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    Navitus Health Solutions, LLC

    Pharmacy Benefit Management

    RN, Utilization Case Manager - Archimedes

    Earth City, United StatesOn-SiteFull-timePosted 1mo ago
    All Navitus Health Solutions, LLC jobs

    Job description

    Company

    Archimedes

    Work Schedule Description (e.g. M-F 8am to 5pm)

    Our Core Business Hours- Hybrid 3 Days in Office

    Hiring Manager : Full Name: First Last

    Mitzi Lowery

    Overview

    The RN, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states.

    Responsibilities

    How do I make an impact on my team? 

    • Review chart notes and perform utilization management on patient/drug specific case basis.
    • Coordinate facilitation of patients’ specialty drug treatment, ensuring timely delivery to the appropriate site of care.
    • Handle case assignments, review case progress, properly document case notes, and determine case closure.
    • Follow established procedures, processes, and standards for production, productivity, quality, and customer service. Meet performance targets for speed, efficiency, and quality.
    • Complete care management clinical escalations. Escalate to account management as appropriate.
    • Ensure all external and internal customers receive the level of customer service required by Archimedes and serve as a representative of Archimedes to all external customers.
    • Participate in, adhere to, and support compliance, people and culture, and learning programs.
    • Perform other duties as assigned.

    Qualifications

    What our team expects from you?

    • Education: Associate’s degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred. Master of Science in Nursing (MSN) a plus.
    • Certification/Licenses: Current, active Registered Nurse (RN) license in good standing with the applicable State Board of Nursing is required.
    • Experience:
      • Utilization and Case management experience required.
      • Experience in an infusion setting, physician office or pharmacy required.
      • Experience with managing specialty medications for patients with chronic illness is highly preferred.
      • Expert at Microsoft Office Suite.

    What can you expect from Archimedes? 

    • Top of the industry benefits for Health, Dental, and Vision insurance
    • 20 days paid time off
    • 4 weeks paid parental leave
    • 9 paid holidays
    • 401K company match of up to 5% - No vesting requirement
    • Adoption Assistance Program
    • Flexible Spending Account
    • Educational Assistance Plan and Professional Membership assistance

    Pay Range

    USD $0.00 - USD $0.00 /Yr.

    Job details are sourced from the employer's original posting.

    Open job posting
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    About the company

    Navitus Health Solutions, LLC

    Navitus Health Solutions is a full-service pharmacy benefit manager (PBM) that provides innovative solutions to employers, health plans, and government agencies.

    View all Navitus Health Solutions, LLC jobs
    Industry
    Pharmacy Benefit Management
    Open roles
    153

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