Clinical Resource Specialist

Job description

## **See your work in a new light.** At LUX Infusion, we’re reimagining infusion care to be more human, supportive, and connected. Inspired by *lux*—meaning light - we guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence. As a clinician-led, U.S.-based organization, we put people first - helping patients feel seen and supported through faster therapy starts, dedicated care coordination, and meaningful collaboration. Our commitment to inclusion, diversity, equity, and advancement (IDEA) is central to our culture, ensuring every team member feels valued and empowered to make a difference. --- ## See your work in a new light. At **LUX Infusion**, we’re reimagining infusion care as something more human, more supportive, and more connected. We lead with compassion and clarity - helping patients feel confident in moments that matter, while giving providers and partners the trust and insight they need to deliver better outcomes. ## What We’re Looking For | | | --- | | **QUALIFICATION REQUIREMENTS** | | - Must hold an unexpired Registered Nurse license, in good standing. - Prefer two to five years of experience with a record of achievement. - Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction. - Basic level skill in Microsoft Office (including Word, Excel, PowerPoint, etc.). | | **QUALIFICATIONS PREFERRED** | | - Bachelors’ degree in nursing or equivalent required (nursing degree preferred). - State Board of Nursing License required. | | **ESSENTIAL FUNCTIONS AND RESPONSIBILITIES** | | - Knows, understands, and demonstrates the organization’s mission, vision and values. - Demonstrates knowledge and skills to competently care for all assigned patients - Completes screening assessments of physician assigned cases to determine medical necessity/status determination needs. Reassesses, monitors, and modifies transition needs as appropriate. - Conducts concurrent medical record review using established medical necessity criteria to determine correct level of care for patients. - Provides education to all health care team members regarding requirements to meet regulatory standards. - Promotes effective and efficient utilization of clinical resources from start of care to finish. - Serves as a patient advocate. - Assists in creation of Letters of Medical Necessity and Appeal Letters for MD | | **NON-ESSENTIAL FUNCTIONS & RESPONSIBILITIES** | | - Ability to prioritize and handle multiple tasks and projects concurrently. - Must have scheduling flexibility and be able to work overtime. - Develop and maintain relationships with physicians, hospital, patients, and other ancillary medical professionals. - Careful attention to detail. - Performs related duties as requested. - Participates in quality assurance activities and audits as directed. | | **KNOWLEDEGE, SKILLS AND ABILITIES REQUIREMENTS** | | - Ability to actively communicate, inspire and motivate all levels of staff. - Ability to think and act strategically and proactively. - Ability to maintain accurate records and prepare reports and correspondence related to the work. - Ability to maintain favorable public relations. - Ability to organize and coordinate the work of others. - Ability to set priorities. - Excellent verbal, written, and communication skills. - Excellent group presentation skills. - Excellent analytical skill. **Communication Skills** - Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. - Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. **Computer Skills** - Become and remain proficient is all programs necessary for execution. < |