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LU
Lucyrx

Registered Nurse Care Guide

LocationRemote-United States
Work moderemote
Typefull-time
Company size11+ people
First seen1w ago
Last seen3d ago
About the company
It’s fun to work in a company where people truly BELIEVE in what they’re doing!
We’re committed to bringing passion and customer focus to the business.
About the role
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
Ensure compliance with HIPAA, state nursing practice acts, and organizational policies by safeguarding protected health information (PHI), practicing within RN scope of licensure, and adhering to approved clinical workflows, documentation standards, and escalation protocols.
Program Oversight:
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Actively contributes to the design and continuous improvement of Care Guide services, sharing feedback and insights from member interactions.
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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.
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Identify and address barriers to medication adherence to support successful outcomes.
Member Engagement:
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Champion a culture of empathy, accountability, and professional growth within the Care Guides team.
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Collaborate with members to establish individualized, patient centered goals and support longitudinal care management through follow up, education, and progress evaluation.
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Conduct nursing assessments to identify clinical needs, risks, and barriers to care; apply clinical judgment to determine appropriate education, support, and escalation within defined RN scope of practice.
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Identify changes in clinical status, symptom progression, or safety concerns and escalate appropriately to pharmacists, prescribers, or emergency resources in accordance with approved protocols.
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Educate members on proper medication use, potential side effects, and lifestyle changes.
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Provide motivational coaching to drive engagement with approved lifestyle vendors.
Navigation Support:
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Utilize technology and digital health platforms to enhance member engagement and track outcomes.
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Assist members in accessing resources to connect with clinical programs.
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Troubleshoot issues related to resource utilization and access.
Data Collection and Reporting:
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Document clinical assessments, member interactions, education provided, and care management activities accurately and timely within the designated clinical management system.
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Monitor and document member progress, ensuring treatment effectiveness in collaboration with pharmacists or prescribers.
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Collaborate with the analytics team to track outcomes and generate insights for clients
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Participate in ongoing training and development, including motivational interviewing and cultural competence.
Clinical Accountability
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Practice at the top of RN licensure while adhering to defined clinical scope and organizational guardrails.
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Maintain active licensure and participate in required training, competency validation, and quality assurance activities.
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Support continuous improvement through feedback, outcomes tracking, and adherence to evidence based standards.
Qualifications and Education Requirements
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Active multi-state Registered Nurse (RN) license.
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Experience in patient advocacy, member engagement, or health coaching.
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Exceptional communication and interpersonal skills.
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Experience working with diverse populations and addressing health disparities.
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Familiarity with weight management or diabetes programs preferred.
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Strong analytical and problem-solving skills and detail-oriented
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Ability to adapt and perform duties efficiently whenever unexpected changes arise
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Excellent organizational, written, and verbal communication
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Highly motivated and good interpersonal skills, self-starter
Nice to have
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Preferences
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Certified Diabetes Educator
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Certified Care Management
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Population Management Experience
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Hands-on and demonstrated experience in the Pharmacy Benefit Management (PBM) industry
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Knowledge of HIPAA regulations (this needs to be put in as a bullet of the job description itself, see additional first bullet above)
Physical Requirements
The physical demands described here are representative of those required 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, using a computer, mouse, and keyboard, and occasionally operate other standard office equipment, such as a printer, copier, and phone. Travel may be by car, airplane, or a combination of modes.
What We Do LucyRx is an independent, next-generation pharmacy benefits manager (PBM) transforming how healthcare works. We’re fixing what’s broken in the PBM industry by putting people first and challenging outdated norms. For too long, traditional PBMs have prioritized profit over patients, and we believe that’s just plain wrong. LucyRx offers bold, innovative solutions powered by LucyIQ, our proprietary AI platform, to deliver actionable insights that lower costs, improve care, and simplify prescription management. While we’re new to the PBM space, LucyRx is built on decades of leadership experience and a commitment to meaningful change. We’re a nimble, remote-first team with a bold mission to redefine pharmacy benefits—and we’re just getting started.
What It’s Like to Work at LucyRx At Luc
What It’s Like to Work at LucyRx
At LucyRx, we’re a fast-moving team dedicated to making healthcare simpler, fairer, and more effective. Joining us means being part of a dynamic, mission-driven group that works collaboratively to challenge outdated industry practices and redefine what’s possible in pharmacy benefits.
We value accountability, innovation, and a relentless focus on making an impact. Here, you’ll find a supportive culture that encourages you to bring your whole self to work, share bold ideas, and grow alongside smart, driven colleagues who are passionate about fixing the PBM industry. If you’re ready to roll up your sleeves and make a real difference, we’d love to have you on our team.
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
yRx, we’re a fast-moving team dedicated to making healthcare simpler, fairer, and more effective. Joining us means being part of a dynamic, mission-driven group that works collaboratively to challenge outdated industry practices and redefine what’s possible in pharmacy benefits. We value accountability, innovation, and a relentless focus on making an impact. Here, you’ll find a supportive culture that encourages you to bring your whole self to work, share bold ideas, and grow alongside smart, driven colleagues who are passionate about fixing the PBM industry. If you’re ready to roll up your sleeves and make a real difference, we’d love to have you on our team.
**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.**
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More roles at Lucyrx
Patient Services ManagerVice President, Clinical Strategy and ProductDirector, Pharmacy Product DevelopmentPharmacist PRNDirector, Financial Planning & Analysis
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