Telehealth RN Case Manager

Job Summary

To improve members' health and wellness through tele-pharmacy, the full-time Telehealth RN Case Manager will provide telehealth coaching, develop clinical outreach programs, and support pharmacy staff while working remotely.

Key responsibilities

• Develop and update clinical algorithms, pathways, and call scripts to enhance service delivery
• Provide clinical outreach to members and prescribers to improve care coordination and health outcomes
• Collaborate with department staff to maintain high-quality clinical programs and ensure compliance with regulations

Required qualifications

• Associate's degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred
• Current, active Registered Nurse (RN) license in good standing with the applicable State Board of Nursing
• 2+ years of clinical experience, including direct consultation experience
• Experience in a clinical call center and as part of a multi-disciplinary team is preferred
• Knowledge of healthcare industry practices and HIPAA regulations