice To Haves

• Bachelor of Science in Nursing.
• Two or more years of infusion nursing, home infusion, specialty pharmacy, ambulatory infusion, or related experience.
• CRNI or other relevant specialty certification.
• Experience with remote patient education and interdisciplinary clinical coordination.

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.
• Educate patients and caregivers about prescribed therapy, administration schedules, 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 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.

Benefits

• Full benefits package including medical, dental, vision, and life insurance.
• Competitive pay and general compensation structures.
• Employee assistance program for mental health, legal questions, financial counseling, and other support.
• Comprehensive PTO and sick leave options.
• 401k program.
• Opportunities for growth and advancement.
• Company-sponsored outings and team-building events.
• Casual Fridays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree