Remote Telehealth RN Case Manager - Care Coordination

Archimedes; United States; Remote; USD 85,000 - 105,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

401K

Adoption Assistance

Flexible Spending Account

Education Assistance

Professional membership

Job summary

Archimedes is seeking a Telehealth RN Case Manager to improve member health through remote clinical outreach and tele-pharmacy. The role supports program development, clinical resources, and adherence-focused care while coordinating with prescribers and pharmacy staff.

Remote option is available; candidates may work from St Louis, MO, Brentwood, TN, or fully remote. Requires RN license (BSN preferred) and 2+ years of clinical experience in a PBM-related environment.

Qualifications

• RN license in good standing with the state board.
• 2+ years of 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 HIPAA regulations and data privacy practices is preferred.

Responsibilities

• Develop clinical algorithms, pathways and call scripts for pharmacy staff.
• Review algorithms and scripts annually and with updated guidelines.
• Develop documentation standards for clinical outreach.
• Collaborate with staff to maintain high-quality programs.
• Communicate with clients, providers and internal staff about programs and outcomes.
• Provide clinical outreach to members and prescribers to improve care coordination.
• Stay current with guidelines and literature and update programs accordingly.
• Ensure compliance with HIPAA and other regulations.
• Support leadership with clinical resources and audit support.
• Location can be St Louis MO, Brentwood TN, or fully remote.

Skills

RN license

Clinical experience

Call center experience

PBM industry knowledge

Education

ADN or BSN preferred

Job description

Archimedes is seeking a Telehealth RN Case Manager to improve member health through remote clinical outreach and tele-pharmacy. The role supports program development, clinical resources, and adherence-focused care while coordinating with prescribers and pharmacy staff.

Remote option is available; candidates may work from St Louis, MO, Brentwood, TN, or fully remote. Requires RN license (BSN preferred) and 2+ years of clinical experience in a PBM-related environment.