Telephonic Clinical Nurse Coordinator

Elevance Health • Tampa, FL

16d • $35 - $52 • Hybrid

About The Position

The Telephonic 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. Primary duties may include, but are not limited to: 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.

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

• Oncology experience.
• Call center experience.
• Experience with Enterprise Rx.
• Experience with Microsoft Office suite.
• Experience with Genesys.
• Contract experience with Pfizer and BMS REMS.

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

• Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
• 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