Specialty Pharmacy Nurse

American Oncology Network•Urbana, IL

7d•$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. Key Performance Areas KPA 1 – Patient Adherence: 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 KPA 2 – REMS Authorizations and safety information. 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 KPA 3 – Prior Authorizations 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 KPA 4 – Customer Service 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. KPA 5 – Training and Education 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

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.

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

We offer competitive compensation packages that include comprehensive health insurance with a robust provider network.
Our 401k, which offers a 100% match and investment options, is available to full-time and part-time staff members, and we feature a generous Paid Time Off (PTO) program.
As a fast-growing national company, the opportunity to join a national workforce with flexible work options is available.
Promoting from within is a priority at AON, and we support our team members continued growth through professional development programs and tuition assistance.

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