Nurse Case Manager - Specialty Pharmacy

Sentara; England; Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a Specialty Pharmacy Nurse Case Manager to join their dynamic team. This role focuses on coordinating care for Medicaid members, ensuring optimal clinical outcomes while collaborating with healthcare professionals. You will engage in case management, discharge planning, and disease management, making a significant impact on patient care. With a commitment to employee development and a supportive work environment, this position offers a chance to enhance your career while making a difference in the community. Join a forward-thinking organization that values diversity and inclusion.

Benefits

Medical, Dental, Vision plans

Paid Time Off and Sick Leave

401k/403B with Employer Match

Tuition Assistance - $5,250/year

Student Debt Pay Down - $10,000

Pet Insurance

Legal Resources Plan

Emergency Backup Care

Paid Parental & Family Caregiver Leave

Reimbursement for certifications

Qualifications

• Must have 2 years of related experience in case management.
• Experience in Medicaid and public health is essential.

Responsibilities

• Coordinate care and services for Medicaid member populations.
• Maximize available benefits and create cost-effective care plans.

Skills

Case Management

Medicaid

Discharge Planning

Disease Management

Risk Assessment

Education

Bachelors Level Degree in Nursing

Tools

Electronic Health Records (EHR)

Job description

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Sentara is hiring a Specialty Pharmacy Nurse Case Manager at Norfolk General Hospital

Location: Norfolk, VA

Status: Full Time (40 hrs/wk)

Hours: Monday-Friday8am-5pm (will require to work until 6pm 2 or less times per month)

No Weekends

The Case Management Pharmacy Case Manager II coordinates the care and services of selected Medicaid member populations across the continuum of care, promotes effective utilization and monitoring of health care resources, and assumes a collaborative role with all members of the healthcare team to achieve optimal clinical and resource outcomes. Case Manager II must be able to effectively assess and coordinate member's needs; maximize their available benefits; assist in creating a cost effective plan of care; and identify high risk and high utilization cases. Assigned cases may include components of medical, behavioral health, disease management, complex case management, and/or concurrent (Utilization Review) review.

Education

• Bachelors Level Degree in Nursing

Certification/Licensure

• Certified Case Manager (CCM) (Preferred)
• Accredited Case Manager RN (ACM-RN) (Preferred)

Experience

• 2 years of related Experience (Required)
  • Medicaid
  • Case Management
  • Discharge Planning
  • Psych setting
  • Disease management
  • Public Health
  • Home Health

Keywords: Case Management, Drug Counseling, Social Determinates of Health, Specialty Pharmacy, Specialty Medication, Nurse Case manager, Risk Assessment, Disease Management

.

Benefits: Caring For Your Family and Your Career

* Medical, Dental, Vision plans

* Adoption, Fertility and Surrogacy Reimbursement up to $10,000

* Paid Time Off and Sick Leave

* Paid Parental & Family Caregiver Leave

* Emergency Backup Care

* Long-Term, Short-Term Disability, and Critical Illness plans

* Life Insurance

* 401k/403B with Employer Match

* Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education

* Student Debt Pay Down - $10,000

* Reimbursement for certifications and free access to complete CEUs and professional development

* Pet Insurance

* Legal Resources Plan

* Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!

Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.

In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.