Job Description

Prolastin Nurse Navigator- Remote

• Shift: 10:00 a.m.-7:00 p.m. Central Standard time.

Position DescriptionThe Registered Nurse will provide clinical and operational processes related to coordination of care and utilization management for Specialty Pharmacy. The RN will be the primary point of contact for the program and work directly with patients and other stakeholders.LicensureCurrent and Unencumbered Compact Registered Nurse licensure in your state of residence is required
Qualifications
+ Minimum of 5 years clinical experience in infusion, acute care, home care, specialty pharmacy, emergency room or critical care
+ Experience and knowledge of Medicare, Medicaid, prior authorizations or utilization management is preferred
+ Intermediate to advanced computer experience with multiple programs, including Windows-based applications and the ability to proficiently type.
+ Must be able to work independently and multitask in a busy environment.
+ Requires good communication, organizational and time-management skills
+ Must be comfortable taking inbound and outbound calls
+ Telephonic experience is a plus
+ Requires access to reliable and high-speed broadband internet in your homeResponsibilities:
+ Provide patient concierge services for new program referrals
+ Communicate with patients to provide specific program information
+ Provide patient education.
+ Act as liaison between patient and other stakeholders
+ Problem solving and handling of escalation of issues as needed
+ Document and report any patient or provider issues.
+ Collaborate with Pharmacist and other team members
+ Time Management: Ability to effectively manage one\'s time and resources to ensure that work is completed efficiently.
+ Excellent organizational skills.
+ Communication: Ability to provide clear verbal and written information to patients, co-workers, and leadership.
+ Critical Thinking and Decision Making: Ability to choose a course of action or develop appropriate solutions by identifying and understanding issues, problems, and opportunities.
+ Autonomy: Ability to work independently
+ Computer Skills: Proficient in computer literacy skills with ability to use and troubleshoot Microsoft Word, Excel, Outlook and PowerPoint

• Additional

Additional If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 37 - 61 USD / hourly, depending on relevant factors, including experience and geographic location.This role is also anticipated to be eligible to participate in an annual bonus plan.We want you to be healthy, balanced, and feel secure. That\'s why you\'ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you\'ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .About Evernorth Health ServicesEvernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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