Case Manager, Registered Nurse

Job not on LinkedIn

🔥 12 hours ago

⚜️ Louisiana, Montana, +3 more states – Remote

⚜️ Louisiana – Remote 🦬 Montana – Remote 🌲 North Carolina – Remote 🎸 Mississippi – Remote 🤠 Texas – Remote

💵 $54.1k - $155.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

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.

📋 Description

• working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients • Application and/or interpretation of applicable criteria and clinical guidelines • standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member’s needs • Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators • Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality • Consults with supervisor and others in overcoming barriers in meeting goals and objectives

🎯 Requirements

• 5+ years’ experience as a Registered Nurse with at least 1 year of experience in a hospital setting • A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC) • Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support • 1+ years’ experience documenting electronically using a keyboard • 1+ years’ current or previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/ Obstetrics experience

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility