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Specialty Care Manager Nurse

Company: AmeriHealth Caritas
Location: Orlando
Posted on: June 14, 2018

Job Description:

Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at . Note to Applicants: This is a nursing position in a Specialty Pharmacy. We require an LPN, but prefer an RN with Specialty Pharmacy experience. The Specialty Care Manager provides clinical assessments and customer clinical management for Perform Specialty Pharmacy. This position performs Initial patient assessments on multiple disease states, home care coordination for injection training, coordination and documentation in the patient record, and clinical review of all information needed to complete the Schedule First Order Nurse function according to operational policy and procedures. Responsibilities:

  • Provides clinical related information, evaluates patient clinical needs for specific therapies that treat chronic diseases, terminal illnesses, genetic disorders, bleeding disorders, and others within our Specialty Pharmacy. As Evidenced by: answering questions; researching information; completing requests, advising internal and external customer groups on drugs or drug therapies and disease states, nursing practice and company operations.
  • Ensures continuity of care by verifying, collecting, analyzing, organizing and reviewing patient data, medical histories, and evaluating, instructing, problem solving, according to specific plans of care for drug or drug therapies.
  • Drives patient compliance by reviewing patient profiles, answering patient medical inquiries, contacting appropriate medical professionals and referring patients, when needed, to the appropriate departments to assure adherence to plan of care.
  • Collaborates with all staff team members to ensure team effectiveness and productivity and offering suggestions for improvement.
  • Follows all internal processes and procedures to ensure activities are handled in accordance with departmental and company policies and procedures. Education/Experience:
    • Clear/Active Florida Licensed Practical Nurse required, RN preferred.
    • Three to five years professional practice experience required.
    • Clinical experience in specialty areas such as, Home Infusion, Hospital Experienced, Physician office experience, Pediatrics, Oncology/Hematology preferred.
    • Care management experience in a Specialty Pharmacy preferred.

      Keywords: AmeriHealth Caritas, Orlando, Specialty Care Manager Nurse, Executive, Orlando, Florida

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