Telephonic Clinical Nurse Coordinator - BioPlus Specialty Pharmacy

Elevance Health • Durham, NC

4d • Hybrid

About The Position

The Telephonic Clinical Nurse Coordinator at BioPlus Specialty Pharmacy, part of Elevance Health, collaborates with healthcare providers and pharmacists to provide personalized health management and improve consumer health outcomes. The role manages members with complex and chronic care needs, with particular focus on oncology and REMS programs. It ensures care is medically appropriate, high quality, and cost-effective, and supports appropriate treatment and levels of care. The position is hybrid, requiring in-office work 1–2 days per week, with candidates expected to live within commuting distance of an office unless an accommodation is granted. The schedule is Monday through Friday, 1:30 p.m.–10 p.m. EST; holiday work may be required based on business needs.

Requirements

• ASN or ADN and at least 3 years of clinical experience, or an equivalent combination of education and experience.
• Current, valid, active, unrestricted RN license in applicable state(s).
• Multi-state licensure is required if providing services in multiple states.

Nice To Haves

• BSN.
• Specialty Pharmacy experience.
• Bilingual ability.
• Drug Manufacturer experience.
• Telephonic Nursing experience.

Responsibilities

• Perform care management activities within the scope of licensure for members with complex and chronic care needs, particularly in oncology and REMS programs.
• Ensure medically appropriate, high-quality, cost-effective care and assess the appropriateness of treatment and level of care.
• Partner with physicians and/or pharmacists to interpret appropriateness of care, plan interventions, and provide general clinical guidance.
• Collaborate with providers to assess consumer needs and proactively identify and plan for adverse events and continuity of care.
• Conduct clinical assessments and develop goals and care plans that address individual needs.
• Monitor and evaluate the effectiveness of care management plans and modify them as necessary.

Benefits

• $5,000 sign-on bonus.
• Merit increases.
• Paid holidays.
• Paid time off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• Short- and long-term disability benefits.
• 401(k) with match.
• Stock purchase plan.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree