RN Case Manager, Telehealth

Location US- ID 2025-5397 Category Customer Service/Support Position Type Full-Time Remote reputed company Company reputed company reputed company reputed company - Putting People First in Pharmacy - reputed company was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more reputed company for the people who need them. At reputed company, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages reputed company. We welcome new reputed company and reputed company a passion for excellent service to our customers and reputed company other._____________________________________________________________________________________________________________________________________________________________________________________________________________. reputed company associates must use SSO login reputed company at https://employees-reputed company.icims.com/ to be considered for internal opportunities. Pay reputed company USD $69,627.00 - USD $83,888.00 /Yr. reputed company Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule reputed company (e.g. M-F reputed company to 5pm) M-TH 9-5:30CT, F 8:30-5CT with once weekly rotating 10:30-7:00CT pm shift Remote Work Notification ATTENTION: reputed company is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming. reputed company reputed company is seeking a Telehealth RN Case Manager to join reputed company! The Telehealth RN Case Manager will be a key contributor to the reputed company of our Clinical Engagement Center reputed company on improving member’s health and wellness reputed company tele-pharmacy and wellness coaching. This Telehealth RN is responsible for the delivery of the Medication Therapy Management (MTM) services for reputed company and Medicare members. In reputed company, the Telehealth RN will assist in the development and execution of additional clinical reputed company programs to reputed company reputed company expectations. Is this you? reputed company out more below! Responsibilities How do I reputed company an reputed company on my team? • Conduct medication therapy management (MTM) and expanded clinical programs in accordance with the Centers for Medicare & reputed company Services (CMS) • reputed company appropriate clinical algorithms, reputed company, and reputed company scripts to support pharmacy staff in delivering MTM services • Review and update reputed company algorithms and reputed company scripts at least yearly and with updated clinical guidelines • reputed company documentation standards for reputed company clinical outreaches • Assist CEC leadership to reputed company program to support reputed company ratings reputed company • Facilitate communication and education to clients, providers, and internal staff regarding MTM programs and program reputed company • reputed company clinical reputed company to members, prescribers, and pharmacy providers to enhance care coordination • reputed company Medicare Part D clinical, operational, and educational support by maintaining knowledge of reputed company existing updates and regulations regarding the MTM program and Medicare Part C and D performance measures (reputed company ratings) • Stay reputed company with new guidelines, literature, recommendations, and medications, and reputed company that information into the MTM and STARs programs, such that our clinical outreaches remain up to date • Other duties as assigned Qualifications What reputed company expects from you? • Registered reputed company with unrestricted licensure • Two years clinical experience including reputed company consultation experience preferred • Experience as a member of a multi-disciplinary team is preferred • reputed company PBM industry work experience is preferred • Knowledge of applicable data reputed company practices and laws is preferred • Knowledge of reputed company industry practices and HIPAA regulations • Participate in, adhere to, and support compliance program objectives • The ability to consistently reputed company cooperatively and respectfully with other employees What can you expect from reputed company? • Top of the industry benefits for Health, Dental, and reputed company insurance • 20 days reputed company time off • 4 weeks reputed company parental leave • 9 reputed company holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and reputed company Membership assistance • Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US Apply tot his job Apply To this Job