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Telephonic Clinical Nurse
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Anticipated End Date: Position Title:Telephonic Clinical Nurse - BioPlus Specialty PharmacyJob Description: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.Telephonic Clinical Nurse - BioPlus Specialty PharmacyLocations:CO-DENVER, 700 BROADWAYFL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000IN-INDIANAPOLIS, 220 VIRGINIA AVEMO-ST. LOUIS, 100 S 4TH STMO-ST LOUIS, 1831 CHESTNUT STFL-TAMPA, 5411 SKY CENTER DRHybrid: 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.Schedule: Monday-Friday, 8:00am-5:00pm EST. May need to work on weekends/holidays, based on business needs.The Telephonic Clinical Nurse - 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: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.Minimum 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.Preferred Skills, Capabilities and Experiences:BSN.Oncology experience.Call center experience.Experience with Enterprise Rx.Experience with Microsoft Office suite.Experience with Genesys.Contract experience with Pfizer and BMS REMS.5+ years of leadership experience.For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $34.66 to $51.99 per hour.Locations: Denver, COIn 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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.Job Level:Non-Management Non-ExemptWorkshift:Job Family:MED > Licensed NursePlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.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.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
