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