RN Case Manager, Telehealth

The Telehealth RN Case Manager will be a key contributor to the success of our Clinical Engagement Center focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. The Telehealth RN is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth RN will assist in the development and execution of additional clinical outreach programs to exceed client expectations. Conduct medication therapy management (MTM) and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (CMS). Develop appropriate clinical algorithms, pathways, and call scripts to support pharmacy staff in delivering MTM services. The team expects a Registered Nurse with unrestricted licensure, two years clinical experience including direct consultation experience and knowledge of healthcare industry practices and HIPAA regulations.