What we are looking for
Optime Care is looking for a Team Nurse for our St. Louis, MO location. We are looking for a people leader who is passionate about acting as a patient advocate to gain insurance coverage for prescribed therapies. This critical role will provide oversight and manage the implementation of clinical educational support to both patients and providers (physicians).
What the position will be doing
- Interpret, assess, and conduct clinical educational support for patients and physicians
- Act as a patient advocate to gain insurance coverage for prescribed therapies
- New patient welcoming and creating a patient profile, including insurance information
- Conduct periodic insurance verification and/or authorizations for patient coverage
- Manage escalated dormancy cases as needed
- Perform any necessary case management services
- Communicate with prescribers, including requesting new prescriptions
- Assist patients with financial assistance, as needed
- Assist in preparing any ad hoc report request from clients
- Monitor external websites relating to therapy areas
- Obtain necessary consent forms for manufacturers or patient support organizations
- Serve as a mentor for new team members
- Monitor any program metrics
- Assist pharmacist with day-to-day tasks such as filling prescriptions and entering prescription information into the patient management system for pharmacist verification
- Monitor and collect patient satisfaction results for the program and share them with leadership and team members
- Collect and report any Adverse events reported by patients as outlined in SOPs
- Other duties as needed or assigned by the business
Necessary Skills, Education & Abilities
- Bachelor of Nursing degree, preferably an RN, LPN
- Minimum of five (5) years of experience in the field of nursing
- Valid and current Board of Nursing license
- Experience in the medical oncology field preferred
- Direct patient experience with oral, subcutaneous, and/or IV medications preferred
- Knowledge of medical/pharmacy insurance benefit language- i.e. EOBs, deductibles, out-of-pocket, co-insurance, co-pays, etc.
- Ability to thrive in a fast-paced environment with constantly changing priorities.
- Excellent analytical skills and the ability to provide solutions to complex problems.
- Ability to be highly transparent, ethical, and driven. Relentless attention to detail, and the ability to be a creative self-starter and team player.
- Excellent written and verbal communication skills and interpersonal skills are required.
- Ability to communicate with all levels within an organization and with patients and physician offices
- Ability to think and act independently, formulate, and support new ideas, and champion new initiatives within and beyond the scope of own responsibilities.
- Proficient in Microsoft Office Suite, specifically Excel, Word, PowerPoint, and Outlook
About us
Optime Care is a Specialty Pharmacy dedicated to providing services to smaller patient communities. We focus on securing insurance coverage, coordinating care, and complying with therapy regimens are only a few examples. Our mission is to minimize the daily impact of living with unique disorders. After just one call, our experts begin to address everything from medication delivery and insurance reimbursement to compliance and education. Every patient receives a proactive service experience tailored to their specific needs.
What sets us apart
Our focus on people- our customers, partners, and coworkers
A company culture that embraces going beyond expectations in everything we do
A leader in providing specialty pharmaceuticals to individuals with unique conditions
An opportunity to learn from some of the best in the business
A diverse and inclusive culture that embraces innovation
Optime Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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