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    Navitus Health Solutions

    RN, Clinical Operations (Bilingual)

    Navitus Health Solutions
    Full-time
    Verified Remote
    RemoteUSD 67,657 - 81,514Customer SupportToday

    About this role

    Company

    LumiceraAbout Us

    Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .. Current associates must use SSO login option at to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.Pay Range

    USD $67,657.00 - USD $81,514.00 /Yr.STAR Bonus % (At Risk Maximum)

    5.00 - Salaried Non-Management except pharmacistsWork Schedule Description (e.g. M-F 8am to 5pm)

    M-TH 10:30-7:00pm and F 9:30-6:00pm CST Remote Work Notification

    ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Idaho, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, Washington DC, West Virginia, and Wyoming.Overview

    Lumicera Health Services is seeking a bilingual RN, Clinical Operations to join our team!

    The RN, Clinical Operations is responsible for delivering patient-centered telephonic education, clinical assessment, and support to patients and caregivers in accordance with established clinical protocols, nursing scope of practice, and applicable regulatory guidelines and accreditation guidelines. This role supports safe and effective therapy use, adherence, persistence, and patient outcomes by identifying patient needs, escalating concerns appropriately, documenting interventions accurately, and supporting compliance, quality, and program requirements.

    The RN, Clinical Operations supports the broader goals of Lumicera by delivering high-quality, patient-centered specialty pharmacy services that improve the patient experience, support safe and effective therapy use, and contribute to strong clinical and operational outcomes.

    Is this you? Find out more below!

    Responsibilities

    How do I make an impact on my team?

    • Conduct clinical assessments and provide disease- and therapy-specific education to patients and caregivers within the nursing scope of practice and established clinical guidelines.

    • Identify and address patient needs related to therapy use, adherence, persistence, adverse effects, and disease-state concerns; triaging to a pharmacist and/or notifying the treating provider when clinically appropriate.

    • Accurately document clinical assessments, patient interventions, care coordination activities, and clinical notes in the patient record in accordance with internal, client, manufacturer, and regulatory requirements.

    • Support the planning, implementation, and maintenance of clinical programs and projects that promote patient care, medication adherence, and improved outcomes.

    • Complete required documentation, including adverse event forms and program-specific forms, in accordance with FDA, manufacturer, client, and internal requirements.

    • Collaborate with pharmacists, clinical team members, manufacturer and client partners, provider offices and clinics to support agreed-upon programs, protocols and patient care needs.

    • Assist with order creation and setup activities, including payment method, copay assistance, order details, and shipment coordination, as needed to support patient and business needs

    • Maintain clinical competency in the range of treatments and disease states, protocols, and specialty pharmacy services supported by Lumicera.

    • Ensure compliance with accreditation standards, pharmacy policies and procedures, HIPAA requirements, and applicable federal and state regulations.

    • Other duties as assigned

    Qualifications

    What our team expects from you?

    • Associate Degree in Nursing (ADN) required. Bachelor of Science in Nursing (BSN) preferred.

    • Current, unrestricted licensure as a Registered Nurse in the state of residence required, with the ability to obtain additional single state licenses as needed. Unrestricted multi-state compact nursing license preferred.

    • 2 years of patient-centered care or disease management nursing experience preferred.

    • Participate in, adhere to, and support compliance program objectives

    • The ability to consistently interact cooperatively and respectfully with other employees

    What can you expect from Lumicera?

    • Top of the industry benefits for Health, Dental, and Vision insurance

    • 20 days paid time off

    • 4 weeks paid parental leave

    • 9 paid holidays

    • 401K company match of up to 5% - No vesting requirement

    • Adoption Assistance Program

    • Flexible Spending Account

    • Educational Assistance Plan and Professional Membership assistance

    • Referral Bonus Program – up to $750!

    Location : Address

    RemoteLocation : Country

    US

    About Navitus Health Solutions

    Navitus Health Solutions
    Navitus Health Solutions

    Navitus Health Solutions is a pharmacy benefit manager (PBM) founded as an alternative to traditional PBM models. The company is committed to removing cost from the drug supply chain to make medications more affordable for patients. Navitus provides pharmacy pricing and benefit management services, including Medicaid Fee-for-Service pharmacy programs, MAC pricing analysis, and 340B program management. The company operates a 24/7/365 omnichannel member contact center to support customers and members across multiple communication channels.

    Hiring remote talent?

    Reach active remote job seekers from $149.

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