Telephonic Clinical Nurse Coordinator - BioPlus Specialty Pharmacy

Elevance Health; St. Louis (MO); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Elevance Health's BioPlus Specialty Pharmacy is looking for a Telephonic Clinical Nurse Coordinator to partner with healthcare providers and pharmacists to drive personalized health management and improve outcomes for members.

You will conduct care management for complex oncology cases, ensure high-quality, cost-effective care, and collaborate with physicians to plan interventions and ongoing care. This role is hybrid with in-office collaboration one to two days weekly.

Qualifications

• Requires ASN or ADN with a minimum of 3 years of clinical experience.
• Current, valid RN license in applicable state(s) required; multi-state licensure preferred.
• Oncology experience and specialty pharmacy exposure are a plus.
• Telephonic nursing experience and ability to coordinate care remotely are valued.
• Bilingual skills are a nice-to-have.

Responsibilities

• Performs care management activities within licensure for members with complex needs.
• Ensures medically appropriate, high-quality, cost-effective care and treatment appropriateness.
• Partners with physicians and pharmacists to interpret care needs and plan interventions.
• Collaborates with providers for early identification of adverse events and continuity of care.
• Conducts clinical assessments to implement individualized care plans.
• Monitors and evaluates care plans and modifies as necessary.

Skills

RN license

Oncology experience

Telephonic nursing

Bilingual

Education

ASN/ADN

BSN (preferred)

Job description

Sign On Bonus: $5,000

Telephonic Clinical Nurse Coordinator - BioPlus Specialty Pharmacy

Schedule: Monday-Friday 12:30-9 EST or 1:30-10pm EST. May need to work holidays based on business need.

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 a proud member of the Elevance Health family of companies. 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.

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:

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

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
• 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
• financial education resources

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 should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.

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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.