Case Manager Nurse – Registered Nurse, Licensed Practical Nurse

Job not on LinkedIn

November 7

⚔️ Virginia – Remote

Although this job is listed in Virginia, this company may be open to hiring remote in other states.

💵 $22.4k - $129.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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CVS Health

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Healthcare Insurance • Retail • Wellness

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.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Evaluating and coordinating care for members to improve their overall health and wellness. • Assessing medical needs and eligibility. • Developing care plans to address short- and long-term health goals. • Using clinical tools and data to guide decisions. • Coordinating services across programs and providers. • Addressing complex health and social issues. • Reviewing claims and functional capacity. • Referring members to appropriate clinical resources. • Collaborating with supervisors and multidisciplinary teams. • Ensuring compliance with policies and regulations. • Engaging members through effective communication.

🎯 Requirements

• Candidates must reside in or near Campbell County, VA • Must possess reliable transportation and be willing and able to travel up to 50-75% of the time. • Mileage is reimbursed per our company expense reimbursement policy • LPN/RN with current unrestricted Virginia state licensure required. • 3 years Clinical Experience (Preferably in Medical-Surgical Nursing, Behavioral Health, Long term Care, etc.) • 1+ years Managed Care experience. • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding. • Case Management in an integrated model preferred (Waiver and IDDP-Combination of different services) • Bilingual in English/Spanish

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access and many other benefits depending on eligibility.