Case Manager II - Specialty Pharmacy
 Sentara | |
paid time off, tuition reimbursement, 401(k), 403(b)
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 United States, Virginia, Norfolk | |
| 6015 Poplar Hall Drive (Show on map) | |
 Feb 08, 2025 | |
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City/State Norfolk, VAOverview Work Shift First (Days) (United States of America)Sentara Norfolk General Hospital is hiring a full time Case Manager II! Schedule: 100% onsite at SNGH, M-F 8:30am-5pm, no weekends. 2-3 times per month, there will be a rotation for an extended shift until 6pm. Required:
Highly Preferred: Experience working with Medicaid The SNGH Case Management Pharmacy Case Manager coordinates the care and services of selected Medicaid 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. Case Manager must be able to effectively assess, and coordinate member 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. Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! keywords: norfolk general hospital, case manager, hospital, nurse, medicaid Job Summary The SNGH Case Management Pharmacy Case Manager coordinates the care and services of selected Medicaid 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. Case Manager must be able to effectively assess and coordinate 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.Bachelor's degree in Nursing, or a Bachelor's prepared Licensed Behavioral Health Clinician for community based case management teams required. 2 years of related experience in one of the following areas:, acute care nursing, case management, UR/UM, discharge planning, clinical psychiatric setting, disease management, hospice/home health or community/public health. Licensed in accordance with profession discipline required. ACM, CCM, CMCC or RN-BC is required within 1 year of hire. Qualifications: BLD - Bachelor's Level Degree (Required) Related experienceSkills Communication, Microsoft Office, Speaking, WritingSentara Healthcare 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. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission "to improve health every day," this is a tobacco-free environment. | |