Remote opportunity at
United-Biosource-CorporationPharma Support RN (Remote 11AM-8PM or 12PM-9PM ET)
United-Biosource-Corporation offers pharmaceutical support services spanning clinical trial assistance to real-world evidence creation, aiming to improve patient outcomes and drug development processes. The organization is currently…
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About This Role
United-Biosource-Corporation offers pharmaceutical support services spanning clinical trial assistance to real-world evidence creation, aiming to improve patient outcomes and drug development processes. The organization is currently seeking a Pharma Support RN to act as a Clinical Case Manager. This remote position involves continuous work within an inbound and outbound call queue, utilizing a provided desktop computer system from a dedicated, HIPAA-compliant home office. Nurses in this role spend the majority…
Job Description
United-Biosource-Corporation offers pharmaceutical support services spanning clinical trial assistance to real-world evidence creation, aiming to improve patient outcomes and drug development processes. The organization is currently seeking a Pharma Support RN to act as a Clinical Case Manager. This remote position involves continuous work within an inbound and outbound call queue, utilizing a provided desktop computer system from a dedicated, HIPAA-compliant home office. Nurses in this role spend the majority of their workday on the phone interacting with healthcare providers and patients, reviewing coverage criteria, handling prior authorizations and appeals, and documenting outcomes. Candidates must be comfortable remaining at their workstation throughout the day and participating in virtual and phone calls.
The standard work schedule for this position is either 11:00 AM to 8:00 PM ET or 12:00 PM to 9:00 PM ET, with a rotating Saturday shift occurring approximately every five weeks. Training lasts for eight weeks, during which no planned time off is permitted, and includes one week of business-paid travel. Additional travel may be required throughout the year for meetings, conferences, and training sessions. This opportunity suits registered nurses with strong customer service and problem-solving abilities who thrive in a fast-paced, call center environment.
Responsibilities
- Manage inbound and outbound calls through a computer-based phone system within a dedicated workspace
- Review payer-specific product coverage criteria and denial letters to determine required submission documentation
- Communicate consistently with healthcare providers regarding coverage criteria and missing information
- Handle complex reimbursement issues, investigate data, and resolve escalated prior authorization denials and appeals
- Document follow-up calls, patient inquiries, clinical notes, and medical record reviews accurately and promptly
- Gather, analyze, and prepare data for client meetings and Quarterly Business Reviews
- Report adverse drug events experienced by patients in accordance with manufacturer instructions
- Attend manufacturer-hosted conferences, training sessions, and client meetings, including travel when requested
Requirements
- Registered Nurse license in good standing in the state of residence
- Hold or be eligible to obtain a Compact Nursing License where applicable, and be willing to obtain additional state licenses upon request
- Obtain and maintain a California RN license through endorsement upon hire, with all fees handled by the employee
- Minimum of two years of customer service experience featuring advanced issue resolution skills, preferably within a call center setting
- Familiarity with the PBM and healthcare industry
- Proficiency in Microsoft Office software, particularly Excel
- Ability to work assigned shifts of 11:00 AM to 8:00 PM ET or 12:00 PM to 9:00 PM ET
- Availability to work a rotating Saturday shift every five weeks and select holidays
- Capacity to travel for one week during training and occasionally throughout the year
Qualifications
- Minimum of an associate degree in nursing
Core Skills
Benefits
- Remote work opportunity
- Competitive salary
- Growth opportunities for promotion
- 401(k) with company match
- Tuition reimbursement available after 90 days of employment
- 20 days of paid time off
- Paid holidays
- Employee assistance programs
- Medical, dental, and vision coverage
- Health Savings Account and Flexible Spending Account options
- Telemedicine and virtual doctor appointments
- Wellness program
- Adoption assistance
- Short-term disability available after 90 days of employment
- Long-term disability
- Life insurance
- Discount programs
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this is a remote role designed to be performed from a dedicated home office or HIPAA-compliant workspace using a desktop computer provided by the company.
What are the working hours and shift options?
The anticipated schedule is either 11:00 AM to 8:00 PM ET or 12:00 PM to 9:00 PM ET. The role also includes a rotating Saturday shift from 9:00 AM to 2:00 PM ET approximately every five weeks.
What are the licensing requirements for this job?
Candidates must hold an active Registered Nurse license in good standing in their state of residence. They must also hold or be eligible for a Compact Nursing License, obtain a California RN license via endorsement upon hire, and be willing to secure additional state licenses as needed.
What is the salary for this position?
The salary for this position is not stated in the job posting.
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