RN Case Manager

1 week ago


Columbia, South Carolina, United States HealthCare Resolution Services, Inc. Full time
Job Title: RN Case Manager

The Pharmacogenomics Nurse Case Manager plays a vital role in ensuring the comprehensive care management and coordination needs of our payer-defined and/or payer-enrolled populations are met. This includes activities such as providing pre-authorization for testing, retrieving test results, and monitoring/tracking the continuation of care.

Key Responsibilities:
  • Partner with providers, pharmacies, labs, payers, and community resources to facilitate effective and efficient care delivery options.
  • Develop and execute programs and lead process improvement projects to enhance patient care.
  • Provide leadership, influence others to meet member needs, and achieve shared goals.
  • Effectively prioritize resources to provide quality and valued member care.
Requirements:
  • Active RN license from the state licensing board.
  • Minimum 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).
Preferred Qualifications:
  • Master's Degree in Nursing.
  • Proficient at keyboarding and Microsoft Office Word, Excel, Access, PowerBI, PowerPoint.
  • Ability to embrace usage of various Electronic Health Records (EHRs) and other high-tech software programs.

Why Join Our Team: At HealthCare Resolution Services, Inc., we value our employees and strive to create a work environment that promotes growth, collaboration, and excellence in patient care. If you are a dedicated and compassionate RN with a passion for case management, we encourage you to apply for this exciting opportunity.



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