Patient Care Nurse

Primary Responsibilities:

• Coordinates and aligns patient services with field resources as well as third-party vendors.

• Evaluates the entire patient's history in making clinical decisions relating to quality healthcare decisions.

• Analyzes and investigates concerns from patients, caregivers, providers, payers, internal staff, or others.

• Handles incoming calls from internal and external customers as well as answering all nurse line and direct calls.

• Calls the provider's offices for questions and clarifications. Establishes and maintains effective professional relationships with providers.

• Enforces all state, federal, and local laws pertaining to nursing practice as well as Company policies and procedures.

• Responsible for coordinating and delivering resources and information to optimize the patient and caregiver experience with specialty therapy with the ultimate goal of improving patient outcomes.

• Coordinates the care of high-risk, post-transplantation and other specialty-targeted populations appropriately, efficiently, and cost-effectively.

• Assists patients in arranging timely access to services and evaluates social/financial/environmental support adequacy in a culturally sensitive manner.

• Utilizes known community resources to link patients with outside services/available programs. May participate in an interdisciplinary care team meeting to problem solve around highly complex care needs.

• Interacts with patients via phone and in person to educate, motivate and empower them at every step of their care plan.

• Documents patient adherence, side effect, and all information related to treatment and provide patient support as needed. Produce timely, accurate, and quality documentation.

• Assists with injection training techniques and support.

• Assists pharmacists in providing quality of life and annual clinical reassessment counseling to patients according to medication and/or disease state.

• Works with healthcare providers to gather necessary medical documentation to support the coordination of treatment and ensure delivery of quality healthcare.

• Consults with prescribers and patients regarding the use of medications and potential drug interactions, adverse reactions, and other clinical interventions.

• Review and monitor patient care plan according to medication therapy and orders for safety and efficacy considering specific patient conditions and health status; reassess, update and review patient care plans and medications as appropriate.

• Assists with the review of Prior Authorizations and Appeals requests.

• Completes post-discharge assessments with patients.

• Completes post-discharge assessments with patients.

• Act as a central resource to internal and external staff for information on nursing and/or clinical issues.

• Manage data entry and tracking to support a disease management approach for patients with chronic conditions.

• Establish, coordinate and maintain a strong relationship with national organizations and state and local chapters, including Oncology Professionals, i.e., ACCC, ONS, MOC-ONS, Leukemia & Lymphoma Society, ASCO, NCCN, etc.

• Develop and present informational/educational sessions to Amber Pharmacy staff.

• Remain current with REMS programs, clinical requirements of conditions, and medications.

• Keep abreast of industry trends and maintain knowledge of therapy by reading/reviewing literature, maintaining continuing education requirements, and attending in-services, seminars, conferences and other educational opportunities.

• Represent the Company in a professional manner and appearance at all times.

• Adhere to all company policies as indicated in the handbook and directives issued by management. Has reviewed Accreditation Policy and Procedure manual.

• This is an office-based position.

Professional Competencies:

• Proficient with MS Excel, Word, and Outlook

• Self-initiative

• Ability to work with all levels of internal management and staff, as well as outside clients and vendors

• Ability to communicate effectively, both written and verbal, with all departments and at all levels of the organization

• Excellent verbal and written communication skills and the ability to interact effectively with patients, co-workers, management, and other healthcare professionals

• Display excellent judgment consistently

• Ability to exercise discretion and maintain confidentiality to the level of required HIPAA standards

Required Qualifications:

• Working knowledge of the healthcare industry

• HIPAA trained and /or the ability to work with and protect highly confidential patient and employee information

• Knowledge of state, federal, and Joint Commission guidelines/regulations/laws

• Knowledge of pharmacology, infection control preferred

• Knowledge of the technology necessary to administer high-touch therapies preferred

• Standard nursing practices

• Minimum of two (2) years of hospital/clinic or home healthcare environment, including patient and professional education skills preferred

• Prior experience in treating and caring for patients with organ transplants, cancer, hepatitis, rheumatoid arthritis, multiple sclerosis, and other chronic conditions is highly desired

Educational Requirements:

• Registered Nurse (RN) from an approved program by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE)

• A Bachelor of Science in Nursing (BSN) or Masters of Science in Nursing (MSN) is highly desired

Licensure and Certification Requirements:

• Full, current, and unrestricted license as a Registered Nurse (RN) in Oncology or other specialized clinical certification is highly desired

• Certified Case Manager Certification (CCM) or Accredited Case Manager (ACM) Certification is highly desired

• Additional state licenses are highly desirable, but a willingness to obtain additional licensure will be required

• Upon hire, obtain Company-supported advanced certification, education, and expertise 

Physical Requirements:

• Must be able to remain in a stationary position up to 90% of the time

• The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and traverse conferences, meetings, and remote events

• Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer

• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations

• The ability to observe details at close range (within a few feet of the observer)

Working Conditions:

Normal office environment.

Equipment Used to Perform the Job: