Location: Sentara Norfolk General Hospital, Norfolk, VA
Status: Full Time (40 hrs/wk)
Hours: Monday-Friday 8am-5pm (will be required to work until 6 pm two days per month on a rotating basis)
No Weekends
The RN Case Management Pharmacy Case Manager II coordinates the care and services of selected Medicaid health plan member populations across the continuum of care, promotes effective utilization and monitoring of health care resources, and assumes a collaborative role with all members of the healthcare team to achieve optimal clinical and resource outcomes. RN Pharmacy Case Manager II must be able to effectively assess and coordinate the member’s needs; maximize their available benefits; assist in creating a cost-effective plan of care; and identify high-risk and high-utilization cases. Assigned cases may include components of medical, behavioral health, disease management, complex case management, and/or concurrent (Utilization Review) review.
EducationBachelor's Level Degree in Nursing/BSN (Required)
Certification/Licensure
Certified Case Manager (CCM) (Preferred)
Accredited Case Manager RN (ACM-RN) (Preferred)
Experience
2 years of related Experience (Required)
Medicaid
Case Management
Discharge Planning
Psych setting
Disease management
Public Health
Home Health
Health Plan
Specialty Pharmacy
Health Risk Assessment (HRA)
Keywords: Case Management, Drug Counseling, Social Determinants of Health, Specialty Pharmacy, Specialty Medication, Nurse Case manager, Risk Assessment, Disease Management, RN, Registered Nurse, CCM, Epic, JIVA, HRA, Health Risk Assessment, telephonic, call center, prescription, Rx, CCM, ACM-RN