RN, Clinical Operations – Bilingual

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $67.7k - $81.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Clinical Operations

👻 Ghost score 0%

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Conduct clinical assessments and provide disease- and therapy-specific education to patients and caregivers • Identify and address needs related to therapy use, adherence, persistence, adverse effects, and disease-state concerns • Triage patients to a pharmacist and/or notify the treating provider when clinically appropriate • Document clinical assessments, patient interventions, care coordination activities, and clinical notes in patient records • Support planning, implementation, and maintenance of clinical programs and projects • Complete adverse event forms and program-specific documentation • Collaborate with pharmacists, clinical team members, manufacturer and client partners, provider offices, and clinics • Assist with order creation and setup, payment methods, copay assistance, order details, and shipment coordination • Maintain clinical competency across treatments, disease states, protocols, and specialty pharmacy services • Ensure compliance with accreditation standards, pharmacy policies, HIPAA, and applicable federal and state regulations • Support safe and effective therapy use, adherence, persistence, patient outcomes, quality, and program requirements • Perform other duties as assigned

🎯 Requirements

• 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 • 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 • Ability to consistently interact cooperatively and respectfully with other employees • Bilingual proficiency required; specific languages not stated • 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 are not eligible for remote work

🏖️ Benefits

• 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! • STAR Bonus % (At Risk Maximum): 5.00