Infusion Care Coordinator
Remote-TX, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
- Coordinate the treatment process from initiation to the conclusion or discontinuation of therapy
- Under direct supervision of a pharmacist performs prescription data entry functions
- Coordinates home nursing services
- Assists and maintains all related pharmacy records (prescription logs, care plans, medication profiles, and any other related files) as determined by the pharmacist
- Obtain verbal authorizations and request detailed clinical information from prescribers
- Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required
- Approve coverage determination requests based on defined criteria
- Respond to client inquiries regarding authorization approvals and PBM on-line applications
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Job Profile
401(k) Competitive benefits Competitive pay Comprehensive benefits Comprehensive benefits package Flexible approach Flexible work schedules Health insurance Holidays Paid Time Off Stock purchase Stock purchase plans Tuition reimbursement Workplace flexibility
Tasks- Coordinate patient care
- Maintain pharmacy records
- Obtain authorizations
- Perform prescription data entry
- Respond to client inquiries
Care Plans Client inquiries Clinical Information Coverage determination Data Entry Education Health Insurance Health Services Hemophilia Insurance IVIG Management Medical management Microsoft Suite Nursing Patient care Pharmacy systems Pharmacy Technician Supervision Triage
Experience3 years
EducationEducation Equivalent High School High school diploma Insurance Nursing
CertificationsCertified pharmacy technician Pharmacy Technician
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9