Telephonic Infusion Care Nurse - RN

Missouri, Minnesota

Remote position available

Job Description

Comprehensive clinical knowledge of medical specialty drugs and the management of those drugs. Understanding of the clinical aspect of the infusion of those drugs within various sites of service. Responsible for performing services to support an optimal ( clinical /financial) site of service treatment location such as an independent physician office who provides member drug infusions, or to help locate a lower cost alternative treatment site (e.g. home infusion or infusion center) for drug infusion services versus utilizing the hospital outpatient facility. Role includes discussing financial and clinical considerations with members and their physicians (or office staff) that are receiving or considering care at a higher cost treatment site. Researching available financial programs to decrease members out of pocket expense for the drug services in office. Provide resources to coordinate any aspect of this process, such as locating other qualified providers within the same geographic location. Resource will perform functions under the supervision of the Manager of Patient Programs.

Essential Functions


65% 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). Actions include discussing the financial aspect of the specialty drugs to both the member and the ordering physician ( or office staff ) and to agree to find a lower cost versus higher cost sites of service, coordinating drug infusion at an alternate lower cost treatment site and coordinating concomitant services to support infusion administration in lower cost sites.

20% Provides member with resources to optimize their treatment outcomes, by utilizing critical thinking skills and providing specific resources related to their complex 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.

20% Will actively maintain a required case load and the activities to reach overall goals of switching site of service treatment to a lower cost setting while maintaining member’s satisfaction during the process. Documentation and data entry of these cases in web-based application, and spreadsheets.


5% Participates in meetings and consults with Patient Programs Manager on regular basis to discuss member interaction and program outcomes. Completes other projects as assigns. Maintains appropriate par levels of literature.

% of TIME

(Total 100)

Essential Functions

nbsp; (List tasks critical to completion of daily workload)

65% 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).  Actions include discussing the financial aspect of  the specialty drugs  to both the member  and the ordering physician ( or office staff ) and to agree to find a lower cost versus higher cost sites of service, coordinating drug infusion at an alternate lower cost treatment site and coordinating concomitant services to support infusion administration in lower cost sites.

20% Provides member with resources to optimize their treatment outcomes, by utilizing critical thinking skills and providing specific resources related to their complex 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.

20% Will actively maintain a required case load and the activities to reach overall goals of switching site of service treatment to a lower cost setting while maintaining member’s satisfaction during the process.  Documentation and data entry of these cases in web-based application, and spreadsheets.

5% Participates in meetings and consults with Patient Programs Manager on regular basis to discuss member interaction and program outcomes.  Completes other projects as assigned. Maintains appropriate par levels of literature.

#LI-KB1

General Job Information

Title

Telephonic Infusion Care Nurse - RN

Grade

24

Job Family

Pharmacy Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

7/15/2019

Date Requisition Created

7/11/2019

Work Experience

Clinical, Medical

Education

Bachelors: Nursing (Required)

License and Certifications - Required

RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt

License and Certifications - Preferred

Other Job Requirements

Responsibilities

Comprehensive clinical knowledge of medical specialty drugs and the management of those drugs. Understanding of the clinical aspect of the infusion of those drugs within various sites of service.  Responsible for performing services to support an optimal ( clinical /financial) site of service treatment location such as an independent physician office who provides member drug infusions, or to help locate a lower cost alternative treatment site (e.g. home infusion or infusion center) for drug infusion services versus utilizing  the hospital outpatient facility.  Role includes discussing financial and clinical considerations with members and their physicians (or office staff) that are receiving or considering care at a higher cost treatment site. Researching available financial programs to decrease members out of pocket expense for the drug services in office. Provide resources to coordinate any aspect of this process, such as locating other qualified providers within the same geographic location.  Resource will perform functions under the supervision of the Manager of Medical Pharmacy Solutions, Utilization Management.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

Top 5 reasons to work at Magellan

When you say

To be the best you have to work with the best

We hear you
Life @ Magellan