Telehealth RN Case Manager

🕒 Outubro 27

🏈 Alabama, Colorado, +17 estados a mais – Remoto

🏈 Alabama – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

👻 Score fantasma 10%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 15 dias.
• As vagas desta empresa costumam ser preenchidas em 31 dias.
• Sem salário divulgado.

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Navitus Health Solutions

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2003

💼 Consultoria

🛡️ Seguros

🏥 Saúde

Consulting • Insurance • Healthcare

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

• Improve members’ health and wellness via tele-pharmacy • Assist in the development and execution of clinical outreach programs • Provide telehealth coaching to members to improve adherence and drive use of lowest net cost formulary options • Engage remotely with members and prescribers • Support development of clinical resources, targeted medication review recommendations, policies, and procedures • Provide clinical oversight of pharmacy technicians, pharmacy interns, and products • Support reporting and audits • Develop clinical algorithms, pathways, and call scripts for pharmacy staff • Review and update algorithms and call scripts at least annually and when clinical guidelines change • Develop documentation standards for clinical outreach • Collaborate with department staff to maintain a high-quality, consistent product • Facilitate communication and education for clients, providers, and internal staff regarding programs and outcomes • Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination • Stay current with guidelines, literature, recommendations, and medications and integrate updates into clinical programs • Maintain communication with other functional areas and departments • Adhere to compliance and HIPAA regulations • Participate in 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 • Monday – Friday 8 – 4:30pm schedule • Remote work available only to residents of Alabama, Colorado, Florida, Georgia, Indiana, Illinois, Iowa, Kansas, Kentucky, Maryland, Minnesota, Missouri, New Hampshire, New Jersey, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia, and Wisconsin

🏖️ 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

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