Registered Nurse Care Guide en LucyRx

Description

Summary

The Nurse – Care Guide is an integral member of the LucyRx Care Guides team, dedicated to empowering members through personalized support, education, and advocacy. This role collaborates closely with Care Guides leadership and cross-functional teams to deliver innovative, high-touch programs that drive better health outcomes and member satisfaction. The Nurse – Care Guide champions member advocacy, leverages technology to enhance engagement, and fosters a culture of empathy, accountability, and continuous improvement.

Role and Responsibilities

Program Oversight:

• Actively contributes to the design and continuous improvement of Care Guide services, sharing feedback and insights from member interactions.
• Evaluate member eligibility for clinical programs, including but not limited to cancer, women’s health, diabetes, weight loss and biosimilar programs, based on clinical guidelines.
• Identify and address barriers to medication adherence to support successful outcomes.

Member Engagement:

• Champion a culture of empathy, accountability, and professional growth within the Care Guides team.
• Advocate for members by identifying barriers to care and proposing solutions to leadership.
• Conduct initial and ongoing consultations to discuss therapy goals and progress.
• Educate members on proper medication use, potential side effects, and lifestyle changes.
• Provide motivational coaching to drive engagement with approved lifestyle vendors.

Navigation Support:

• Utilize technology and digital health platforms to enhance member engagement and track outcomes.
• Assist members in accessing resources to connect with clinical programs.
• Troubleshoot issues related to resource utilization and access.

Data Collection and Reporting:

• Document member interactions and clinical assessments in the management system.
• Monitor and document member progress, ensuring treatment effectiveness in collaboration with pharmacists or prescribers.
• Collaborate with the analytics team to track outcomes and generate insights for clients.

• Participate in ongoing training and development, including motivational interviewing and cultural competence.

Requirements

Qualifications

• Active Registered Nurse (RN) license in any US state.
• Experience in patient advocacy, member engagement, or health coaching.
•  Exceptional communication and interpersonal skills.
• Experience working with diverse populations and addressing health disparities.
• Familiarity with weight management or diabetes programs preferred.
• Strong analytical and problem-solving skills and detail-oriented
• Ability to adapt and perform duties efficiently whenever unexpected changes arise
• Excellent organizational, written, and verbal communication
• Highly motivated and good interpersonal skills, self-starter

Preferences

• Certified Diabetes Educator
• Population Management Experience
• Hands on and demonstrated experience in Pharmacy Benefit Management (PBM) industry 
• Knowledge of HIPAA regulations

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

This is a largely sedentary role; however, some standing, walking, bending, and reaching may be required. Regularly operates in an office or home office setting which involves utilizing a computer, mouse, keyboard, and occasionally operates other standard office equipment, such as printer, copier, phone. Travel may be required by either car or airplane, or a combination of multiple modes of transportation.

LucyRx is an independent, next-generation pharmacy benefit manager (PBM) redefining prescription care. Fueled by innovation and decades of leadership experience, LucyRx delivers better outcomes through its integrated specialty network, formulary marketplace, and next-day home delivery solutions. Powered by its proprietary AI platform, LucyIQ™, the company provides real-time insights that support evidence-based clinical decisions, clear pricing, and exceptional service from U.S.-based pharmacy technicians. Partnering with more than 60,000 pharmacies, LucyRx serves over 1,200 clients nationwide.

We offer competitive pay and benefits, and are open to discussing compensation that reflects the value you bring to our team.