RN, Utilization Case Manager - Archimedes

The RN, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states.

How do I make an impact on my team?

Review chart notes and perform utilization management on patient/drug specific case basis.
• Coordinate facilitation of patients' specialty drug treatment, ensuring timely delivery to the appropriate site of care.
• Handle case assignments, review case progress, properly document case notes, and determine case closure.
• Follow established procedures, processes, and standards for production, productivity, quality, and customer service. Meet performance targets for speed, efficiency, and quality.
• Complete care management clinical escalations. Escalate to account management as appropriate.
• Ensure all external and internal customers receive the level of customer service required by Archimedes and serve as a representative of Archimedes to all external customers.
• Participate in, adhere to, and support compliance, people and culture, and learning programs.
• Perform other duties as assigned.

What our team expects from you?

• Education: Associate's degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred. Master of Science in Nursing (MSN) a plus.

• Certification/Licenses: Current, active Registered Nurse (RN) license in good standing with the applicable State Board of Nursing is required.

• Experience:
  • Utilization and Case management experience required.
  • Experience in an infusion setting, physician office or pharmacy required.
  • Experience with managing specialty medications for patients with chronic illness is highly preferred.
  • Expert at Microsoft Office Suite.