Clinical Nurse Coordinator- BioPlus

Elevance Health•St. Louis, MO

5d•Hybrid

About The Position

The Clinical Nurse Coordinator - BioPlus role is a hybrid position requiring associates to be in-office 1-2 days per week for collaboration, while also offering flexibility through virtual work. This role is part of the Elevance Health family of companies, specifically BioPlus Specialty Pharmacy, which focuses on providing excellent service, clinical expertise, digital capabilities, and access to specialty medications. The Clinical Nurse Coordinator collaborates with healthcare providers and pharmacists to manage personalized health, improve outcomes, and support consumers with complex and chronic care needs, particularly in oncology and REMS programs. They ensure medically appropriate, high-quality, cost-effective care and develop, implement, and monitor care plans to address individual needs and proactively manage adverse events and continuity of care.

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.

Nice To Haves

BSN preferred.
Previous experience in performing telephonic direct patient education preferred.
Specialty pharmacy experience preferred.

Responsibilities

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.