The Center for Advanced Reproductive Services is a part of the First Fertility family of centers. Learn More About The Center.

Career Opportunities

Thank you for your interest in employment at The Center for Advanced Reproductive Services (The Center).

With a diverse workforce of approximately 100 full and part-time employees, the Center for Advanced Reproductive Services has nearly four decades of experience treating fertility patients and we are very proud of our success. As a Center employee you will enjoy:

Career Opportunities


Patient/Financial Services Representative – Springfield Office – Full Time

The Patient/Financial Services Representative is responsible for all insurance benefits, pre-authorizations, ad authorizations for patients at CARS requiring treatment and medications. They must be knowledgeable in all financial programs offered at CARS, and responsible for monitoring all patient accounts. This position will entail a hybrid schedule and will require training to be completed in our Hartford location for an initial period of time.

Major Duties [included but not limited to]:

•  Responsible for pre-certifying all services scheduled for the assigned team physician. This includes: all IUI, IVF, TEST, MESA, FET, Embryo biopsy for PGT-A and PGT-M, DER, Donor Embryo, and Gestational Carriers cases. Areas covered in the precertification are: initial visit, treatment plans, medications for all of the above programs, following practice guidelines for pre-certifying (goal of 2 weeks before cycle start) notify patients of coverage and/or of self-pay arrangements. Also included are services for andrology, sperm and embryo storage. In regards to the established patient, testing such as HSG, sonohystograms, semen analysis, bone density tests and mammograms. MRI authorizations, pregnancy ultrasounds and endometrial biopsies, in office hysteroscopies and in office D&C would also be included.

•  Surgical scheduling (i.e. hysteroscopy, D&C) for the team physician- pre-certifying surgical procedures if applicable, along with scheduling a pre and post-operative visit if required. This includes coordinating schedules with the Farmington surgical center and JDH surgical scheduling, sending over pre-op forms and providing FSC/JDH with benefit/auth info for each patient.

•  Communicates the financial clearance of the patient to office staff nu utilizing Athena to dictate the terms of the financial arrangements which includes authorization from insurance company if coverage is obtained or detailed instructions for the self-pay patient (details should include amounts and timing of collection). Financial clearance is then given in RESource to update the clinical team.

•  Completes CHARGE ENTRY on all IVF cycles for team physician. Charge entry is required to be done on a daily basis and in a timely manner (goal is end of the month). Monitors and maintains accounts through the cycling phase with final entry and review at the end each cycle. Also monitors balance due on team physician by reviewing accounts with patients. FSR’s should also monitor doctors’ and Ultrasound schedules daily and place appropriate notes in “quick view” to alert PSRs (schedules) to collect at check in/ check out as well.

•  Regular follow up with patients to ensure payment of outstanding co-payments, balances, co-insurance, etc. (reviewing schedules for Doctor/cycling patients on a daily basis) and communicating appropriately.

•  Reviews consents on patients’ account to keep them accurate and up to date.

•  Maintains a strong rapport with the Central Billing Office (CBO), follows up on reports sent regarding auth issues, open consent lists, and communicates with CBO staff for guidance and assistance regarding challenging cases/issues. Provides refunds and adjustments to the patients via the CBO.

•  Responds to all patient inquiries, via either phone, email, or in person regarding their account and insurance related matters.

•  Communicates via Virtual Assistants as needed in regard to benefit check status.

•  Responsible to cover the PSR/FSR positions for absences, vacations, or any other requested time off. Travel may be required.

•  Reviews team physician schedule according to practice rules. Review schedule 2-3 days out for openings/issues and coordinate with PSR to keep schedules full and orderly.

•  Understands the requirements associated with HIPPA and Confidentiality for all patients.

•  Documents thoroughly, clearly, and accurately to ensure other staff can understand the status of a patient’s account.

•  Willing to support and train new FSR’s as needed to encourage a team driven work environment.

Knowledge, Skills, and Abilities:

•  Knowledge of the principles and practices of clinical office management

•  Proficient in computer skills to maintain patient information and accounts

•  Ability to professionally discuss financial agreements of patient treatment plans

•  Ability to multi-task, manage, and prioritize flow

•  Knowledge of medical terminology

•  Experience and commitment to outstanding customer service skills

•  Knowledge of basic information regarding the CT State Mandate for reproductive care

•  Understanding of all financial programs offered by CARS including: LIVE Strong program, Possibility Plans, and Financial Share program

•  Comprehension of CAPEX MD loans and Future Family Loans

•  Must be detail oriented with excellent organizational and communication skills

•  Support mission and vision of CARS

•  Demonstrate ability to function successfully in a team environment

Required Qualifications:

•  Demonstrated experience with outstanding customer service skills

•  Minimum 1-2 years of specialized experience with healthcare insurance products and customer service in a provider setting

•  Medical Software program experience

•  Proficient in CPT, ICD-10 coding

•  Working knowledge of Microsoft Office Products: Word, Excel, PowerPoint, Outlook, etc.

Preferred Qualifications:

•  OB/GYN physician office experience

•  Infertility office experience

•  Passion for Women’s health/ fertility

•  Customer service training/ experience

Fringe Benefits:

•  Paid vacation and holidays

•  Medical, dental and vision Insurance (available first month after start date)

•  Flexible spending account and health savings account options (partially funded by practice)

•  401(k) retirement plan with match [after 90 days]

•  Employer-paid short-term and long-term disability insurance

•  Employer-paid basic life insurance [1x annual salary]. Additional supplemental life insurance available

If interested, please send a resume and cover letter to [email protected]   


Clinical Nurse

Responsible To: Director of Clinical Operations, The Center for Advanced Reproductive Services (CARS); Medical Director, CARS; CEO, CARS

Position Description: Clinical Nursing Positions at CARS are responsible for the clinical performance and evaluation of nursing care to patients/families seeking advanced reproductive services including general clinical, ARTS/IVF, research or float RN assignments.

Core Functions and Responsibilities


•Provides comprehensive patient education and teaching for the purpose of promoting optimal patient health, well being, compliance and outcome.

•Develops/ensures availability of appropriate patient education programs and materials.

•Develops/participates in community education programs as appropriate, to meet patient/center/community needs and or requests.

•Participates in staff development, intradepartmental in-services, and nursing orientation programs.

•Acclimates house staff, medical, nursing and medical assistants to clinical services.


•Assesses psychological and emotional needs of patients, implements and evaluates appropriate nursing interventions and referrals.

•Participates in interdisciplinary case management counseling to patients undergoing ARTs treatments, including patient options, alternatives and informed consent.

Clinical Practice

Planning and Management
•Provides primary nursing care support to ARTs provider. Includes patient intake, assessment, program orientation, and overview, coordination of interdisciplinary services, formulation/coordination/implementation of treatment plan and follow up.

•Documents in medical record/EMR and ensures that all appropriate consents are properly executed.

•Maintains appropriate documentation for QA, Performance Improvement and Compliance monitors.

•Fulfills clinical and administrative compliance regulatory requirements.

•Works collaboratively with billing agents/FSRs to obtain appropriate pre-certifications for infertility procedures.


•Orders diagnostic testing in accordance with well-established protocols.

•Provides screening examinations and evaluates results

•Implements protocols for specialized therapeutic interventions (such as emergency interventional medications).

•Participates in clinical needs assessment of patients e.g., lab results, ultrasounds, hyperstimulation, ectopic pregnancy, multiple pregnancy, etc. and implements appropriate response.

•Provides explanation of medical/nursing procedures and ensures appropriate patient education and physical and emotional support during procedures.

•Assists physician with physical exams and procedures.

•Performs specific procedures e.g., inseminations, transvaginal ultrasounds, and other appropriate procedures as per protocol and within nursing scope of practice.

•Provides appropriate nursing/medical clinical instructions and assistance with patient follow-up, including laboratory results, medication adjustments, pregnancy adaptation and transition.

•Triages patient’s calls and provides appropriate follow-up and resolution.

•Provides patient instruction, teaching and/or administration for necessary treatments/medications.

•Coordinates patient care with satellite/portal locations as needed.

•Actively participates in collaborative ARTs/clinical team meetings for the purposes of assessing, planning, implementing and evaluating daily patient care plans with consideration for ethical and risk management concerns

•Cross-trains to unit areas as requested and required.

•Provides a safe and clean working environment.

•Ensures/maintains availability of supplies and equipment necessary for patient care services.


•Participates in the research process as appropriate, e.g., consenting, problem identification, screening, data collection, protocol compliance and documentation per regulatory and clinical requirements.

•Community outreach, on behalf of The Center, as available and assigned.

Professional Nursing Development

•Participates in development of nursing policies and standards of care including policies, procedures and protocols, QA and Performance Improvement monitors.

•Participates in monitoring and evaluation functions of QA and Performance Improvement activities.

•Responsible for maintaining compliance with nursing/medical standards of care.

•Actively participates in staff meetings and other appropriate forums for the purposes of improved interdisciplinary cooperation, nursing care, and the identification and communication of nursing practice issues and concerns with appropriate follow-up.

•Demonstrates responsibility for personal professional growth and development through participation in appropriate educational activities.

•Actively participates in the strategic planning process for the purpose of developing and implementing nursing goals and objectives.

•Performs selected administrative duties as appropriate and as requested.

Education and Experience


•Current licensure. State of Connecticut required.

•Minimum of 1-2 years clinical experience as licensed RN

•Excellent Interpersonal Skills

•Effective written and oral communication skills

•Ability to multitask and focus on details

•Ability to commute easily between Farmington and other satellite/outreach offices as needed.


•Reproductive endocrinology and infertility (REI) and/or IVF experience

•Labor and delivery experience/ambulatory surgery with care of the anesthetized adult patient

•Phlebotomy skills

•IV start skills



•Patients, families, physicians, nurses, researchers, administrative personnel, other health care members and the community.

Work Characteristics

•Frequently physical demands from walking and standing.

•May be exposed to infectious diseases, waste, other body waste, bodily fluids, and discharges.

•Frequently exposed to highly pressurized, emotional environment.

•Strength and stamina, lifting/pushing/pulling sufficient for the effective performance of duties.

Work Variable

•Expected to work/take call weekends, holidays and /or evenings to meet patient needs and schedule demands.

Work Schedule

•Variable. Mostly M-F. Flexibility needed based upon clinical and patient care needs including weekends, holidays and evenings.

If interested in this position, please send resume and cover letter to Brian Miller at [email protected]


1.0 FTE Float Position

80% REI Clinic Nurse in Farmington office

20% OR/PACU Nurse in Farmington office

The Center for Advanced Reproductive Services (The Center) is seeking a full time RN to meet he needs of its growing program primarily for its Farmington location. This is an excellent opportunity for dynamic and motivated RNs to work in a comprehensive state-of-the-art infertility treatment program which includes general clinical, in vitro fertilization (IVF), ambulatory surgery suite and/or third-party reproduction.

The position is responsible for the clinical performance and evaluation of nursing care to patients/families seeking advanced reproductive services and infertility treatments primarily in the Farmington REI office [80%]. Also responsible for providing OR/PACU support in our Farmington based Ambulatory Surgery Center [20%].

80% REI Clinic Nurse in Farmington office

Responsibilities will include, but not be limited to, patient history intake/ assessment and preparation, medication administration, lab assessment/data collection, IVF and ovulation induction preparation and monitoring, procedure performance or assistance, phlebotomy, patient teaching and follow-up, advanced telephone triage functions and some research functions. Participates in the development of patient teaching tools. Determines the need for first aide and emergency care and institutes within established protocols. Acts as liaison between patients, families and other health care professionals, maintains accurate record and documentation, monitors and orders supplies, performs QA functions as directed.

Assists with the orientation of new personnel and other clinical staff. Performs other related duties as requested.

20% OR/PACU Nurse in Farmington office Procedure Room


-Completes chart/anesthesia packet as per protocol including consent checks

-Assesses patient identity and performs procedure preparation as per protocol

-Properly positions patients for procedures

-Room set-up and break down

-Sterile field set-up and break down

-Block temperature check

-Physician assistance during procedure

-Assists anesthesiologist as needed

-Maintains/Completes documentation per protocol


-Assesses patient identity and performs procedure preparation

-Room set-up and breakdown

-Properly positions patient for procedure

-Assists physician with procedure and abdominal ultrasound

-Reviews post transfer instructions, prescriptions and requisitions with patient and enters into scheduling system as appropriate

-Assures patient discharge compliance

-Maintains/Completes documentation per protocol

Recovery Room

-Assesses patient identity and performs procedure preparation as per protocol

-Properly positions patients

-Performs recovery room set-up & breakdown

-May perform post anesthesia recovery and monitoring of patients within recovery room as per protocol

-Assesses and treats post procedure nausea and vomiting as per protocol and MD order

-Performs pain assessment and intervention management

-Reviews post retrieval instructions, requisitions, prescriptions with patient and enters into scheduling system as appropriate

-Assures patient discharge compliance

-Maintains/Completes documentation per protocol

Other Required Job Functions:

-Adheres to clinical and administrative protocols and procedures

-Performs allergy assessments

-Initiates latex allergy precautions and latex free protocol as needed

-Administers emergency care as needed

-Documents narcotics and medication administration per protocol

-Performs supply and inventory restock

-Adheres to red bag waste and sharps policies and protocols

-Checks, monitors emergency equipment as per protocol and documents

-Checks, monitors medication refrigerator as per protocol and documents

-Performs initial cleaning of equipment, instruments, and scopes as per protocol and procedure and in accordance with recommended practices

-Cleans instruments/probe/table/stretchers as per protocol

-Maintains surgical dress in procedure suite

-Correctly uses and /or assists with such procedure suite equipment: propac, oxygen flowmeter and delivery system, bairhugger, midmark patient stretcher, warming block, rocket suction, continuous suction, K pad, wheelchairs, Wallace catheters, Cook needles, autoclave, retrieval tray, transfer tray, stretcher, stirrups, narcotic cabinet, anesthesia cart, refrigerators, warming cabinet, procedure table, supply cabinet, ultrasound machine, anesthesia machine

-Completes mandatory training requirements within needed time frame

-Cross trains to other clinical areas of the Center (clinical and IVF including IUI, and physician assistance with intakes and procedures, etc.)

-Other related duties as assigned


Requirements include:

•Current CT RN license

•Minimum of 1-2 years OB/GYN or Women’s Health nursing experience

•Excellent interpersonal skills

•Effective written and oral communication skills

•Ability to multitask and focus on details

•Ability to commute easily between other CARS offices as needed

Preferred requirements include:

•Women’s Health ambulatory experience

•Labor and delivery (L&D) experience

•Phlebotomy skill

•IV start

•Care of the anesthetized patient

•ACLS/BCLA certification


Qualified candidates must be available for flexible hours based upon patient care and clinical needs of a growing infertility treatment program. Hours generally 8:00am to 5:00 pm or 7:30 to 4:30 pm with flexibility required Monday-Friday in Farmington clinic [80% role]. Every other weekend in Farmington OR/PACU [20% role] and rotational holidays included.

If interested in any of these positions, please send resume and cover letter to Brian Miller at [email protected]