Job Description

One of our clients on the Southside area of Jacksonville, FL has an immediate need for a Medical Review Nurse. The perfect candidate will have the following skills and experience:
Enhanced-MTM Nurse for The Medicare Part D Enhanced Medication Therapy Management Model innovation program.

Representative Role Responsibilities: The Enhanced- MTM Nurse has a strong healthcare background treating chronic disease states as part of an interdisciplinary team in the Medicare age population. This position will be required to manage a patient panel and help navigate PDP members through the care continuum and collaborate with internal PDP team members, community healthcare clinicians, and vendors. 
  • Assist members in overcoming barriers to obtaining medication(s) and reducing hospital admissions and/or readmissions
  • Communicate with community based clinicians on closing medication gaps
  • Inform and educate the Enhanced-MTM team on medication gaps, activities, issues, or concerns about the population
  • Identify and report on healthcare disparities within the population
  • Assist in chart review and clinical care meetings
  • Analyze population based trends 
  • Responsible for providing weekly status reports on time and with high quality and completeness.
  • Accountable for developing insightful summaries and recommending actions.
  • Monitors and evaluates immerging trends.
  • Investigates and discovers areas of opportunity and vendor quality checks
  • Assists in the analysis of processes and programs in achieving stated goals.
Role Requirements:
  • 5+ years direct patient care experience. Experience details: strong background in primary care and chronic disease management. Combination of inpatient and outpatient experience, preferred. 
  • Bachelor’s degree in Nursing 
  • Required Licenses and Certifications
  • Registered Nurse- State Licensure And/Or Compact State Licensure
  • Strong communication skills with an interdisciplinary healthcare team
  • Experience with Quality Reporting
  • Experience working in an anticoagulation clinic
  • Experience with identifying pharmaceutical and community based, healthcare resources
If you believe that your skills and experience are a match for this position, please e-mail your resume to, or apply on line at (search jobs). 
If you have any questions, please call 904-998-9414 and reference Medical Review Nurse position.

Application Instructions

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