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RN Case Manager

2 months ago


Columbia, South Carolina, United States HealthCare Resolution Services, Inc. Full time
Job Summary

The Pharmacogenomics Nurse Case Manager is a critical role within our organization, responsible for delivering high-quality care management and coordination services to our members. This position requires a skilled and compassionate nurse who can effectively partner with healthcare providers, pharmacies, labs, payers, and community resources to ensure seamless care delivery.

Key Responsibilities
  • Provide pre-authorization for testing and retrieve test results
  • Monitor and track the continuation of care
  • Develop and execute programs to improve care delivery
  • Lead process improvement projects
  • Provide leadership and influence others to meet member needs
Requirements
  • Bachelor's degree in nursing (BSN) from an accredited US University
  • Minimum two years of medical-surgical experience in an acute care setting
  • Three years of nursing experience in medical case management, ambulatory nursing, or community/homecare experience
  • Active RN license from the state licensing board
  • Case Management certification (preferred)
What We Offer

As a member of our team, you will have the opportunity to work with a multidisciplinary team of healthcare providers, contribute to policy and procedure formulation, and develop your leadership skills. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.