Infusion Nurse Care Manager
2 months ago
Plano
Job DescriptionDescription: The Infusion Nurse Care Manager provides comprehensive, patient-centered oversight for individuals receiving long-term IVIG, SCIG, and biologic therapies. This remote-based role blends advanced infusion expertise with chronic care management, ensuring safe therapy initiation, ongoing monitoring, and exceptional patient experience. While primarily remote, the position includes occasional travel for training, meetings, or regional clinical needs. The Care Manager serves as the primary clinical liaison for patients, caregivers, prescribers, and the home infusion team, supporting continuity, adherence, and optimal outcomes for complex immune-mediated and chronic conditions. Requirements: Key Responsibilities Clinical Care Management • Conduct Start of Care (SOC) assessments, including clinical history, therapy readiness, and patient-specific risk factors., • Provide comprehensive patient and caregiver education on IVIG, SCIG, and biologic therapies, infusion expectations, device use, and safety precautions., • Complete post-infusion therapy assessments to evaluate tolerance, identify adverse reactions, and determine ongoing clinical needs., • Perform manufacturer program assessments and documentation as required for therapy approval, continuation, or outcomes tracking., • Collaborate with third-party nursing agencies to onboard, educate, and coordinate care for patients receiving outsourced nursing support., • Participate in after-hours on-call rotation as needed to support urgent clinical questions or infusion-related concerns., • Conduct clinical reviews to ensure patients meet therapy criteria, including diagnosis verification, lab review, and adherence to payer or clinical guidelines., • Draft Letters of Medical Necessity (LMNs) on behalf of the prescribing provider for insurance authorization or reauthorization., • Serve as the primary point of contact for patients and caregivers, ensuring timely communication, support, and care navigation throughout the therapy journey. Chronic Care Management & Longitudinal Oversight • Maintain ongoing awareness of patient status, infusion tolerance, disease progression, and therapy goals., • Monitor adherence, infusion schedules, symptom trends, and early warning signs of therapy complications or disease exacerbation., • Update individualized chronic care plans based on clinical findings, therapy response, and patient-specific needs., • Coordinate therapy adjustments, dose changes, or transitions between IVIG, SCIG, or biologic modalities. Care Coordination & Interdisciplinary Collaboration • Partner with prescribers, pharmacists, case managers, and support staff to ensure timely therapy initiation and continuity., • Communicate changes in patient condition, therapy response, or safety concerns promptly and effectively., • Participate in interdisciplinary case reviews, chronic care rounds, and quality improvement initiatives., • Support transitions of care from hospital to home, ensuring readiness and continuity for immune-compromised or complex patients. Quality, Safety & Compliance • Ensure adherence to home infusion standards, accreditation requirements (ACHC, URAC, Joint Commission), and state nursing regulations., • Promote infection prevention, safe medication handling, and infusion access device maintenance best practices., • Participate in incident reporting, root cause analysis, and continuous improvement activities., • Contribute to the development and refinement of chronic care workflows, patient education materials, and therapy-specific protocols. Qualifications Required • Active RN license in good standing., • Minimum 2–3 years of experience in infusion therapy, home health, specialty pharmacy, or chronic disease management., • Strong assessment, critical thinking, and patient education skills., • Ability to work independently in a remote environment while maintaining effective communication with the care team., • Willingness to travel occasionally for training or operational needs., • Ability to participate in after-hours on-call rotation. Preferred • Experience specifically with IVIG, SCIG, and biologic therapies., • Background in chronic care coordination, immune-mediated conditions, or specialty infusion., • IgCN certification preferred; CRNI, CPPS, or CCM also beneficial., • Familiarity with EMR systems and home infusion workflow documentation. Core Competencies • Expertise in IVIG, SCIG, and biologic therapy management, • Chronic care management and longitudinal patient oversight, • Patient-centered communication and teaching, • Clinical judgment and escalation awareness, • Organization, prioritization, and time management, • Commitment to safety, quality, and continuous improvement Work Environment • Remote-based role with virtual care coordination, telehealth support, and digital documentation., • Occasional travel required for training, meetings, or regional clinical support., • Flexible scheduling aligned with patient needs and organizational requirements.
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