Clinical Nurse Concierge, Infusion - BioPlus Specialty Pharmacy
Elevance Health

Job Info

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Title: Clinical Nurse Concierge, Infusion

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.

Location(s): This position will work a hybrid model (remote and office). Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health PulsePoint location. Locations are: NV-LAS VEGAS, 3634 S MARYLAND PKWY, NV-LAS VEGAS, 9133 W RUSSELL RD, and AZ-CHANDLER, 145 S 79TH ST, STE 70

The Clinical Nurse Concierge is responsible for coordinating the care needs of assigned patients and develops comprehensive plans to manage care delivery across the patient care continuum.

How you will make an impact:

Primary duties may include, but not limited to:

• Introduce and inform current and new immunoglobulin patients and referral sources about the services and programs offered.
• Provide additional touchpoint to customers, be a resource for outside salespeople, and help solve problems as needed.
• Oversee the referral process and maintenance of EMR.
• Ability to thoroughly understand and explain organizations Infusion product offerings and key benefits to current and potential patients and physician customers.
• Act as the single point of contact for patients and referral sources ensuring high levels of customer satisfaction.
• Provide industry leading customer service and advocacy for BioPlus patients and customers.
• Intervene immediately when a potential bottleneck in our system may occur.
• Develop and distribute consumer/patient educational materials and resources.
• Communicate the story and explain competitive advantage.
• Discuss insurance limits and parameters of policy with patients prior to beginning services.
• Act as a liaison between home health agencies, home infusion center and physicians to coordinate discharge, plan for patient care and establish Plans of Treatment.
• Coordinate therapeutic monitoring pertinent to therapy with home health care agency, laboratory and specialty infusion center pharmacy.
• Coordinate pharmacy dispensing schedule with delivery of drugs and supplies.
• Verify disposable supplies are packed and are appropriate for patient needs.
• Coordinate with home health care agency, laboratory and specialty pharmacy for injectable self-administration teaching, lab coordination and shipment arrangements.
• Coordinate patient care at refill establishing current response to therapy and ADR/Adherence occurrences, forwarding all clinical calls to appropriate clinician, under the supervision of the pharmacist.
• Responsible for all activities and duties including but not limited to appropriate communications via progress notes, arranging nursing, patient communications, health care professional communications, completing scheduling board, as well as scheduling shipments via patient contact and communication in computer system, e-mail system and verbally.
• Coordination involvement and auditing of requirements of specific clinical programs as per policy and procedures. (REMS, IgG, Hemophilia, etc.)
• Participate in center QA&I to ensure achievement of excellence.
• Ensure compliance with all Policies and Procedures and Pharmacy and Nursing laws and regulations.

Minimum Requirements:

• Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
• Current, 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:

• Prior IV therapy/infusion experience preferred.
• Certification as a Case Manager is preferred.

For URAC accredited areas the following applies: Requires a BA/BS and 5 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $97,188 - $145,782.

Locations: Nevada

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). 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.

Please 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 Are

Elevance 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 Work

At 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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 elevancehealthjobssupport@elevancehealth.com for assistance.

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