Remote Telehealth RN Case Manager

Navitus-Health-Solutions-Lumicera-Health-Services; St. Louis, Brentwood (MO, TN); Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Paid time off (20 days)

Parental leave (4 weeks)

9 holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational & Professional Memberships

Job summary

Archimedes is seeking an experienced RN Case Manager for Telehealth to improve member health via tele-pharmacy and to develop and drive clinical outreach programs. The RN will provide telehealth coaching, support program offerings, and coordinate with prescribers and pharmacy staff to optimize care and reduce net costs.

Remote engagement with members and prescribers will be frequent. This role could be located in St.

Qualifications

• ADN/BSN required; BSN preferred.
• Active RN license in good standing.
• 2+ years clinical experience including direct consultation.
• Experience in a clinical call center is preferred.
• Experience as part of a multi-disciplinary team is preferred.
• Professional PBM industry work experience is preferred.
• Knowledge of data privacy practices and HIPAA regulations preferred.

Responsibilities

• Develop clinical algorithms, pathways and call scripts for staff.
• Review and update algorithms and scripts yearly with guidelines.
• Develop documentation standards for outreach.
• Collaborate with staff to maintain high quality products.
• Facilitate communication with clients, providers and internal staff.
• Provide clinical outreach to members, prescribers and providers.
• Stay current with guidelines and medications; update programs accordingly.
• Maintain open communication with other departments.
• Understand client member experience and engagement impact.
• Adhere to compliance and HIPAA regulations.
• Participate in and support training and company programs.
• Perform other duties as assigned.

Job description

Archimedes is seeking an experienced RN Case Manager for Telehealth to improve member health via tele-pharmacy and to develop and drive clinical outreach programs. The RN will provide telehealth coaching, support program offerings, and coordinate with prescribers and pharmacy staff to optimize care and reduce net costs.

Remote engagement with members and prescribers will be frequent. This role could be located in St.