Pharmacy Nurse Specialist - RN

Location: Remote

Pay Range: $26.22 - $48.71

About the Role

The RN will be an integral part of the AON Adherence Program, providing medication and disease advice to patients. The AON RN will assist prescribers in obtaining Celgene Auth. numbers, provide REMS (Risk Evaluation and Mitigation Strategy) safety information to AON patients, act as a resource to the Prior Authorization Team, and complete patient oral oncolytic appeals on behalf of AON.

Responsibilities

• Patient Adherence
  • Educate patients and (when appropriate) family regarding medications
  • Educate patients on side effects and treatment plans
  • Interact with patient and family in a caring, professional manner
  • Perform reassessments and refill requests to assure proper continuation of treatment
• REMS Authorizations and Safety Information
  • Assist clinicians in obtaining Celgene Auth. Numbers
  • Complete the clinical education and counseling portion of the FDA REMS program for required medications
  • Become certified by Celgene and maintain current certification
• Prior Authorizations
  • Serve as a clinical and prior authorization resource to the Prior Authorization Team
  • Participate in reviewing denied, unclear, or questionable PA requests according to applicable clinical criteria as defined by regulatory and compliance requirements
  • Review and initiate prior authorization appeal services, including first-level appeal reviews
  • Coordinate appeal reviews with Medical Director(s) of pharmacy benefit managers and/or peer-to-peer interviews as required
• Customer Service
  • Handle escalated calls or email requests to maintain smooth workflow and ensure turnaround times are met for each patient
  • Thorough and accurate documentation in OncoEMR, CPR+, and patient adherence software
  • Demonstrate ability to work independently with minimal supervision, while also working well in a team setting when required
• Training and Education
  • Provide ongoing training and quality assurance activities to the Prior Authorization and Pharmacy Team
  • Attend all mandatory pharmacy staff meetings and educational dinner meetings as necessary

Requirements

• Education: Registered Nurse (associate’s or bachelor’s degree)
• Previous Experience:
  • Experience in oral oncology therapy is required
  • Licensed or eligible in the State of Florida
  • Knowledge of oral chemotherapy prior authorizations and/or appeals preferred

Skills

• Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management, and organizational skills. Must be detail-oriented with the ability to exercise independent judgment.
• Interpersonal Effectiveness: Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters.
• Communication Skills: Effective communication skills (oral, written, presentation), active listening, and ability to provide balanced feedback.
• Customer Service & Organizational Awareness: Strong customer focus. Ability to build an engaging culture of quality, performance effectiveness, and operational excellence through best practices, collaboration, and partnerships.
• Self-Management: Effectively manages own time, conflicting priorities, stress, and professional development. Self-motivated and self-starter with ability to work independently with limited supervision. Ability to work remotely effectively and in a fast-paced, multi-site environment.
• Computer Skills: Proficiency in MS Office Word, Excel, PowerPoint, and Outlook required.

Schedule

Monday to Friday, 9:00 AM – 5:30 PM