RN, Utilization Case Manager - Archimedes

Navitus Health Solutions, LLC; Earth City (MO); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health, Dental, and Vision insurance

20 days paid time off

401K company match of up to 5%

Job summary

Navitus Health Solutions, LLC seeks a Registered Nurse (RN) Utilization Case Manager for part-time hybrid work in Earth City, MO. You will coordinate care between physicians, patients, and pharmacies, facilitate access to specialty medications, and manage patient treatment plans. Qualifications include an active RN license and experience in utilization and case management. Exceptional benefits include health insurance, 20 days paid time off, and educational assistance programs.

Qualifications

• Current, active Registered Nurse (RN) license in good standing is required.
• Experience in an infusion setting, physician office, or pharmacy required.
• Expert at Microsoft Office Suite.

Responsibilities

• Review chart notes and perform utilization management on a patient/drug specific basis.
• Facilitate delivery of patients’ specialty drug treatment to the appropriate site.
• Handle case assignments, review progress, and document case notes.

Skills

Utilization and Case Management experience

Managing specialty medications

Microsoft Office Suite

Education

Associate's degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN)

Master of Science in Nursing (MSN)

Job description

Overview

The RN, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states.

Responsibilities

• Review chart notes and perform utilization management on patient/drug specific case basis.
• Coordinate facilitation of patients’ specialty drug treatment, ensuring timely delivery to the appropriate site of care.
• Handle case assignments, review case progress, properly document case notes, and determine case closure.
• Follow established procedures, processes, and standards for production, productivity, quality, and customer service. Meet performance targets for speed, efficiency, and quality.
• Complete care management clinical escalations. Escalate to account management as appropriate.
• Ensure all external and internal customers receive the level of customer service required by Archimedes and serve as a representative of Archimedes to all external customers.
• Participate in, adhere to, and support compliance, people and culture, and learning programs.
• Perform other duties as assigned.

Qualifications

• Education: Associate’s degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred. Master of Science in Nursing (MSN) a plus.
• Certification/Licenses: Current, active Registered Nurse (RN) license in good standing with the applicable State Board of Nursing is required.
• Experience:
  • Utilization and Case management experience required.
  • Experience in an infusion setting, physician office or pharmacy required.
  • Experience with managing specialty medications for patients with chronic illness is highly preferred.
  • Expert at Microsoft Office Suite.

Benefits

• 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

Work Schedule

Our Core Business Hours-Hybrid Work Schedule 3 Days In Office

Pay Range

USD $0.00 - USD $0.00 /Yr.

Location

502 Earth City Expy STE 300, Earth City, MO 63045, US

We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.