Telehealth RN Case Manager - Archimedes Location US- ID 2026-6049 Category Archimedes Position Type Full-Time Remote Yes Company Archimedes About Us Archimedes - Transforming the Specialty Drug ...
Telehealth RN Case Manager - Archimedes Location US- ID 2026-6049 Category Archimedes Position Type Full-Time Remote Yes Company Archimedes About Us Archimedes - Transforming the Specialty Drug ...
Appeals Registered Nurse
Madison, WI · On-site +1
Work Location We are open to remote work in the following approved states: Colorado, Florida ... Active RN license, applicable to state of practice in good standing. * One (1) or more years of ...
Appeals Registered Nurse
Madison, WI · On-site +1
Work Location We are open to remote work in the following approved states: Colorado, Florida ... Active RN license, applicable to state of practice in good standing. * One (1) or more years of ...
... remote patient monitoring, video visits, and mobile diagnostic services to support safe, high ... Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction ...
... remote patient monitoring, video visits, and mobile diagnostic services to support safe, high ... Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction ...
Compact (NLC) license and/or California RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home-based role * Private, quiet, and secure home office free ...
Compact (NLC) license and/or California RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home-based role * Private, quiet, and secure home office free ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$70K - $85K/yr
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$70K - $85K/yr
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$70K - $85K/yr
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$70K - $85K/yr
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...
At AMC Health, we are transforming healthcare through advanced remote patient monitoring and ... Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams ...
At AMC Health, we are transforming healthcare through advanced remote patient monitoring and ... Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Madison, WI · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Madison, WI · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
Registered Nurse - AI Trainer
Madison, WI · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Madison, WI · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
$92K - $125K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
$92K - $125K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Quick apply
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
RN - AI Trainer
Madison, WI · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Madison, WI · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Advanced Specialist, Customer Success - Faculty Advisor - Nursing and Health Professionals
Madison, WI · On-site
$68K - $73K/yr
Master's degree in assigned discipline area is required * RN is required * At least 5 years of ... Remote Req ID: 24719 #location
Advanced Specialist, Customer Success - Faculty Advisor - Nursing and Health Professionals
Madison, WI · On-site
$68K - $73K/yr
Master's degree in assigned discipline area is required * RN is required * At least 5 years of ... Remote Req ID: 24719 #location
Pre-Payment Review Nurse Consultant- Wisconsin
Madison, WI · On-site +1
$86K - $105K/yr
Current Wisconsin Registered Nurse license issued by the Wisconsin Department of Safety and ... Role is 100% remote * Employees may be required to travel to Madison, WI once or twice per year for ...
Pre-Payment Review Nurse Consultant- Wisconsin
Madison, WI · On-site +1
$86K - $105K/yr
Current Wisconsin Registered Nurse license issued by the Wisconsin Department of Safety and ... Role is 100% remote * Employees may be required to travel to Madison, WI once or twice per year for ...
Remote Uas Rn information
What is the difference between Remote Uas Rn vs Remote Uas Nurse?
| Aspect | Remote Uas Rn | Remote Uas Nurse |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Registered Nurse (RN) license |
| Work Environment | Remote healthcare settings, telehealth platforms | Remote healthcare settings, telehealth platforms |
| Industry Usage | Healthcare, telemedicine | Healthcare, telemedicine |
| Common Search Intent | Remote Uas Rn vs Remote Uas Nurse | Remote Uas Nurse vs Remote Uas Rn |
The roles of Remote Uas Rn and Remote Uas Nurse are similar, both requiring an RN license and working in remote healthcare environments. The main difference lies in terminology preferences; 'Remote Uas Rn' emphasizes the licensing aspect, while 'Remote Uas Nurse' is a more general term. Both positions focus on providing telehealth services, making them highly comparable in industry and work environment.

Other
Medical, Dental, Vision, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Job description
Telehealth RN Case Manager - Archimedes
Location
US-
ID
2026-6049
Category
Archimedes
Position Type
Full-Time
Remote
Yes
Company
Archimedes
About Us
Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit - alignment, value and transparency - Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $0.00 - USD $0.00 /Yr.
STAR Bonus % (At Risk Maximum)
0.00 - Ineligible
Work Schedule Description (e.g. M-F 8am to 5pm)
Monday - Friday 8 - 4:30pm
Remote Work Notification
ATTENTION: Archimedes is unable to offer remote work to residents of Alaska, Arizona, Arkansas, California, Connecticut, Delaware, Hawaii, Idaho, Louisiana, Maine, Massachusetts, Michigan, Mississippi, Montana, Nebraska, Nevada, New Mexico, New York, North Carolina, North Dakota, Oregon, Rhode Island, South Carolina, South Dakota, Texas, Utah, Vermont, Washington, West Virginia, And Wyoming.
Overview
The RN Case Manager, Telehealth (RN) will focus on improving members' health and wellness via tele-pharmacy. In addition, the RN will assist in the development and execution of additional clinical outreach program(s) to exceed client expectations.
Additional responsibilities will be the provision of telehealth coaching to members in a variety of new program offerings aimed at improving adherence and driving to the lowest net cost formulary options. Remote engagement with members and prescribers will be frequent. The RN will also support department leadership with development of appropriate clinical resources, recommendations regarding targeted medication review selections, and policies and procedures. Other support provided will include clinical oversight of pharmacy technicians, pharmacy interns, and products including reporting and audit support.
This role could be located out of our St Louis MO or Brentwood TN offices. We will consider remote associates as well.
Is this you? Find out more below!
ResponsibilitiesHow do I make an impact on my team?
- Develop appropriate clinical algorithms, pathways and call scripts to support pharmacy staff in delivering services.
- Review and update all algorithms and call scripts at least yearly and with updated clinical guidelines.
- Develop documentation standards for all clinical outreach.
- Collaborate with department staff to develop and maintain a high quality and consistent product.
- Facilitate communication and education to clients, providers, and internal staff regarding programs and program outcomes.
- Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination.
- Stay current with new guidelines, literature, recommendations, and medications, and integrate that information into clinical programs and outreach efforts to ensure services remain up to date.
- Maintain open lines of communication with other functional areas and departments.
- Develop a full understanding of clients' member experience and how engagement efforts contribute to improved health and wellness.
- Adhere to compliance and HIPAA regulations.
- Participate in, adhere to, and support compliance, people and culture, and learning programs.
- Perform other duties as assigned.
Qualifications
What our team expects from you?
- Education: Associate's degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred.
- Certification/Licenses: Current, active Registered Nurse (RN) license in good standing with the applicable State Board of Nursing is required.
- Experience:
- 2+ years clinical experience including direct consultation experience.
- Experience in a clinical call center is preferred.
- Experience as a member of a multi-disciplinary team is preferred.
- Professional PBM industry work experience is preferred.
- Knowledge of applicable data privacy practices and laws is preferred.
- Knowledge of healthcare industry practices and HIPAA regulations.
What can you expect from Archimedes?
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
Location : Address
Remote
Location : Country
US
About Navitus Health Solutions
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Madison, WI, US
Year founded
2003