City/State
Norfolk VAWork Shift
First (Days)Overview:
Location: Sentara Norfolk General Hospital Norfolk VA
Status: Full Time (40 hrs/wk)
Hours: Monday-Friday 8am-5pm (will be required to work until 6 pm two days per month on a rotating basis)
No Weekends
The RN Case Management Pharmacy Case Manager II coordinates the care and services of selected Medicaid health plan 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. RN Pharmacy Case Manager II must be able to effectively assess and coordinate the 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.
Bachelors Level Degree in Nursing/BSN (Required)
Certification/Licensure
Certified Case Manager (CCM) (Preferred)
Accredited Case Manager RN (ACM-RN) (Preferred)
Experience
2 years of related Experience (Required)
Medicaid
Case Management
Discharge Planning
Psych setting
Disease management
Public Health
Home Health
Health Plan
Specialty Pharmacy
Health Risk Assessment (HRA)
Keywords: Case Management Drug Counseling Social Determinants of Health Specialty Pharmacy Specialty Medication Nurse Case manager Risk Assessment Disease Management RN Registered Nurse CCM Epic JIVA HRA Health Risk Assessment telephonic call center prescription Rx CCM ACM-RN
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Benefits: Caring For Your Family and Your Career
Sentara Norfolk General Hospital located in Norfolk VA is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center and Magnet hospital for nursing excellence our hospital specializes in heart and vascular neurosciences neurosurgery urology oncology spine care advanced imaging behavioral health maternity and womens health including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
Manager
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.