Tele Health Nurse (Remote/RN/Bilingual)

McKesson requires new employees to be fully vaccinated for COVID-19 as defined by the CDC, subject to applicable, verified accommodation requests.

The state of healthcare is complex, but our shared purpose isn’t: Help people get the medicine they need to live healthier lives. CoverMyMeds solves medication access challenges for patients throughout every step of their journey through a unified brand that now encompasses RelayHealth, RxCrossroads by McKesson, McKesson Prescription Automation and CoverMyMeds.

Our combined experience spans nearly 90 years and together, we’re applying our expertise to solve some of the biggest problems in healthcare. We accelerate innovative solutions for problems like medication affordability and adherence in way that everyone wins — from providers to pharmacies, payers to biopharma and, especially, patients. By combining automation and expert intervention, the company provides prior authorization, prescription decision support, specialty patient support, core adjudication network, patient assistance programs, clinical and behavioral adherence and patient empowerment solutions.

We’re proud to be an integral part of McKesson Corporation and embody the shared and leadership behaviors of the greater organization. We understand the importance of a system that works together. Your expertise, drive and passion can help us carry out our mission to improve lives and advance healthcare.

Overview

To provide high quality service to patients, providers, pharmaceutical company representatives and healthcare service companies for specialty prescription drugs through the coordination of services and the collection of patient specific clinical data and interaction to ensure adherence to physician treatment program and drug regimen.

* Must be able to read, and speak Spanish (full bilingual)

Responsibilities

This is position has a M-F 8 hour shift that may vary between 8a-8p ET depending on business needs.

Case management and/or case coordination experience essential for program protocols

Follow up with physicians and patients for compliance and persistence in reference to treatment protocols

Coordinate drug shipments and patient training between patients, physician offices and specialty pharmacies.

Provide medical information to providers and patients for coordination of services mandated by program protocols.

Patient advocacy and compassion.

Ability to work independently and as part of a cohesive team.

Other duties and responsibilities as assigned by supervisor.

Internal/External Contact:

The Clinical Adherence and Compliance Coordinator will be in regular contact with patients, physician offices, payers, and pharmaceutical company representatives.

Qualifications:

Minimum Education required:

Vocational or technical training is required. 

A Bachelor’s degree is preferred. 

Current Registered Nurse certification is required. 

Minimum Experience required:

3-5 years’ experience working for a healthcare insurance company, drug reimbursement call center, a physician or lab billing office, a home health care or home infusion company and case management experience a plus. 

Knowledge, Skills, and Abilities required (except where noted as preferred):

Knowledge of Medical Terminology.

Knowledge of HCPCS, CPT and ICD-9 coding.

Strong organizational skills

Skills and Abilities required (except where noted as preferred):

Ability to express ideas clearly both written and oral communications. 

Ability to enter data correctly. Strong attention to detail and ability to handle multiple tasks well.

Strong computer skills required; preferably Microsoft Word or Excel software applications. 

Data entry skills required.

Ability to read and interpret documents such as safety rules and procedure manuals. 

Ability to write routine reports and correspondence.

Ability to resolve problems independently. 

Ability to speak effectively before groups/customers or employees of an organization.

Ability to carry out instructions furnished in written, oral or diagram form. 

Adaptable to changing priorities as needed.

Physical Requirements:

Mostly sedentary work. 

Ability to correctly input data into the computer. 

Able to communicate effectively with customers whether in person, on the telephone, or through correspondence.

Environment: These job responsibilities are executed as part of a customer service call center. The position will be located in a fast-paced organization with the potential for a variety of unplanned activities to occur simultaneously.

Equal Opportunity Employer: EO/Minorities/Females/Disabled/Veterans

Career Level - IC-Professional - P2

McKesson is an Equal Opportunity/Affirmative Action employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.Qualified applicants will not be disqualified from consideration for employment based upon criminal history.

Current employees must apply through the internal career site.

Join us at McKesson!