Care Manager (RN)
Job title: Care Manager (RN) in Cleveland, OH at
Company:
Job description: Immediate need for a talented Care Manager (RN). This is a 03+months contract opportunity with long-term potential and is located in Cleveland OH(Remote). Please review the job description below and contact me ASAP if you are interested.Job ID:25-62970Pay Range: $42 - $45/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).Key Responsibilities:
- Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.
- Monitor Pharmacy Shared Mailbox.
- Review Medicare medication & single fill reports.
- Monthly PDL changes.
- CPS/CVS Plan Level Reports .
- Downloading Monthly Pharmacy Claims.
- Monthly Leadership slides.
- Key Skills:RN ,MEMBER OUTREACH ,CASE MANAGEMENT .
- High school diploma or equivalent.
- 3+ years of pharmacy experience, preferably in a managed care environment.
- Medicare and/or Medicaid experience preferred.
- Previous experience in call center or fast paced pharmacy answering multi-line phone system preferred.
- License/Certificate: Current state's Pharmacy Technician license and Pharmacy Technician Certification Board (PTCB) or the ability to obtain both license and PTCB within 30 days of the start date.