Registered Nurse Specialty Pharmacy Case Manager

Title: Registered Nurse Specialty Pharmacy Case Manager

Location: Virginia or North Carolina

Job Description:

remote type

Remote

time type

Full time

job requisition id

JR-95832

City/State

Norfolk, VA

 

Work Shift

Multiple shifts available

 

Overview:

 

Sentara is hiring a Registered Nurse Case Manager II for the Specialty Case Management Pharmacy

 

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 position is remote – candidates must reside in Virginia or North Carolina

 

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.

Education

• Bachelor's Level Degree in Nursing/BSN (Required)

 

Certification/Licensure

• Certified Case Manager (CCM) (Preferred)

• Accredited Case Manager RN (ACM-RN) (Preferred)

• Active RN licensure

 

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, Indeed, Talroo-Nursing, Monster, LinkedIn, BSN, Medicaid Health plan, #LI-SM1, MMHS health screen assessments, complex chronic health conditions

 

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans

• Adoption, Fertility and Surrogacy Reimbursement up to $10,000

• Paid Time Off and Sick Leave

• Paid Parental & Family Caregiver Leave

• Emergency Backup Care

• Long-Term, Short-Term Disability, and Critical Illness plans

• Life Insurance

• 401k/403B with Employer Match

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education

• Student Debt Pay Down – $10,000

• Reimbursement for certifications and free access to complete CEUs and professional development

• Pet Insurance

• Legal Resources Plan

• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!

 

Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.

In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women’s health, including a state-of-the-art neonatal intensive care unit.

 

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

 

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.