Telehealth RN Case Manager

🕒 Maio 29

🥔 Idaho – Remoto

🥔 Idaho – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

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Navitus Health Solutions

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2003

⚕️ Seguro de Saúde

💊 Farmacêutico

🤝 B2B

Healthcare Insurance • Pharmaceuticals • B2B

Microsoft 365 é uma suíte de aplicativos de produtividade baseada em nuvem, desenvolvida para pessoas, famílias, empresas e instituições de ensino. Inclui ferramentas populares como Word, Excel, PowerPoint, Outlook e Teams, permitindo criar, colaborar e compartilhar documentos e dados de forma contínua entre dispositivos. O Microsoft 365 aumenta a produtividade com recursos como o Microsoft Copilot, que integra capacidades de IA para auxiliar nas tarefas do dia a dia, garantindo o armazenamento e a organização seguros dos arquivos e facilitando o trabalho em equipe e a comunicação eficaz.

Descrição

• Develop appropriate clinical algorithms, pathways and call scripts to support pharmacy staff in delivering services. • Review and update all algorithms and call scripts at least yearly and with updated clinical guidelines. • Develop documentation standards for all clinical outreach. • Collaborate with department staff to develop and maintain a high quality and consistent product. • Facilitate communication and education to clients, providers, and internal staff regarding programs and program outcomes. • Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination. • Stay current with new guidelines, literature, recommendations, and medications, and integrate that information into clinical programs and outreach efforts to ensure services remain up to date. • Maintain open lines of communication with other functional areas and departments. • Develop a full understanding of clients’ member experience and how engagement efforts contribute to improved health and wellness. • Adhere to compliance and HIPAA regulations. • Participate in, adhere to, and support compliance, people and culture, and learning programs. • Perform other duties as assigned.

🎯 Requisitos

• Associate’s degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred. • Current, active Registered Nurse (RN) license in good standing with the applicable State Board of Nursing is required. • 2+ years clinical experience including direct consultation experience. • Experience in a clinical call center is preferred. • Experience as a member of a multi-disciplinary team is preferred. • Professional PBM industry work experience is preferred. • Knowledge of applicable data privacy practices and laws is preferred. • Knowledge of healthcare industry practices and HIPAA regulations.

🏖️ Benefícios

• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance