Clinical Nurse Coordinator - Specialty Pharmacy

Elevance Health

6d • Hybrid

About The Position

Clinical Nurse Coordinator – Specialty Pharmacy Axium Healthcare Puerto Rico, a Carelon Company, is a valued member of Elevance Health’s family of companies. As a Clinical Pharmacy servicing patients with chronic illnesses requiring complex care in Puerto Rico. We optimize patient outcomes by blending a high-touch, caring patient experience with specialized clinical knowledge, personalized total life care programs and administrative expertise. Office Location: 1001 San Roberto Street, STE 101, 401, & 501, San Juan, PR 00926 In-Office Expectation: Hybrid 1: 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. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Schedule: Monday – Friday; 7:00 AM – 6:30 PM, specific 8-hour shifts rotate on a monthly basis. 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.

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 Puerto Rico required.

Nice To Haves

• BSN preferred.
• Bilingual – Spanish and English; comfortability in both languages is strongly preferred to support main customer base completely.
• Experience within a specialty pharmacy is strongly preferred.
• Experience with medication management programs strongly preferred.
• Experience in risk evaluation and mitigation strategies (REMS) and monitoring of patients in REMS programs strongly preferred.
• Background in clinical interventions, including documentation of interventions, aligned through specialty pharmacies, including laboratory and clinical documentation/note interpretations strongly desired.
• Ability to work with a diverse patient population, be culturally competent, and empathetic to those with health literacy deficiencies.

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.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees