RN Quality Specialist- Telephonic Registered Nurse II - Accredo - Work from Home, Anywhere, USA (Compact License Required)

Job Description:

CLINICAL QUALITY NURSE SPECIALIST- WORK AT HOME- ACCREDO

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position, you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

Full time work from home – you MUST reside in a compact state.

Start Date: 8/25/2025.

Shift for this role: 11am – 8pm EST Monday – Friday

Please note, the first 6-7 weeks of training will be varied and may start between 8am-11:30am EST depending on the week.

The primary responsibility of this role is to provide telephonic education to patients and caregivers following Clinical Protocols and working within the nursing scope of practice and guidelines. Additionally adverse event/product complaint reporting to pharma partners.

This opportunity allows you to improve the health and well-being of others, while giving them a sense of security. If you are an RN and looking for a Telephonic role, this opportunity is for you! Read on to learn more.

How you will make a difference:

Take ownership of patient experience via telephone: Provide telephonic education that includes (but not limited to) disease and drug specific education to both patients and caregivers. Follow clinical protocols and work within the nursing scope of practice and guidelines while assessing and documenting clinical data and intervention.

Be a coach to empower your patients to be at their best. Focus on the overall well-being of your patients. Collaborate with the patient’s treating physician to inform them of any new symptoms and health-related matters with an entire network of nurses on which you can learn. At Accredo, you are a part of an eco-system that will support you and advocate you.

Grow alongside your peers in a patient-centered environment. Aid our clinical departments with new hire training and mentoring as well as conduct peer-to-peer quality documentation checks to provide feedback to management.

ESSENTIAL FUNCTIONS

• Adhere to principles stipulated by program-specific contractual agreements and company practices

• Build relationships with assigned patients throughout duration of program

• Provide patient-centric education regarding treatment and disease states for assigned products

• Manage caseload including scheduled maintenance and adherence, scheduled calls/interactions, updating program database per company protocols

• Deliver customized interactions based on patient’s needs

• Participate in program-specific customer meetings and training sessions

• Participate in program-specific orientation meetings and demonstrate clinical and systems competency on tests

• Complete and submit adverse event and product complaint reports to the pharmaceutical companies or FDA, following contract guidelines and internal practice standards

• Within the defined time limit, using internal protocols determines if the event meets reporting requirements to the manufacturer or the FDA. Once determined, report the event as outlined within the clinical tools.
• Responsible for accurate documentation of the event that adhere to contractual /FDA requirements.
• Respond to manufacturer and/or internal requests when an adverse clarification is required.
• Responsible for reporting any errors to the leadership team in a timely manner.
• Complete all applicable trainings on time and remain compliant.

• Perform special projects and other duties as it pertains to specific contract performance

Minimum Qualifications:

• Registered Nurse (RN) compact license required.
• Must have at least 2 years of relevant clinical experience.
• MUST reside in a compact state.
• Require an active unencumbered license in the state that they reside and should have completed the NCLEX or a recognized state board exam.
• The RN must have the ability, with no restrictions, to apply for additional single state licenses.
• Must maintain all nursing licenses required for this role is a condition of employment, and the failure or inability to do so will result in termination of employment.
• Proficient in using micro soft applications.
• Must have hard wired internet connection. Minimum Internet speed: 5MBPS upload/2 MBPS download - Cable broadband or Fiber Optic Required.
• Excellent phone etiquette

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 32 - 54 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.