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Job Details

Nurse Clinician, RN - UBC

Company: United BioSource Corporation.
Location: Kansas City, KS
Reference: REQ20011677
Closing Date: 26 May 18
Type: Full Time
Salary (£): Competitive
Benefits:

Job Summary:

POSITION SUMMARYTo provide quality clinical criteria review for escalated Prior Authorizations as defined by Client specifications to ensure patients are serviced accurately and timely. Identifies and supports necessary updates or changes to existing clinical assessments.ESSENTIAL FUNCTIONSPerform escalated clinical review and analysis of clinical program descriptions for clinical and criteria integrity. ...

Requirements:

POSITION SUMMARY

To provide quality clinical criteria review for escalated Prior Authorizations as defined by Client specifications to ensure patients are serviced accurately and timely. Identifies and supports necessary updates or changes to existing clinical assessments.

ESSENTIAL FUNCTIONS

  • Perform escalated clinical review and analysis of clinical program descriptions for clinical and criteria integrity. 
  • Maintains contact database and responds to member and physician inquiries regarding clinical programs.  
  • Makes recommendations regarding escalation of issues, and follows through with escalation process.
  • Acts as liaison between clients, patients and patient care advocates to provide guidance on clinical criteria.
  • Performs initial clinical review and analysis of prior authorization cases based on state regulations.
  • Special projects/assignments as needed.

QUALIFICATIONS

  • Nursing degree.
  • 2-5 years experience in a clinical setting.
  • Registered Nursing Licensure.
  • General PC knowledge including Microsoft Office, Internet and email.
  • Previous clinical criteria review experience preferred.
  • Active professional affiliations and/or national certification in related clinical specialty preferred.
  • Able to work flexible work schedule.

ABOUT THE DEPARTMENT

United BioSource Corporation (UBC), a subsidiary of Express Scripts, is a leading provider of pharmaceutical support services, partnering with life science companies to make medicine and medical products safer and more accessible. Our services support the full lifecycle of medicine and medical products, including development, commercialization, and long-term value and safety.

 

While UBC offers employment within Patient Support, Nursing, Pharmacy and Corporate, two main focus areas for the company are Clinical Development & Research and Safety & Risk Management. Members of the Clinical Development and Research teams help evaluate study protocol, target study population, recruit physicians and patients, and collect, clean, validate and report data. As a result, sponsors are able to submit findings to regulatory authorities or make a no-go decision in a timely and clear-cut manner. Additionally, our Safety and Risk Management teams develop, deliver, and report evidence to reinforce safe and appropriate product use. 

Through our Patient Access services, we help patients begin therapy quickly and remain on therapy, building strong relationships with patients to ensure optimal care.

UBC aligns with Accredo and CuraScript SD, also part of the Express Scripts family, to provide best-in-class, integrated services.

ABOUT EXPRESS SCRIPTS

Advance your career with the company that makes it easier for people to choose better health.

Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes. Join the company that Fortune magazine ranked as one of the "Most Admired Companies" in the pharmacy category. Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services. We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401(k) with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan.

Express Scripts is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation. Express Scripts is a VEVRAA Federal Contractor.

Apply for this job: Nurse Clinician, RN - UBC

Contact Information:

Address:  United BioSource Corporation (UBC)
Europe Headquarters
26-28 Hammersmith Grove
London
United Kingdom
W6 7HA
England
Tel:  +44 (0)20 8834 0100
Website:  Visit Our Web Site

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