At Keystone Health, we aspire for you to feel empowered and fulfilled as you work towards our shared mission of delivering heartfelt care. Earn a living where your heart truly belongs.
The Nurse Manager will collaborate with pharmacists, healthcare providers, pharmacy technicians, quality management staff, and specialty pharmacy support personnel to advance patient safety, medication adherence, clinical outcomes, care coordination, and patient engagement.
Key Responsibilities
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Oversee the daily operations of the Specialty Pharmacy Patient Management Program.
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Coordinate patient enrollment, assessments, reassessments, care plans, engagement, opt-out tracking, and program discharge activities.
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Perform nursing assessments within the RN scope of practice and identify patients who require clinical intervention.
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Monitor high-risk patients and escalate concerns to pharmacists and healthcare providers.
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Coordinate communication among patients, caregivers, providers, pharmacists, community resources, and other members of the care team.
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Support transitions of care, referrals, follow-up activities, and efforts to address barriers to therapy and access to care.
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Manage social determinants of health screenings, referrals, interventions, and supporting documentation.
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Oversee specialty refill assessments, medication adherence monitoring, and interventions for at-risk patients.
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Administer injections, immunizations, and other prescribed medications within the applicable scope of practice.
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Support quality management activities, annual program reviews, accreditation readiness, and preparation of URAC survey documentation.
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Audit clinical documentation and oversee the collection and reporting of adherence, patient satisfaction, clinical outcome, quality-of-life, and access-to-care measures.
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Provide leadership and operational oversight to staff supporting specialty pharmacy services and patient care initiatives.
Minimum Qualifications
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Current Pennsylvania Registered Nurse license.
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Associate’s degree in nursing or higher.
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Current CPR certification.
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At least three years of clinical nursing experience.
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Experience with chronic disease management and interdisciplinary care coordination.
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Knowledge of HIPAA and patient privacy requirements.
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Strong documentation, interpersonal, and written and verbal communication skills.
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Proficiency with electronic medical record, Microsoft, and other computer applications.
Preferred Qualifications
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Bachelor of Science in Nursing or Master of Science in Nursing.
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Certified Case Manager or ambulatory care nursing certification.
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Experience in specialty pharmacy, population health, managed care, or care coordination.
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Familiarity with URAC, ACHC, or Joint Commission accreditation standards.
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Experience with quality improvement initiatives, social determinants of health screenings, chronic disease management, and patient engagement strategies.
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Spanish language skills are a plus.
Keystone Health is an Equal Opportunity Employer
