Optime Care · 1 day ago
Team Nurse - Specialty Pharmacy
Earth City, MO
Full-time
Hybrid
Senior Level
5+ years expOptime Care is a Specialty Pharmacy dedicated to improving health outcomes for patients with complex, chronic conditions and rare diseases. We are seeking a Team Nurse to oversee and implement clinical support, education, and follow-up with patients and physicians, while acting as an advocate for patients in their assigned programs.
Health CareMedicalPersonal HealthPharmaceutical
Responsibilities
Interpret, assess, and conduct clinical educational support for patients and physicians
Act as a patient advocate to gain insurance coverage for prescribed therapies
Conducting 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
Build clinical services as required or needed by leadership
Communicate with prescribers, including requesting new prescriptions
Assist patients with financial assistance, as needed
Assist in preparing any ad hoc report requests 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
Participate in clinical education via telehealth technology in pilot programs or programs the company has scaled
Document clinical services as required
Interpret data as required to support improvements in programs or patient care
Summarize clinical work and success stories to be used in reporting with clients, as needed
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
Qualification
Required
A Bachelor of Nursing degree is required, preferably an RN
Minimum of five (5) years of experience in the field of nursing
Specific experience with pediatric patients and weight-based dosing of medications is required
Holds a compact nursing license and is willing to obtain other state licenses as requested by leadership
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or government regulations
Ability to write reports, business correspondence, and procedure manuals
Experience with utilizing and developing patient assessments and questionnaires
Ability to assess and advise patients via conversation
Knowledge to effectively present information and respond to questions from groups of managers, patients, nurses, and physicians
Ability to define problems, collect data, establish facts, and draw valid conclusions
Excellent oral and written communication skills
Excellent organizational plus interpersonal skills
Knowledge of the insurance process
Strong customer service skills
Relentless attention to detail, and the ability to be a creative self-starter and team player
The ability to work independently
The ability to function in a leadership capacity
Reasonable knowledge of technology and information systems, and software applications such as text documents, slide presentations, spreadsheets
Preferred
Experience in a specialty pharmacy is a plus
Direct patient experience with oral, subcutaneous, and/or IV medications preferred
Company
Optime Care
Optime Care creates partnerships for personalized care with a specific focus on disorders affecting smaller patient communities.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Michelle Hefley
Co-Founder
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