Clinical Research Nurse: Study Coordination & Enrollment

Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Dental

Vision

Retirement plans

Tuition assistance

Job summary

Thomas Jefferson University in Philadelphia is seeking a registered nurse to support clinical study coordination and data management. The role focuses on subject recruitment, enrollment, and ensuring consistent study implementation in line with regulatory reporting requirements.

Responsibilities include obtaining informed consent, educating participants, coordinating meetings with consortium members, and tracking progress. Prior experience in RN clinical settings and case management is preferred.

Qualifications

• Associate’s Degree Nursing Diploma or Associate’s Degree in Nursing.
• Bachelor’s Degree Nursing
• 1 year Minimum of 1 year of RN Clinical Experience in health care setting.
• 3 years case management experience, discharge planning or utilization management experience required.
• Knowledge of managed care, governmental and third party payors reimbursement.
• Must be proficient with InterQual and mcg criteria and its application.
• Ability to: prioritize workload; collaborate with others to meet multiple deadlines; communicate effectively orally and in writing; work in a team environment, document in electronic health records.
• Knowledge of the medical, social, economic, and other services provided by other departments or facilities, and the ability to integrate these multidisciplinary treatments for optimal patient care.
• Knowledge and understanding of legislation and regulatory bodies affecting healthcare practices.
• Knowledge of the techniques and the ability to work with a variety of individuals and groups in a constructive and collaborative manner.
• Ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.
• Refers cases to the Physician Advisor per department procedures which require further review or clarification.
• Applies specific relevant medical necessity criteria for all patients within 24 hours of admission to determine the appropriate patient status.
• Completes retrospective clinical review for cases requiring third party payor medical necessity approval for payment.
• Documents appropriate medical necessity criteria level of care guidelines subset.
• Evaluates Level I medical necessity appeal results to determine appropriateness of Level II appeal. Refers case to Physician Advisor for input as needed.
• Evaluates contract auditor retrospective denials for appropriateness of appeal.
• Follows departmental procedures for Condition 44 downgrades, including medical record documentation, and informing patient and Case Manager.
• Demonstrates ability to identify hearing and sight deficiencies in geriatric population.
• RN - Licensed Registered Nurse_PA - State of Pennsylvania

Responsibilities

• Collects and documents clinical information (data) from study participants.
• Provides patient education regarding research study.
• Obtains informed consent and supports enrollment into clinical trials.
• Interacts with consortium members, organizes meetings and communicates with participating institutions, tracks and records progress, schedules meetings, records and distributes minutes.

Skills

InterQual criteria

MCG criteria

Data management

Regulatory compliance

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Tools

InterQual system

MCG criteria

Job description

Thomas Jefferson University in Philadelphia is seeking a registered nurse to support clinical study coordination and data management. The role focuses on subject recruitment, enrollment, and ensuring consistent study implementation in line with regulatory reporting requirements.

Responsibilities include obtaining informed consent, educating participants, coordinating meetings with consortium members, and tracking progress. Prior experience in RN clinical settings and case management is preferred.