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The Pharmacogenomics (PGx) Nurse Case Manager is responsible for comprehensively and actively maintaining the care management and coordination needs of payer defined and/or payer enrolled populations of members who meet designated inclusion criteria. This includes activities such as providing pre-authorization for testing, retrieving test results, and monitoring/tracking the continuation of care. Through these activities, the Nurse Case Manager will partner with providers, pharmacies, labs, payers, and community resources to facilitate effective, efficient care delivery options.Required Skills/Knowledge* Ability to critically think and apply logic and reasoning to dynamically changing PGx environment.* Requires superior verbal and written communication skills and service excellence approach with internal and external stakeholders.* Above average Interpersonal skills required to work with people of a broad range of socioeconomic and cultural backgrounds.* Ability to contribute to policy and procedure formulation when working in partnership with a multidisciplinary team of health care providers.* Ability to develop and execute programs and lead process improvement projects.* Ability to provide leadership, influence others to meet member needs and achieve shared goals, to effectively prioritize resources to provide quality and valued member care, promote cooperative behaviors, act as a role model, resource and mentor.* Proficient at keyboarding and Microsoft Office Word, Excel, Access, PowerBI, Power Point.* Ability to embrace usage of various Electronic Health Records (EHRs) and other high tech software programs.Minimum Education* Bachelor's degree in nursing (BSN) from an accredited US University.* Master's Degree (Preferred)Minimum Work Experience* Two (2) years medical surgical experience in an acute care setting.* Three (3) years Nursing experience in medical case management, ambulatory nursing or community/homecare experience.Required Licenses and Certifications* Active RN license from the state licensing board.* Case Management certification (preferred)
Full Time
$75k-90k (estimate)
05/18/2024
06/05/2024
hcrs1.com
Laurel, MD
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