Case Manager, Registered Nurse

Job not on LinkedIn

🔥 13 hours ago

🏈 Alabama, Florida, +9 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🎸 Mississippi – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote ⚔️ Virginia – Remote 🍑 Georgia – Remote

💵 $60.5k - $129.6k / 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.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 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

• Assess, plan, facilitate, coordinate, evaluate, and advocate for services addressing members’ and families’ comprehensive health needs • Act as liaison among members/clients, families, employers, providers, insurers, attorneys, and healthcare personnel • Coordinate case management activities for catastrophic cases and chronically ill Medicare members across the continuum of care • Arrange consultant referrals, home care visits, community resources, and alternative levels of care • Interact with members/clients telephonically or in person, including possible visits to homes, worksites, or physician offices • Assess medical and vocational status and develop plans of care to optimize wellness, medical outcomes, functioning, and return to work • Communicate with members/clients and stakeholders regarding care and treatment • Prepare required case work documentation and reports • Consult with internal multidisciplinary teams • Contact treating physicians and specialists regarding care and treatment • Provide education and prevention information • Apply laws, regulations, insurer instructions, and company policies governing rehabilitation and case management services • Testify as required to substantiate case work or reports • Evaluate needs and benefit-plan eligibility using clinical tools and data • Monitor member/client progress toward desired outcomes through assessment and evaluation • Develop proactive courses of action to improve short- and long-term outcomes and overall wellness

🎯 Requirements

• Candidate must reside in the South Region: OH, VA, NC, KY, TN, SC, GA, AL, MS, AR, LA, FL • Willingness to work Monday–Friday, 8:00am–5:00pm EST • Active and unrestricted Compact Registered Nurse (RN) Licensure in OH or in the candidate’s state of residence • 3+ years clinical practical experience, preferably with diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac experience with Medicare members • 2+ years case management, discharge planning and/or home health care coordination experience • Associate's Degree or Nursing Diploma required • Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously • Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications (Teams, Outlook, Word, Excel, PowerPoint) or similar Google Workspace applications • Ability to log in to secure systems such as VPN and EHR portals • Ability to maintain strong passwords, lock computer screens when unattended, and recognize suspicious emails or links • Ability to resolve common technical issues independently • Ability to obtain required internet speeds and comply with Work From Home requirements • Quiet, secure, private designated home work location compliant with CVS Health and HIPAA guidelines • Direct/hardwired internet connection within 7 feet of the computer with minimum 25 Mbps download and 3 Mbps upload speeds • Bachelor's Degree preferred • Bilingual Spanish preferred • National professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred • Excellent analytical and problem-solving skills preferred • Effective communication, organizational, and interpersonal skills preferred • Ability to work independently preferred • Openness to learning new skills preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • 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, headset, etc. • Company-provided multi-state RN licenses if needed • Comprehensive benefits package for eligible full-time colleagues

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