Telephonic Clinical Nurse Coordinator - BioPlus Specialty Pharmacy

Elevance Health • Lake Mary, FL

5d • Hybrid

About The Position

Telephonic Clinical Nurse Coordinator - BioPlus Specialty Pharmacy Location Hybrid : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey. The Telephonic Clinical Nurse Coordinator - BioPlus Specialty Pharmacy 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. How you will make an impact: 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

• BSN preferred.
• Oncology experience preferred.
• Oncology OCN Certification strongly preferred.
• Specialty Pharmacy experience preferred.
• Bi-lingual preferred.
• Drug Manufacturer experience preferred.
• Telephonic Nursing experience preferred.

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

• In addition to your salary, 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
• Number of Employees: 5,001-10,000 employees