Telephonic Clinical Nurse – BioPlus Specialty Pharmacy

Bio Plus Specialty Pharmacy is now part of Carelon Rx (formerly Ingenio Rx), and a proud member of the Elevance Health family of companies. Together, Carelon Rx and Bio Plus 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.

• CO-DENVER, 700 BROADWAY
• FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000
• IN-INDIANAPOLIS, 220 VIRGINIA AVE
• MO-ST. LOUIS, 100 S 4TH ST
• FL-TAMPA, 5411 SKY CENTER DR

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.

Monday-Friday, 8:00am-5:00pm EST. May need to work on weekends/holidays, based on business needs.

The Telephonic Clinical Nurse – Bio Plus 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.

• 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.

• 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.

• 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.

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 elevancehealthj 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.