[Hiring] RN Case Manager, Telehealth @reputed company H...

Role 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 exceed reputed company expectations. • 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 call scripts to support pharmacy staff in delivering MTM services • Review and update reputed company algorithms and call 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 STAR 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 (STAR 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 • 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 Benefits • 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!

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