RN Clinical Review Specialist

Aleracare; Sandy (UT); On-site; USD 55,000 - 72,000; Full time

Benefits offered by this job

401(k) Matching

Health, Vision, and Dental Insurance

PTO (14 days)

Community service day

Competitive hourly rate

Job summary

Pure Infusion in Utah is seeking a Registered Nurse Clinical Review Specialist to ensure timely approval and renewal of patient care services. You will coordinate between patients, physicians, and clinics to support patient care under our mission and core values.

The role emphasizes accurate authorizations, clear communication with referring providers, and collaboration with the care team. Competitive health, dental, vision, 14 days PTO, and a paid community service day accompany a competitive

Qualifications

• Minimum 1–2 years nursing experience.
• Experience with insurance and prior authorizations.
• Experience writing emails or letters for medical requests.
• Current nursing license and BLS certification required.

Responsibilities

• Reviewing orders from authorizations.
• Communicating with referring providers.
• Ensuring timely approval and renewal of patient care services.
• Assisting Pure Healthcare in meeting all patient care needs.
• Being detail oriented with urgency to complete authorizations for patients.
• Contributes to performance improvement and quality care.

Skills

Clear communication

Collaboration

Customer service

Eager to learn

Education

Current nursing license

BLS Certification within 30 days

Job description

Pure Infusion is a fast-growing healthcare company and a leader in chronic-condition infusion therapy. We deliver a personalized, private, and meaningful infusion experience for patients who often need ongoing care and consistency. Pure Infusion has been recognized as one of Utah's fastest-growing companies, and we believe that growth is a reflection of our people, purpose, values, and patient-first culture.

Our patients are referred by specialty physicians for biologic and other infusion therapies, often related to autoimmune disorders or primary deficiencies. These patients need more than an appointment. They need a place that feels calm, professional, comfortable, and human.

Our Core Values

We live by four core values that define our culture and guide our hiring:

People-Obsessed

We care deeply about patients, teammates, referring providers, and every person who interacts with Pure Infusion.

Relentlessly Improving

We look for ways to make every visit, every process, and every interaction better than it was yesterday.

We are willing to challenge old healthcare assumptions and build a better model for patients and teams.

Grateful

We serve with humility, appreciate the people around us, and believe gratitude should turn into action.

Schedule and Benefits Snapshot

Our regular hours are generally Monday through Friday, 8 a.m. to 5 p.m., with most weekends and holidays off.

• Competitive hourly rate
• 401(k) Matching
• Health, Vision, and Dental Insurance
• Over 20 days of paid time off annually
• One paid community service day each year to give back in a way that matters to you, either with your clinic, with the corporate team, or through a community cause you personally care about

Position Summary:

As a Registered Nurse Clinical Review Specialist at Pure Healthcare, you are responsible for ensuring timely approval and renewal of patient care services to allow Pure Healthcare to meet patient care needs. This occurs through communication and coordination between the patient, the patient’s physician, and our clinics. The Clinical Review Specialist supports and creates positive environments through a personal commitment to the Company’s vision and values.

Key Responsibilities

• Reviewing orders from authorizations
• Communicating with referring providers
• Ensuring timely approval and renewal of patient care services
• Assisting Pure Healthcare in meeting all patient care needs
• Being detail oriented with urgency to complete authorizations for patients
• Contributing to company culture of being grateful and passionate serving patients
• Participates in performance improvement activities for the enhancement of care delivery offering suggestions and assistance towards the continuous quality improvement of patient care
• Demonstrates a thorough knowledge of and complies with all policies and procedures related to the performance of job duties
• Competitive health, dental and vision
• Competitive Pay (We strive to be generous in our pay for skills you already have)
• PTO (14 days a year in your first year)
• 1 community service paid day off a year to do a service project of your choice.

Required Knowledge and Skills

• Minimum 1-2 years nursing experience
• Experience with insurance and prior authorizations
• Experience writing emails or letters for medical requests

Required Knowledge and Skills

• Demonstrates clear communication and effective collaboration to optimize patient care and clinic operations
• We want nurses who are eager to learn and grow with our rapidly expanding organization
• Ability to collaborate with others and offer outstanding customer service

Education/Licensure/Technical Requirements

• Current nursing license for applicable state
• BLS Certification required within 30 days of hire
• Ability to meet U.S. employment and eligibility requirements