Specialty Pharmacy Nurse

American Oncology Network • Urbana, IL

12d • $26 - $49 • Remote

About The Position

The RN will be an integral part of the AON Adherence Program, providing medication and disease advice to patients. The AON RN will assist prescribers in obtaining Celgene Auth. numbers, provide REMS (Risk Evaluation and Mitigation Strategy) safety information to AON patients, will act as a resource to the Prior Authorization Team and will complete patient oral oncolytic appeals on behalf of AON.

Requirements

• Registered Nurse (associate’s or bachelor’s degree)
• Experience in oral oncology therapy is required
• Licensed or eligible in the State of Florida
• Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Must be detailed oriented with the ability to exercise independent judgment.
• Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters.
• Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback.
• Strong customer focus. Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations.
• Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability work independently with limited supervision. Ability to work remotely effectively as required.
• Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.
• Proficiency in MS Office Word, Excel, Power Point, and Outlook required.
• RN

Nice To Haves

• Knowledge of oral chemotherapy prior authorizations and/or appeals preferred

Responsibilities

• Educate patients and (when appropriate) family regarding medications
• Educate patients on side effects and treatment plans
• Interact with patient and family in a caring, professional manner
• Perform reassessments and refill requests to assure proper continuation of treatment
• Responsible for assisting the clinicians in obtaining Celgene Auth. Numbers
• Responsible for completing the clinical education and counseling portion of the FDA REMS program for required medications.
• Must become certified by Celgene and maintain current certification
• Will serve as a clinical and prior authorization resource to the Prior Authorization Team
• Will participate in reviewing denied, unclear, or questionable PA requests according to applicable clinical criteria as defined by regulatory and compliance requirements
• Will review and initiate prior authorization appeal services to include first level appeal reviews.
• Will coordinate appeal reviews with Medical Director(s) of pharmacy benefit managers and/or peer-to-peer interviews as required
• The RN must have the skills required to handle escalated calls or email requests that may arise in the pharmacy to help maintain a smooth workflow and ensure turnaround times are met for each patient
• Thorough and accurate documentation in OncoEMR, CPR+, and patient adherence software
• Must demonstrate ability to work independently with minimal supervision, however when required able to work well in a team setting.
• Provide ongoing training and quality assurance activities to the Prior Authorization and Pharmacy Team
• Attend all mandatory pharmacy staff meetings and educational dinner meetings as necessary

Benefits

• competitive compensation packages that include comprehensive health insurance with a robust provider network
• 401k, which offers a 100% match and investment options, is available to full-time and part-time staff members
• generous Paid Time Off (PTO) program
• professional development programs
• tuition assistance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees