Sr Nurse, Individualized Care

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of success. We’re continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.Together, we can get life-changing therapies to patients who need them—faster.What Individualized Care contributes to Cardinal HealthClinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.Individualized Care provides care that is planned to meet the particular needs of an individual patient.Job SummaryThe Nurse, Individualized Care promotes high-quality patient care and treatment through patient education. The Nurse Care Manager (NCM) will play a critical role in supporting identified cohorts of oncology patients across their continuum of care. This role coordinates comprehensive care, proactively monitors patient progress, and delivers continuous, personalized support between provider visits within a virtual environment. Focusing on management of side effects where applicable and improving the quality of care for cancer patients, the NCM drives patient engagement in their health and wellness through remote care planning and management. Utilizing telehealth platforms, the NCM may also facilitate transitions from acute care to home, ensuring continuity of care and optimal resource utilization through close collaboration with the interdisciplinary oncology team.Responsibilities-Collaborate with health care staff responsible for patient care to develop, implement, monitor and evaluate appropriate clinical care or other services to meet the needs of patients and coordinate all activities related to care management.-Ensure that areas of responsibility are operating in compliance, including documentation and records with all federal, state, and regulatory agencies.-Document all encounters and activities in the designated system accurately and in a timely manner-Participate in interdisciplinary case conferences and team huddles to ensure coordinated care as needed-With the oncology care team and internal care management team, identify patients to be case managed, assess patient’s care requirements, modify or coordinate modification of patient care and intervene, as necessary-Participate in the development and review of clinical pathway trends and share with appropriate service and management teams-Assist in quality improvement activities by identifying trends, barriers, and opportunities to improve program outcomes-Attend meetings, seminars, and conferences as appropriate-Principal and Chronic Care Management-Telephonically manage patient care, through the following methods:Review of the patient’s medical, functional, and psychosocial needsMedication reconciliation with review for adherenceReinforce disease self-management education and symptom managementCommunicate provider instructions and advice, and provide patient education materialsReferral to and coordination with community service organizations and make and/or specialist appointments and schedule other tests, treatments or procedures as neededFacilitating patient follow-up visits with acute or chronic needsDocuments all concerns and follow-up and escalates to the onsite Clinical Team, or oncology provider when appropriate-Provide coaching and health promotion to encourage self-management and adherence to care plans-Collaborate with onsite clinical staff to order supplies for patients as needed (e.g., blood pressure machines, remote patient monitoring medical supplies)-Track and report on member progress, escalating complex cases to provider, the onsite clinical team or program leadership as needed-Transitional Care Management:Attempt outreach to TCM members on the caseload via phone call as needed to support onsite TCM programs.Assist with discharge planning: assess needs; help coordinate medication reconciliation; schedule TCM (Post -Acute) face-to- face visit with providerTriage patient needs and identify necessary plan of action within such as scheduling an appointment, triaging for a provider or directing the patient to the ER, etc. as needed.Bridge gaps between the onsite clinical team and the community, and ensuring patients fully understand their discharge instructions and follow-up care-Meets regularly with management team to discuss feedback from call monitoring and quality reviews. Discusses progress on productivity and quali