RN Case Manager Telehealth-Remote

Location: Remote
Compensation: Salary
Staff Reviewed: Thu, Mar 28, 2024
This job expires in: 15 days

Job Summary

A company is looking for an RN Case Manager for Telehealth-Remote positions.

Key Responsibilities:
  • Conduct medication therapy management (MTM) and expanded clinical programs in accordance with CMS guidelines
  • Develop clinical algorithms, pathways, and call scripts to support pharmacy staff in delivering MTM services
  • Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination

Required Qualifications:
  • Registered Nurse with unrestricted licensure
  • Two years clinical experience, including direct consultation experience preferred
  • Experience as a member of a multi-disciplinary team is preferred
  • Professional PBM industry work experience is preferred
  • Knowledge of applicable data privacy practices and laws is preferred

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