Pre-Assessment Phone Nurse -PRN KCOA ASC

Paycom; Lenexa (KS); On-site; USD 55,000 - 83,000; Part time

Job summary

Kanas City Orthopedic Alliance is hiring a Pre-Assessment Phone Nurse (PRN) in Lenexa, KS to review patient records and perform structured pre-operative interviews to ensure surgical readiness and patient safety.

The RN will assess comorbidities, coordinate necessary clearances, and communicate findings to the surgical team, enabling efficient day-of-surgery operations and high-quality patient care.

Qualifications

• Minimum 2 years RN experience in pre-admission testing, pre-op, PACU, med-surg, or ambulatory surgery settings.

Responsibilities

• Review patient charts, H&Ps, outside records, labs and imaging before scheduled surgery.
• Conduct structured pre-operative phone interviews to collect medical and medication history.
• Screen for comorbidities and risk factors relevant to outpatient candidacy.
• Apply facility and anesthesia criteria to determine ASC candidacy; flag high-risk cases.
• Reconcile medications and provide hold instructions for anticoagulants and other meds.
• Coordinate clearance with cardiology, primary care, or pulmonology as needed.
• Communicate risks and clearance needs to surgeons and OR staff; document in EMR.
• Educate patients on pre-operative instructions and day-of-surgery expectations.

Skills

RN experience

Education

Nursing degree (ADN/BSN)

Job description

# Pre-Assessment Phone Nurse -PRN KCOA ASCKCOA Lenexa ASC - Lenexa, KS 66219## OverviewPosition TypePart Time## Description**Join the KCOA Team at Our New Ambulatory Surgery Center – Center for Advanced Orthopedics in Lenexa!**Kanas City Orthopedic Alliance is excited to announce the opening of our new Ambulatory Surgery Center – Center for Advanced Orthopedics located in Lenexa. We are seeking talented, dedicated professionals to join us as we build a team committed to excellence.This new facility represents an exciting opportunity to be part of something from the ground up. Team members will play a key role in shaping the culture, delivering exceptional service, and helping us provide outstanding care and support to our patients and community.**Why Join Us?*** Be part of a brand-new, state-of-the-art facility* Collaborate with an experienced and supportive team* Help establish processes and best practices from day one* Opportunities for professional growth and career advancement* Competitive compensation and benefitsWe are seeking individuals who:* Demonstrate professionalism and integrity* Thrive in a collaborative environment* Are committed to exceptional patient and customer experiences* Bring enthusiasm, adaptability, and a positive attitude**We are seeking an experienced Pre-Assessment Phone Nurse PRN**to conduct telephonic and remote-record review of patients scheduled for orthopedic surgery to determine their medical readiness and appropriateness as an ASC surgical candidate. This RN reviews history and physical (H&P) documentation, outside medical records, diagnostic results, and medication lists, then conducts a structured phone interview with each patient to identify risk factors, comorbidities, and any conditions that could affect surgical or anesthesia safety in an outpatient setting. The role is critical to case-day efficiency, cancellation prevention, and patient safety.**Responsibilities*** Review patient charts, H&Ps, outside records, labs, imaging, and specialist notes prior to scheduled surgery* Conduct structured pre-operative phone interviews to obtain complete medical, surgical, anesthesia, and medication history* Screen for comorbidities and risk factors (cardiac, pulmonary, diabetes, obstructive sleep apnea, bleeding disorders, BMI, anticoagulant use, etc.) that may affect candidacy for outpatient/ASC surgery* Apply facility and anesthesia-approved patient selection criteria to determine ASC surgical appropriateness; flag high-risk patients for anesthesia/surgeon review* Reconcile medication lists and provide hold instructions for anticoagulants, diabetic medications, and other pre-op medication adjustments per protocol/surgeon orders* Identify need for additional clearance (cardiology, primary care, pulmonology) or pre-op testing (labs, EKG, imaging) and coordinate obtaining results before surgery date* Communicate identified risks, missing information, or clearance needs to surgeons, anesthesia providers, and OR scheduling team in a timely manner* Educate patients on pre-operative instructions, including NPO status, medication management, and day-of-surgery expectations* Document all assessments, findings, and communications accurately and thoroughly in the EMR* Coordinate with scheduling to reschedule or flag cases when patients do not meet ASC candidacy criteria* Serve as a point of contact for patients with pre-operative questions or concerns* Maintain patient confidentiality and comply with HIPAA and facility documentation standards## Qualifications**Experience/Education/Licensing.*** Minimum 2 years RN experience; pre-admission testing, pre-op, PACU, med-surg, or ambulatory surgery experience strongly preferred* Strong working knowledge of comorbidities and risk factors relevant to outpatient surgical candidacy* Comfortable interpreting labs, EKGs, and specialist clearance documentation* Excellent telephone communication, critical thinking, and independent clinical judgment skills* Current Kansas RN license (or compact license)* Associate's or Bachelor's Degree in Nursing* BLS required; ACLS preferred**Physical Requirements**Ability to sit/work at a computer and phone workstation for extended periods; visual and auditory acuity for detailed chart review and patient interviews.