Senior RN Care Manager - Remote

📋 Description

• • The Senior RN Care Manager plays a critical role in delivering comprehensive, person-centered care by conducting clinical assessments and reassessments, developing and monitoring individualized care plans, and providing ongoing patient education and therapy-specific counseling. This role ensures seamless coordination among patients, caregivers, providers, and specialty pharmacy partners to support optimal treatment outcomes throughout the patient’s care journey.
• • Day-to-day responsibilities include managing patient caseloads, conducting initial and follow-up assessments, applying risk stratification to guide outreach and care team interventions, serving as the primary point of contact for patients in specialty care, developing and monitoring care plans with measurable goals, overseeing REMS drug safety program requirements, ensuring continuity of care for newly enrolled patients, assessing patient needs and coordinating services with caregivers and providers, and documenting all clinical activities accurately and timely to meet regulatory standards.
• • Prime Therapeutics is a purpose-driven pharmacy benefit manager (PBM) focused on connecting care beyond profits, with a mission to improve health outcomes for those they serve. The company values innovation, equity, and patient-centered care, and operates as a tobacco-free workplace committed to equal opportunity and affirmative action.
• • In this role, the individual will develop advanced clinical judgment in managing complex chronic and high-acuity conditions, gain expertise in specialty medication management and REMS programs, strengthen leadership in care coordination across multidisciplinary teams, and contribute to quality improvement initiatives that directly impact patient adherence, safety, and satisfaction.