RN, Utilization Case Manager - Archimedes

Archimedes; Earth City (MO); On-site; USD 68,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

401K company match

Adoption Assistance Program

Flexible Spending Account

Educational Assistance

Job summary

Archimedes in Earth City, MO is seeking an RN Utilization Case Manager to coordinate care among physicians, patients and pharmacies for specialty medications. The role focuses on utilization management, case review and timely access for complex cases.

The ideal candidate holds ADN/BSN, RN license, and experience in utilization/case management or infusion settings with strong MS Office skills. Archimedes offers health, PTO and retirement benefits.

Qualifications

• Education: ADN or BSN required; MSN a plus.
• Current RN license in good standing.
• Experience in utilization management and case management or infusion settings.

Responsibilities

• Review chart notes and perform utilization management on a patient/case basis.
• Coordinate specialty drug treatment delivery to appropriate sites of care.
• Handle case assignments, document progress, and close cases.
• Follow procedures to meet targets for speed, efficiency and quality.
• Escalate clinical cases as needed and maintain customer service standards.
• Represent Archimedes to external customers and support compliance programs.
• Participate in and support learning and development programs.
• Perform other duties as assigned.

Skills

Utilization & Case Management

Infusion background

MS Office

Education

ADN

BSN

MSN (optional)

Tools

Microsoft Office Suite

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

How do I make an impact on my team?

• 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

What our team expects from you?

• 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.

What can you expect from Archimedes?

• Top of the industry benefits forHealth,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

Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law.

Equal employment opportunity, including veterans and individuals with disabilities.