Sr. Specialist - RN
Job Summary
The Sr. Specialist is responsible for the coordination and delivery of services offered by McKesson Specialty Health. The role involves interactions with patients, family members, physicians, clinic nurses and other health care professionals (HCPs) the client and members of McKesson’s multidisciplinary team using web based, telephony and face to face means of communication. The role involves understanding and adhering to corporate, divisional, and departmental and program specific standard operating procedures.
Specific Responsibilities
Duties and responsibilities generally include but are not limited to :
- Perform HCP and patient registration activities, according to program protocols and applicable departmental procedures
- Review, analyze and validate information provided by patients and HCPs for accuracy and completeness to ensure initiation of services
- Follow the program protocols to ensure that the most appropriate next step is scheduled to ensure continuity of service delivery to HCPs and patients
- Process data entry activities of pertinent information received at different points of contact during the delivery of program services
- Based upon program guidelines, conduct reimbursement investigations with private and public reimbursement providers including coordinating / facilitating submission of Special Authorization letters to public and private payers and conducting reimbursement denial escalations through employers / payers
- Based upon program guidelines, liaise with physicians’ offices, clinics, infusion services providers, McKesson Specialty Pharmacy team and / or relevant other parties to provide comprehensive and coordinated service to patients and health care providers
- Gather information and conduct patient financial assessment eligibility based on program guidelines
- Manage case load in assigned territory. This generally includes but is not limited to the following activities : Act as initial contact for clinics requesting that a patient be started on RemodulinDuring first meeting with patient / family, access readiness for learning and schedule pump training sessions based on those needsProvide emotional support to patients / families recognizing that they have just received a diagnosis of a life-threatening diseaseProvide teaching relating to disease state to patient and / or family / support membersProvide teaching related to infusion pump to patient and / or family / support membersFacilitate delivery of medication and infusion supplies to new patientsCommunicate patient / family learning barriers with clinicTroubleshoot pump failures and arrange for replacement pump to be delivered to patient if requiredProvide support in managing side effectsAs requested and defined by clinic, notify clinic of program communication by patient (eg) report of AE, frequent pump handling questionsAssess need for and provide follow up calls / visits with new patients / family member who are performing pump related activities for the first time. Frequency and method of contact will vary based on competency of patient / family memberAssess need for and provide regular support calls / visits to patient / family memberFrequency and method of contact will vary based on competency of patient / family memberRespond to ad hoc questions from patient / family member / clinic utilizing program work instructions and reference materialsMay be required to provide long term and / or ad hoc support to patients with physical challenges or who have minimal or no family support. This may require more frequent travel to meet with patients (30% of the time) Recognition and reporting of AE’s / SAE’s / PC’s as per program working instructionsProvide pump training to clinic / ward nursing staff upon request of PAH clinicDocument all patient / family interactions in McKesson databaseCommunicate relevant patient related issues to colleagues in the event CSS is unavailable to respond to inbound calls (eg travelling) Share in rotation of on call activities, program line is available 24 / 7 / 365
- Develop and maintain knowledge of McKesson SOPs and practices
General Responsibilities
Position Requirements
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please
Our Base Pay Range for this position
$74,100 - $123,500