RN, Utilization Case Manager Archimedes

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

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.

What our team expects from you

• Education: Associates 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.