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RN Case Manager II - Specialty Pharmacy

Sentara
Sentara Norfolk General Hospital
Full-time

City / State

Norfolk, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara is hiring an Registered Nurse Case Manager II at Sentara Norfolk General Hospital for our Specialty Pharmacy Team!

Status : Full Time (40 hours)

Location : Norfolk General Hospital (on site)

Shift : M-F Days 830-1700 (occasionally will require working until 1800)

No Weekends!

Required qualifications :

  • Bachelors Level Degree- Nursing
  • Registered Nurse License- Virginia
  • 2 years experience in Case Management

Job responsibilities :

Coordinates the care and services of selected Medicaid member populations across the continuum of care, promotes effective utilization and monitoring of health care resources, and assumes a collaborative role with all members of the healthcare team to achieve optimal clinical and resource outcomes

Effectively assess and coordinate members needs; maximize their available benefits; assist in creating a cost effective plan of care;

and identify high risk and high utilization cases

Assigned cases may include components of medical, behavioral health, disease management, complex case management, and / or concurrent (Utilization Review) review.

About Sentara

Sentarais a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years.

Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan.

The people of the communities that we serve have nominated Sentara Employer of Choice for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years.

Sentara offers professional development and a continued employment philosophy!

Benefits

Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Parental and Caregiver Leave, Educational Assistance, Emergency Back-Up Care and other family benefits, a 401k / 403B with matching funds, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

We welcome you to be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity.

Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

Keywords : RN Case Manager, Specialty Pharmacy, BSN, Care Coordination, Case Management

Job Summary

The SNGH Case Management Pharmacy Case Manager coordinates the care and services of selected Medicaid member populations across the continuum of care, promotes effective utilization and monitoring of health care resources, and assumes a collaborative role with all members of the healthcare team to achieve optimal clinical and resource outcomes.

Case Manager must be able to effectively assess and coordinate members needs; maximize their available benefits; assist in creating a cost effective plan of care;

and identify high risk and high utilization cases. Assigned cases may include components of medical, behavioral health, disease management, complex case management, and / or concurrent (Utilization Review) review.

Bachelor's degree in Nursing, or a Bachelor's prepared Licensed Behavioral Health Clinician for community based case management teams required.

2 years of related experience in one of the following areas : , acute care nursing, case management, UR / UM, discharge planning, clinical psychiatric setting, disease management, hospice / home health or community / public health.

Licensed in accordance with profession discipline required. ACM, CCM, CMCC or RN-BC is required within 1 year of hire.

Qualifications :

BLD - Bachelor's Level Degree (Required)Related experience

Skills

Communication, Microsoft Office, Speaking, Writing

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.

gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission to improve health every day, this is a tobacco-free environment.

30+ days ago
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