Registered Nurse (RN) Case Manager | Specialty Pharmacy

Registered Nurse (RN)

Collaborates with the multidisciplinary care team to bring together an established plan for patient treatments, assists with the transitions between levels of care, to promote the best possible patient outcome. The case manager facilitates efficient utilization of resources and identifies patient care needs throughout the continuum of care.

What You Will Do

• Acts as liaison with hospitals and other health care service to provide treatment advice and lobby on behalf of the patients to various payor sources.
• Identifies community resources which can provide assistance with non-covered benefits such as, medications, nutritional supplements, transportation or durable medical equipment.
• Provides patient care and assisting provider as needed.
• Completes documentation, obtain insurance prior authorizations, and coordinates scheduling of procedures, testing and treatments.
• Performs and assists with medical treatment teaching and follow-up care with patients and their families regarding their healthcare needs.
• Assists with updating all policies and procedures pertinent to the area of responsibility.
• Assists with the review and development of education materials offered to patient.
• May attend discharge planning meetings to facilitate and coordinate the post procedure needs of all discharged patients.

Essential Qualifications

• The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

• Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire

Preferred Education, License/Certification, or Work Experience:

• Specialty Certification - Area of Nursing Practice - Certification Board Upon Hire
• 1-3 years

Expectations and Standards

• Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera's values of compassion, hospitality, and stewardship.
• Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement
• Career development guided by hands-on training and mentorship