Infusion PA Nurse – Day Shift CDI & Appeals

Children's of Alabama; Birmingham (AL); Hybrid; USD 85,000 - 105,000; Full time

Job summary

Children’s of Alabama in Birmingham (Main Campus, Lee Building) seeks a PA Nurse in Clinical Documentation Integrity. The role handles infusion prior authorizations, works with providers and Billing, and supports documentation quality to ensure timely patient care and reimbursement.

Schedule is 8-4:30, Monday-Friday, Day Shift. Requires RN license in Alabama, BSN/ADN, 5+ years nursing, 1 year infusion PA exp preferred. Collaborative, organized team player essential.

Qualifications

• RN with Alabama licensure required.
• Minimum 5 years nursing experience; 1 year prior authorization experience preferred.
• BSN or ADN from an accredited nursing program.

Responsibilities

• Obtain outpatient infusion prior authorizations across the organization.
• Collaborate with providers to provide necessary documentation and peer-to-peer support when needed.
• Coordinate with Billing on denials and appeals to support patient care and reimbursement.
• Educate physicians and clinical staff on documentation requirements and processes.

Skills

Nursing

Prior Authorization

Infusion therapies

Documentation accuracy

Customer service

Education

BSN or ADN from accredited program

RN licensure in Alabama

Associate of Science in Nursing

Job description

Children’s of Alabama in Birmingham (Main Campus, Lee Building) seeks a PA Nurse in Clinical Documentation Integrity. The role handles infusion prior authorizations, works with providers and Billing, and supports documentation quality to ensure timely patient care and reimbursement.

Schedule is 8-4:30, Monday-Friday, Day Shift. Requires RN license in Alabama, BSN/ADN, 5+ years nursing, 1 year infusion PA exp preferred. Collaborative, organized team player essential.