> Markdown version of [/jobs/ext/2588957-pharmaceutical-support-nurse-remote](https://www.wearedevelopers.com/jobs/ext/2588957-pharmaceutical-support-nurse-remote). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Pharmaceutical Support Nurse (Remote) - **Company:** United Biosource Corporation - **Location:** United States (Remote available) - **Experience:** Experienced - **Contract:** Permanent contract - **Skills:** Microsoft Excel, Workday - **Published:** August 2, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=3fa34a97d8ca4db0 ## About the Role * This is a highly telephonic nursing role requiring continuous work within an inbound/outbound call queue along with virtual calls. Nurses must be comfortable spending the majority of their workday on the phone participating in conversations. This is a desk-based position that requires nurses to remain at their workstation throughout the workday. Calls are routed through a computer-based phone system and must be answered directly from the queue. Candidates seeking a flexible, mobile work environment or a role that allows them to be away from their desk for extended periods may not find this position to be a good fit., * Minimum- associate degree and professional nursing license * Registered Nurse License in good standing in the state in which you work, telephonic clinical roles are required to have a Compact State License in eligible states; additionally, employee must be willing to obtain Compact State license at such time as their state elects to adopt Compact legislation * Telephonic clinical roles are required to have a California State License and the employee must be willing to obtain additional Single State Licenses upon request. * Previous experience in the PBM and/or healthcare industry * Competent ability to research, analyze, prepare reports, and document clearly * 2+ years' experience in a customer service setting demonstrating advanced skills in issue resolution, preferably in a call center environment * Proficient in Microsoft Office applications, specifically Excel * Ability to handle a fast-paced environment and multi-tasking * Strong written and verbal communication skills * Advanced problem solving and trouble-shooting skills including critical thinking * Strong attention to detail and relationship building skills and the ability to train other team members ## Description Brief Description: Performs as a Pharmaceutical Clinical Case Manager Nurse supporting healthcare providers and patients through telephonic support for client funded contracts. This includes: telephonic support to healthcare providers, review of payor specific coverage criteria, completing clinical review of prior authorization and appeal submissions and providing written communication utilizing client approved program resources. This role will build and develop strong customer relationships and support all activities that facilitate patient access., * Adhere to principles as stipulated by program specific contractual agreements and company practices. * Demonstrate clinical competency regarding reimbursement, product, and medical records and will review and train other team members on these concepts. * Troubleshoot complex cases, identify trends (spanning multiple disease-states), investigate data, and resolve escalated issues related to complex reimbursement from both internal and external stakeholders including prior authorization denials and/or appeals. * Perform review of payer product coverage criteria and denial letters for documentation required for submission for coverage determination. * Provide consistent and effective communication with healthcare providers, utilizing approved resources, regarding payer coverage criteria and information that is missing for payor submission. * Professional resource for IB/OB inquiries with focus on data collection, assembling accurate, timely, clear updates and documenting summary of follow up phone calls, patient inquiries, and outcomes including clinical notes and medical record/chart review when applicable. * Gathers, analyzes, and prepares data for Quarterly Business Reviews (QBRs) and/or client meetings. * Participates in program specific customer meetings and training sessions. * Report Adverse Drug Events that have been experienced by the patient in accordance with manufacturer requirements. * Attend manufacturer hosted conferences, customer meetings/training, and QBRs as requested (including requests to travel for in-person attendance). * Special projects and other duties as assigned. ## Related Videos - [Why Your Next Best Talent Might Not Be in Your Neighborhood](https://www.wearedevelopers.com/videos/1861-why-your-next-best-talent-might-not-be-in-your-neighborhood) - [In-depth .NET Azure Functions: Isolated mode, performance and durable AI agents](https://www.wearedevelopers.com/videos/100207-in-depth-net-azure-functions-isolated-mode-performance-and-durable-ai-agents) - [Destigmatizing the Workplace: Building Real Inclusion](https://www.wearedevelopers.com/videos/1492-destigmatizing-the-workplace-building-real-inclusion) - [Designing How Work Feels: The Science Behind Sanofi’s Workplace Experience](https://www.wearedevelopers.com/videos/1848-designing-how-work-feels-the-science-behind-sanofi-s-workplace-experience) - [From Syntax to Singularity: AI’s Impact on Developer Roles](https://www.wearedevelopers.com/videos/900-from-syntax-to-singularity-ai-s-impact-on-developer-roles) - [WeAreDevelopers LIVE - How DevRel Makes Tech More Human](https://www.wearedevelopers.com/videos/2149-wearedevelopers-live-how-devrel-makes-tech-more-human) ## Related Articles - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [Best Paying Remote Jobs](https://www.wearedevelopers.com/magazine/255-best-paying-remote-jobs) - [Best Job Boards for Remote Work for Developers](https://www.wearedevelopers.com/magazine/290-best-job-boards-for-remote-work-for-developers) - [Remote Work: Best Practices for Developers](https://www.wearedevelopers.com/magazine/315-remote-work-best-practices-for-developers) - [The Best Job Search Websites of 2025](https://www.wearedevelopers.com/magazine/368-the-best-job-search-websites-of-2025) - [Mastering Remote Work: Tips for Developers](https://www.wearedevelopers.com/magazine/558-mastering-remote-work-tips-for-developers)