Telephonic Clinical Nurse - BioPlus Specialty Pharmacy

Anticipated End Date:

2025-12-25

Position Title:

Telephonic Clinical Nurse - BioPlus Specialty Pharmacy

Job Description:

BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and 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.

Telephonic Clinical Nurse - BioPlus Specialty Pharmacy

Locations:

• 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

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.

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

The Telephonic Clinical Nurse - 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:

• 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.

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:

• 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.

Locations: Denver, CO

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and