Telephonic Nurse – Bioplus Specialty Pharmacy

Telephonic Nurse – Bioplus Specialty Pharmacy

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.

Responsibilities

• Will service patients in different states telephonically; will be on the phones majority of the day helping patients with their medications, troubleshooting any issues with medication delivery, claims, co-payments.
• Collects co-payments telephonically.
• 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.

Preferred Qualifications

• BSN preferred.
• Oncology experience preferred.
• Call center experience preferred.
• Experience with Enterprise Rx preferred.
• Experience with Microsoft Office suite preferred.
• Experience with Genesys preferred.
• Bi-lingual or multi-language skills preferred.