Case Manager, Registered Nurse

Job not on LinkedIn

🔥 12 hours ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $54.1k - $116.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 1 day.
• Jobs at this company usually fill in 21 days.

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Deliver comprehensive case management services through telephonic and/or face-to-face interactions • Assess, plan, implement, and coordinate care strategies supporting members' medical needs and overall wellness • Apply case management processes and service strategies aligned with network management and clinical coverage guidelines • Interview and engage members to understand needs and facilitate transitions to appropriate programs and services • Use clinical judgment and data-driven tools to evaluate member eligibility and identify health risks • Develop proactive care plans addressing short- and long-term health outcomes • Conduct holistic assessments of co-morbid conditions, functional limitations, and social determinants of health • Review prior claims and evaluate work capacity • Determine the need for referrals to clinical resources • Collaborate with supervisors and multidisciplinary teams to overcome barriers and optimize care planning

🎯 Requirements

• Active and unrestricted RN license in the state of residence • Willing and able to obtain additional state licenses upon hire • 3+ years' experience of acute care and/or case management • 2+ years' Med/Surg experience • Associate's Degree in Nursing • Willingness to work Monday-Friday, 8:00am-4:30pm local time zone • Minimum 25 Mbps download and 3 Mbps upload internet speed • Direct/hardwired internet connection to a modem/router within 7 feet of the computer; WiFi and satellite internet are not permitted • Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently living • Ability to use multiple monitors and navigate multiple applications simultaneously • Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar Google Workspace applications • Ability to access secure systems such as VPN and EHR portals • Ability to follow computer security practices, including screen locking, strong passwords, and recognizing suspicious emails or links • Ability to troubleshoot common technical issues and contact IT when needed

🏖️ Benefits

• Company-paid additional state licenses upon hire • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Company-provided equipment including keyboard, monitor, computer, and headset • CVS Health bonus, commission or short-term incentive program eligibility

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