Registered Nurse Case Manager II Specialty Pharmacy

Sentara Hospitals • Norfolk, VA

2d • Onsite

About The Position

Sentara is hiring a Registered Nurse Case Manager II for the Specialty Pharmacy at Norfolk General Hospital in Norfolk, VA. 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 member’s 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. 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 women’s 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 30,000-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.

Requirements

• Bachelor's Level Degree in Nursing/BSN (Required)
• 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)

Nice To Haves

• Certified Case Manager (CCM) (Preferred)
• Accredited Case Manager RN (ACM-RN) (Preferred)

Responsibilities

• 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
• assumes a collaborative role with all members of the healthcare team to achieve optimal clinical and resource outcomes
• effectively assess and coordinate the member’s needs
• maximize their available benefits
• assist in creating a cost-effective plan of care
• identify high-risk and high-utilization cases

Benefits

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level