Job Description

Telephonic Nurse - BioPlus Specialty Pharmacy

Be part of an extraordinary team. BioPlus Specialty Pharmacy is now part of CarelonRx, a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.

Locations

220 Virginia Ave. 4th floor, Indianapolis, IN 46204

1831 Chestnut St, St. Louis, MO 63103

700 Broadway, Denver, CO 80203

376 Northlake Blvd. Altamonte Springs, FL 32701

This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.

Schedule

Full-time, will work an 8-hour shift Monday-Friday; hiring for multiple shifts. May need to work on weekends/holidays, based on business need.

Build the Possibilities. Make an Extraordinary Impact.

The Clinical Nurse Coordinator is responsible for collaborating with healthcare providers and/or pharmacists, as part of the health care team, to drive personalized health management and improve health outcomes for optimal consumers.

How you will make an impact:

• Will service patients in different states telephonically; will be on the phones majority of the day helping patients with their medications, troubleshooting any issues with medication delivery, claims, co-payments.
• Collects co-payments telephonically.
• Performs care management activities within the scope of licensure for members with complex and chronic care needs, particularly with the oncology and REMS programs.
• Ensures medically appropriate, high quality, cost-effective care and appropriateness of treatment and level of care.
• Partners with physicians and/or pharmacists to interpret appropriateness of care, intervention planning, and general clinical guidance.
• Collaborates with providers to assess consumer needs for early identification of and proactive planning for adverse events and continuity of care.
• Conducts clinical assessment to develop goals that address individual needs to develop and implement a care plan.
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

Minimum Requirements

• Requires an ASN or ADN and a minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
• Current, valid, active unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required if this individual is providing services in multiple states.

Preferred Skills, Capabilities and Experiences

• BSN preferred.
• Oncology experience preferred.
• Call center experience preferred.
• Experience with Enterprise Rx preferred.
• Experience with Microsoft Office suite preferred.
• Experience with Genesys preferred.
• Bi-lingual or multi-language skills preferred.

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $33.81 to $50.71.

Locations: Colorado

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion unless and until paid and may be modified at the Companys sole discretion, consistent with the law.

Elevance Health

Job Tags

Full time, Work experience placement, Work at office, Local area, Remote work, Shift work, Weekend work, 2 days per week, 1 day per week, Monday to Friday,

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