Telephonic Case Manager

Market leading national managed care organization looking for remote Telehealth Nurses! Great opportunity, please call us today!

Duties:

To provide service to patients, caregivers, healthcare providers and their staff in support of prescription and specialty drugs through inbound and outbound telephonic interactions relative to program and regulatory requirements inclusive of the coordination of services such as: testing, monitoring and counseling follow up. The Tele-Health Nurse provides service and support to defined stakeholder populations through the use of telecommunications in accordance with the Nurse Practice Act and licensure guidelines.

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Key Responsibilities:

1. Provide telephonic and electronic service and support of stakeholders, utilizing experience in Behavior Modification and Motivational Interviewing to help achieve and sustain medication adherence through telephonic outreach.

2. Coordinate the collection of patient specific clinical data required to support adherence to regulatory program requirements and therapy protocols

3. Demonstrate understanding of and compliance with regulatory and specific service line and program requirements

4. Utilize clinical knowledge and defined processes to identify stakeholder needs, risks and safety concerns, ensuring timely escalation and reporting

5. Follow up with physicians and patients for purpose of compliance and persistency in reference to program protocols

6. Maintenance of professional licensure

Minimum Job Qualifications (Knowledge, Skills, & Abilities):

Education/Training:

- Vocational or technical training is required.

- Registered or Licensed Practical Nurse licensure is required.

- Licensure must be current and maintained upon hire and throughout duration of employment in this role.

Business Experience:

- Two or more years of experience working for a healthcare company, a physician's office or in a laboratory environment.

Knowledge Skills

- Reading, writing, arithmetic, medical terminology, good communication skills, read and interpret documents such as safety rules and procedure manuals, PC and word-processing skills, and working knowledge of the company products.

Specialized Knowledge/Skills:

- Ability to express ideas clearly in both written and oral communications, read and interpret documents such as safety rules, procedure manuals, and work instructions, resolve problems independently, and speak effectively and professionally to patients, caregivers, and internal/external stakeholders of the organization.

- Pro-active self-starter with experience in researching available services and agencies to assist clients with any issues.

- Strong computer skills required, data entry, proficiency with Microsoft Suite software, basic keyboarding skills.

- Strong attention to detail to work, accuracy in data collection/note documentation, ability to navigate multiple online platforms and programs synchronously, and comply with competing regulatory requirements.

- Experience in developing and preparing action plans in addition to consulting with patients and caregivers to resolve complex issues.

- Adaptable and excited about change which positively impacts the patient experience, adherence to therapy, and goals.

- Ability to accommodate a fast-paced environment, changing needs within health care.

- Knowledge to identify Adverse Events and Product Complaints.

Working Conditions:

- Remote - WFH

- Must have secure and professional working environment space, HIPAA compliant workspace.

- Must have reliable high-speed internet capable of supporting multiple online platform resource access including VOIP calls and video conferencing

Physical Requirements:

- May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required.

- Headset may be required for prolonged hours.

Shift: Shifts we can start with below however may have some flexibility in shifts:

1030-7p EST (2) 11:30-8pm EST (1 needed)

Contract to start with potential for long term based on performance!

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on randstadusa.com.


Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).


This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.