Case Manager

Job not on LinkedIn

🕒 4 days ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $54.1k - $116.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Assess, plan, implement, and coordinate case management activities telephonically and/or face to face • Evaluate members’ medical needs to facilitate overall wellness • Develop proactive courses of action to enhance short- and long-term outcomes • Evaluate member needs and benefit plan eligibility using clinical tools and information/data review • Facilitate integrative functions and transitions to Aetna programs and plans • Apply clinical judgment to reduce risk factors and address complex health and social indicators • Assess co-morbidities, multiple diagnoses, functionality, work capacity, and restrictions or limitations • Review prior claims and assess the need for clinical resource referrals • Consult with supervisors and participate in multidisciplinary case conferences • Use case management processes in compliance with regulatory and company policies • Conduct interviews to engage members and determine health status and needs

🎯 Requirements

• Registered Nurse with active and unrestricted RN licensure in their state of residence • Preferably multi-state/compact privileges • Must have the ability to be licensed in all non-compact states • 3+ years clinical practice experience required • Associate's degree required • Compact RN licensure preferred • Case management experience preferred • Case Manager Certification preferred • Experience with Windows / Microsoft Office preferred • Strong computer skills preferred • Bilingual (English/Spanish) speaking preferred

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay