Telehealth RN Case Manager - MTM & Care Coordination

Navitus; Tallahassee (FL); À distance; USD 75 000 - 95 000; Plein temps

Avantages offerts par ce poste

Health insurance

Paid time off

Parental leave

9 holidays

401K company match

Adoption Assistance

Flexible Spending Account

Education assistance

Referral Bonus

Résumé du poste

Navitus Health Solutions is seeking a Telehealth RN Case Manager to join our Clinical Engagement Center. This role delivers MTM services for commercial and Medicare members and supports additional clinical outreach programs to exceed client expectations.

The ideal candidate is a Registered Nurse with unrestricted licensure, at least two years of clinical experience, and a collaborative mindset to work with pharmacy staff, providers, and care teams in a remote-friendly environment.

Qualifications

• Registered Nurse with unrestricted licensure.
• Two years clinical experience including direct consultation preferred.
• Experience as a member of a multi-disciplinary team is preferred.
• Professional PBM industry work experience is preferred.
• Knowledge of HIPAA regulations and healthcare privacy practices.

Responsabilités

• Conduct MTM and expanded clinical programs under CMS guidelines.
• Develop clinical algorithms, pathways, and call scripts for MTM delivery.
• Review and update MTM protocols and scripts yearly with updated guidelines.
• Develop documentation standards for clinical outreaches.
• Support STAR ratings outreach and program development for clients.

Connaissances

RN licensure

Clinical experience

Team collaboration

HIPAA knowledge

PBM industry knowledge

Formation

Nursing degree

Outils

PBM software knowledge

Description du poste

Navitus Health Solutions is seeking a Telehealth RN Case Manager to join our Clinical Engagement Center. This role delivers MTM services for commercial and Medicare members and supports additional clinical outreach programs to exceed client expectations.

The ideal candidate is a Registered Nurse with unrestricted licensure, at least two years of clinical experience, and a collaborative mindset to work with pharmacy staff, providers, and care teams in a remote-friendly environment.