Case Manager – Registered Nurse

Job not on LinkedIn

🔥 4 hours ago

🏈 Alabama, Florida, +8 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

💵 $60.5k - $129.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 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

• Perform assessment, planning, facilitation, care coordination, evaluation, and advocacy for members’ and families’ comprehensive health needs • Act as liaison among members/clients, families, employers, providers, insurance companies, and healthcare personnel • Coordinate case management activities for catastrophic cases and chronically ill members across the continuum of care • Conduct telephonic and in-person interactions, including possible home, worksite, and physician-office visits • Assess medical and vocational status and develop plans of care to optimize wellness, medical outcomes, functioning, benefits eligibility, and return to work • Communicate with members and stakeholders, including medical providers, attorneys, employers, and insurance carriers • Prepare required case-work documentation • Consult with internal multidisciplinary teams • Contact treating physicians and specialists regarding care and treatment • Provide education and prevention information • Apply rehabilitation-service laws, regulations, insurer instructions, and referral-source requirements • Testify as required to substantiate case work or reports • Evaluate needs and benefit-plan eligibility using clinical tools and data • Monitor member progress toward desired outcomes through assessment and evaluation • Develop proactive actions 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 • Active and unrestricted Compact Registered Nurse (RN) Licensure in OH or in the candidate’s state of residence • 2+ years of case management, discharge planning and/or home health care coordination experience • 3+ years clinical practical experience preferred, including diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac experience with Medicare members • Associate's Degree or Nursing Diploma (REQUIRED) • Bachelor's Degree (PREFERRED) • Ability to obtain required internet speeds and comply with Work From Home requirements • Direct/hardwired internet connection to a modem/router within 7 feet of the computer; minimum 25 Mbps download and 3 Mbps upload; WiFi and satellite internet are not permitted • Quiet, secure, private designated home work location compliant with CVS Health and HIPAA guidelines • Proficiency with MS Word, Excel, Outlook, PowerPoint, Microsoft Office 365, Teams, or similar Google Workspace applications • Ability to navigate multiple systems and monitors, use VPN and EHR portals, maintain security practices, and troubleshoot common technical issues • Bilingual Spanish preferred • Certified Case Manager preferred • National professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred • Willingness to obtain multistate RN licenses if needed; company will provide

🏖️ Benefits

• 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 (keyboard, monitor, computer, headset, etc.) • CVS Health bonus, commission or short-term incentive program eligibility

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