Nurse Navigator - Remote/Hybrid (West Coast PST or MST)

Orsini Healthcare • Elk Grove, IL

340d • Hybrid

About The Position

The Nurse Navigator plays a key role in delivering exceptional patient care by coordinating services for individuals with complex and chronic conditions. Through care management and education, this position ensures patients adhere to prescribed therapies, improving health outcomes and quality of life.

Requirements

• Current RN License in good standing (Compact licensure a plus but not required)
• 5+ years of clinical experience in healthcare, including hospital, home health, pharmaceutical or biotech
• 2-5+ years of case management
• Must be an excellent communicator and problem-solver
• Demonstrated time management skills; planning, and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines
• Demonstrated effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) skills - with demonstrated effectiveness in working cross-functional and independently
• Demonstrated ability to develop, follow, and execute plans in an independent environment
• Demonstrated ability to build positive relationships both internally & externally effectively
• Demonstrated ability to be adaptable to changing work environments and responsibilities
• Must be able to thrive in a team environment and willing to contribute at all levels with flexibility and a positive attitude
• Fully competent in MS Office (Word, Excel, PowerPoint)

Responsibilities

• Participate in one-on-one communications with patients and their caregivers
• Provide direct educational training and support to patients and caregivers about prescribed medication
• Manage patient cases across regions as coverage and volume requires
• Communicate insurance coverage updates and findings to the patient and/or caregiver
• Review and educate the patients and/or caregivers on financial assistance programs that they may be eligible for
• Coordinate logistical support for patient to receive therapy and manage their disease
• Collaborate with Home Office, HUB Case Coordinators, and Field based teams
• Collaborate with Reimbursement Manager teams to troubleshoot and resolve reimbursement-related issues
• Engage with patients and provider to ensure appropriate support is being given on an individualized basis
• Provide patient-focused education to empower patients to advocate on their behalf
• Develop relationships and manage multiple and complex challenges that patients and caregivers are facing
• Ensure compliance with relevant industry laws and company policies
• Participate in and complete required pharmacovigilance training
• Comply with all relevant industry laws and company policies

Benefits

• BCBSL Medical
• Delta Dental
• EyeMed Vision
• 401k
• Accident & Critical Illness
• Life Insurance
• PTO, Holiday Pay, and Floating Holidays
• Tuition Reimbursement

What This Job Offers

• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree