RN Case Manager
3 weeks ago
The Pharmacogenomics (PGx) Nurse Case Manager is responsible for comprehensively and actively maintaining the care management and coordination needs of payer defined and/or payer enrolled populations of members who meet designated inclusion criteria. This includes activities such as providing pre-authorization for testing, retrieving test results, and monitoring/tracking the continuation of care. Through these activities, the Nurse Case Manager will partner with providers, pharmacies, labs, payers, and community resources to facilitate effective, efficient care delivery options.
Ability to contribute to policy and procedure formulation when working in partnership with a multidisciplinary team of health care providers.
* Ability to develop and execute programs and lead process improvement projects.
* Ability to provide leadership, influence others to meet member needs and achieve shared goals, to effectively prioritize resources to provide quality and valued member care, promote cooperative behaviors, act as a role model, resource and mentor.
* Proficient at keyboarding and Microsoft Office Word, Excel, Access, PowerBI, Power Point.
* Ability to embrace usage of various Electronic Health Records (EHRs) and other high tech software programs.
Bachelor's degree in nursing (BSN) from an accredited US University.
* Minimum Work Experience
* Two (2) years medical surgical experience in an acute care setting.
* Three (3) years Nursing experience in medical case management, ambulatory nursing or community/homecare experience.
Case Management certification (preferred)
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RN Case Manager
3 weeks ago
Columbia, MD, United States HealthCare Resolution Services Full timeRN Case Manager (Pharmacogenomics) The Pharmacogenomics (PGx) Nurse Case Manager is responsible for comprehensively and actively maintaining the care management and coordination needs of payer defined and/or payer enrolled populations of members who meet designated inclusion criteria. This includes activities such as providing pre-authorization for testing,...
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RN Case Manager
4 weeks ago
Columbia, MD, United States HealthCare Resolution Services Full timeRN Case Manager (Pharmacogenomics)The Pharmacogenomics (PGx) Nurse Case Manager is responsible for comprehensively and actively maintaining the care management and coordination needs of payer defined and/or payer enrolled populations of members who meet designated inclusion criteria. This includes activities such as providing pre-authorization for testing,...
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Columbia, MD, United States HealthCare Resolution Services Full timeRN Case Manager (Pharmacogenomics)The Pharmacogenomics (PGx) Nurse Case Manager is responsible for comprehensively and actively maintaining the care management and coordination needs of payer defined and/or payer enrolled populations of members who meet designated inclusion criteria. This includes activities such as providing pre-authorization for testing,...
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4 weeks ago
Columbia, United States HealthCare Resolution Services Full timeRN Case Manager (Pharmacogenomics)The Pharmacogenomics (PGx) Nurse Case Manager is responsible for comprehensively and actively maintaining the care management and coordination needs of payer defined and/or payer enrolled populations of members who meet designated inclusion criteria. This includes activities such as providing pre-authorization for testing,...
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Columbia, United States HealthCare Resolution Services Full timeRN Case Manager (Pharmacogenomics)The Pharmacogenomics (PGx) Nurse Case Manager is responsible for comprehensively and actively maintaining the care management and coordination needs of payer defined and/or payer enrolled populations of members who meet designated inclusion criteria. This includes activities such as providing pre-authorization for testing,...
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7 days ago
Columbia, United States HealthCare Resolution Services Full timeRN Case Manager (Pharmacogenomics)The Pharmacogenomics (PGx) Nurse Case Manager is responsible for comprehensively and actively maintaining the care management and coordination needs of payer defined and/or payer enrolled populations of members who meet designated inclusion criteria. This includes activities such as providing pre-authorization for testing,...
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Columbia, United States HealthCare Resolution Services Full timeJob DescriptionJob DescriptionThe Pharmacogenomics (PGx) Nurse Case Manager is responsible for comprehensively and actively maintaining the care management and coordination needs of payer defined and/or payer enrolled populations of members who meet designated inclusion criteria. This includes activities such as providing pre-authorization for testing,...
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1 week ago
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