Quality Control Manager in pharmaceutical industry responsible for analysis and compliance to cGMP. Leading quality assurance in a collaborative environment at Roche sites in Kaiseraugst and Basel.
About the role
- RN Case Manager coordinating healthcare services within a clinical setting. Serving dual eligible patients with comprehensive care and treatment planning for improved outcomes.
Responsibilities
- Conduct client assessments and planning.
- Modify patient treatment plans as indicated by patients' responses and conditions.
- Prepare patient/family for discharge.
- Communicate with third party payers to obtain necessary authorization for reimbursement of services.
- Define care goals of patients by providing education, information, and direction to each individual and family.
- Review cases with medical directors on challenging cases as needed.
- Maintain accurate, detailed reports and records.
Requirements
- Associate's Degree Nursing required (Bachelor's Degree Nursing preferred).
- Active and unrestricted Registered Nurse (RN) Licensure for the state of Massachusetts required.
- 2+ years of case management and/or discharge planning required.
- Experience working with complex dually eligible populations required.
- Knowledge of Managed Care preferred.
- Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care preferred.
- Utilization Review experience preferred.
Benefits
- Health insurance
- 401(k) matching
- Flexible working hours
- Paid time off
- Professional development opportunities
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