Resource Nurse II

BASIC FUNCTION The Resource Nurse is responsible for managing medication refill requests, ensuring accurate and timely prescription processing, and coordinating with healthcare providers to maintain optimal patient care. The RN will assess patient needs, review medical records for compliance, and collaborate with pharmacists and physicians to optimize medication management. The Resource Nurse will be responsible for assessing patient conditions over the phone or through virtual communication, prioritizing care based on urgency, and providing guidance on appropriate next steps.

PRIMARY RESPONSIBILITIES AND DUTIES Review and process medication refill requests in compliance with state regulations and clinical standing delegated order.

Assess patient medication history and adherence to prescribed treatments.

Communicate with providers to clarify prescriptions, dosage adjustments, and renewals as needed.

Educate patients on medication use, side effects, and adherence strategies.

Ensure accurate documentation of refill approvals, denials, and provider communications.

Collaborate with pharmacists, providers, and other healthcare professionals to improve patient outcomes.

Identify potential drug interactions or contraindications and escalate concerns accordingly.

Complete medication prior authorizations.

Conduct telephone or virtual assessments to determine the severity of symptoms and recommend appropriate care.

Prioritizing and routing patients to receive appropriate medical care or treatment

Utilizing established triage protocols to determine the appropriate level of care for each patient, whether it be immediate treatment, observation, or referral to another healthcare provider.

Managing and triaging after-hour patient calls to determine the next steps for patient care Accurately documenting patient assessments, interventions, and treatment plans in the electronic medical record.

Maintain patient confidentiality and adhere to HIPAA regulations.

Stay up to date with current medical practices, guidelines, and regulations to provide the highest standard of care.

Participate in quality improvement initiatives related to medication management.

Other Duties assigned:
Effectively carries out tasks and responsibilities beyond core job duties and primary role. The additional duties may vary from time to time and encompass a wide range of activities that contribute to the overall success of the organization (floating, schedule variations, assisting co-workers, patients, visitors, customers, leaders, and other stakeholders in support of the organization.

MISSION, VISION, AND VALUESEmpathy
- Demonstrates empathy and respect for diversity in the workplace by treating all patients, guests, and colleagues with politeness and inclusivity. Open to learning from different perspectives and experiences.

Excellence
- Maintains ethical and safety standards and shows integrity in work-related activities. Aims for excellence in job performance.

Enjoyment
- Shows gratitude, appreciation, a commitment to learning, and professionalism by seeking feedback, accepting constructive criticism, and being open to growth and improvement in their job role.

Commitment to Patient/Customer Service
- Exhibits good patient/customer service skills and professionalism during patient, customer, colleague interactions. Uses effective communication skills, listens to patients/customers, and responds to inquiries and concerns in a timely manner. Handles challenging situations professionally, ensuring timely resolution of problems to create positive patient/customer experiences.

CULTUREGratitude
- Maintains a positive attitude and acknowledges the value of contentment and well-being in oneself and others.

Collaborative Team
- Shows adaptability, enthusiasm, and a readiness to work with others in an inter-professional team for organizational purposes. Identifies and encourages opportunities for the professional growth of team members.

Quality Improvement
- Works together with the team to promote ongoing improvement efforts aimed at enhancing quality standards, processes, and results.

Accountability
- Follows regulatory guidelines and HealthPoint policies and procedures…