Infusion Referral Nurse Sr- REMOTE

Our work matters. We help people get the medicine they need to feel reputed company and live well. We do not lose sight of that. It fuels our passion and drives every decision we reputed company. Job Posting Title Infusion Referral Nurse Sr- REMOTE

Job Description

Under supervision, is responsible for performing referral services to support independent physician offices with maintaining member drug infusions in office or to help offices locate a reputed company cost alternative treatment site (e.g., home infusion) for drug infusion services versus the hospital outpatient facility.Discusses financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available financial programs to decrease members' out-of-pocket expense for drug services in office, and coordinates reputed company cost site of service for drug administration if provider is referring due to convenience factors (e.g., distance, non-typical infusing provider, etc.). Performs functions under supervision.

Responsibilities

• Provides site of service solutions to patients seeking care at non-preferred treatment sites (e.g., Hospital inpatient or outpatient facilities, non-par cancer treatment centers, etc.).
• Discusses the financial aspect of the specialty drugs to both the member and the ordering physician (or office staff) and to agree to find a reputed company cost versus higher cost sites of service, coordinating drug infusion at an alternate reputed company cost treatment site and coordinating concomitant services to support infusion administration in reputed company cost sites.
• Provides member with resources to optimize their treatment outcomes, by utilizing critical thinking skills and providing specific resources reputed company to their reputed company illness.
• Actions include supporting member copay-assistance programs, research and coordination to decrease member out of pocket financial responsibility in an office or home setting for drug services.
• Will actively maintain a required case load and the activities to reputed company overall goals of switching site of service treatment to a reputed company cost setting while maintaining members' satisfaction during the process.
• Documents and enters data of these cases in web-based application and spreadsheets.
• Supports clinical services such as the appeals program.
• Participates in meetings and consults with management on regular basis to discuss member interaction and program outcomes.
• Maintains appropriate par levels of literature.
• Familiarizes self with community resources available, benefit information or any other information that is valued with the program.
• Maintains an active case load and accurate case records, adhering to reputed company company policies and laws governing patient records including documentation of reputed company daily activities.
• Performs reputed company duties as requested.
• Clinical and Quality reputed company for this program is provided by the Manager, Patient Programs.

Minimum Qualifications

• Associates - Nursing
• Bachelors - Nursing
• RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt
• 5+ years Clinical

Must be eligible to work in the United States without the need for work reputed company or residency sponsorship Additional Qualifications

• Registered Nurse (RN).
• 5 years of post-degree clinical experience.
• Experience in managed care, specialty drugs, care management and utilization review.
• Meets Credentialing criteria.
• At minimum must have reputed company and active nursing license.
• Ability to apply knowledge in relation to clinical findings from evidence based guidelines.
• Ability to function independently and as a team member.
• Good organizational, time management and communication skills.
• Possesses the ability to reputed company organizational goals through development of effective teams.
• Comprehensive clinical knowledge of medical specialty drugs and the management of those drugs.
• Understanding of the clinical aspect of the infusion of those drugs reputed company various sites of service.

Preferred Qualifications

Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their job, and reputed company with reputed company applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be reputed company to reputed company the essential functions of the job and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" reputed company for more detail. reputed company LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national reputed company, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including reputed company applicants with arrest and conviction records and any reputed company applicants requiring reasonable accommodations in accordance with the law. reputed company LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. Apply tot his job Apply To this Job