Team Nurse

Job Description

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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