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Job Requirements of Care Manager (RN):
-
Employment Type:
Full-Time
-
Location:
Cleveland, OH (Onsite)
Do you meet the requirements for this job?
Care Manager (RN)
Pyramid Consulting, Inc
Cleveland, OH (Onsite)
Full-Time
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:25-62970
Pay 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:
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .
#prof J2W:CB3
Job ID:25-62970
Pay 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.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .
#prof J2W:CB3
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