Transition of Care - Registered Nurse

Job not on LinkedIn

🔥 1 minute ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $66.6k - $142.6k / 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.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.

Apply Now

Check your resume score

Customize resume + cover letter

Find Similar Remote Jobs

☆ Save☑️ Mark as applied❌ Hide

Report problem

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

• Complete market-specific post-discharge assessments to identify member needs, including health-related social needs and social determinants of health • Provide comprehensive discharge planning and facilitate transitions between institutional and community settings • Ensure members receive medications and understand how to take them • Coordinate prior authorizations, PCP and specialty-provider coordination, condition-management education, medication management, and community resources • Identify and address barriers to optimal member health • Apply strategies to reduce member risk • Lead and coordinate Interdisciplinary Care Teams to develop and implement Individualized Care Plans • Coordinate care to support optimal wellness and self-management • Coordinate post-discharge meal delivery, secure durable medical equipment, and support timely physician follow-up • Educate members and caregivers on care plans, medications, and community resources • Explain payer and plan benefits, policies, and procedures to providers, members, and personnel • Update care plans following changes in condition or behavioral-health status • Complete outreach calls and post-discharge questionnaires within compliance timelines • Schedule follow-up appointments and complete medication reconciliation • Use reporting to reduce emergency-department utilization and 30-day hospital readmissions • Follow members from inpatient admission through the care continuum until return to prior community functioning • Facilitate interdisciplinary meetings with Social Services, Care Management, PCPs, and other stakeholders • Ensure compliance with state and federal regulations, including NCQA standards

🎯 Requirements

• Active and unrestricted Registered Nurse (RN) License in Illinois • Associate’s Degree in Nursing (REQUIRED) • 3+ years of clinical practice experience • 1+ year(s) of experience in care coordination or working with high-risk populations • Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams • Confidence working at home and independently using virtual collaboration tools • Access to a private, dedicated workspace • Direct/hardwired internet connection within 7 feet of the modem/router • Minimum internet speed of 25 Mbps download and 3 Mbps upload • Quiet, secure, private designated home work location 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 • Ability to use email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar tools such as Google Workspace • Ability to access secure systems such as VPN and EHR portals • Ability to manage strong passwords and recognize suspicious emails or links • Ability to troubleshoot common technical issues independently

🏖️ 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 (keyboard, monitor, computer, headset, etc.) • Remote work from home • Benefits based on eligibility

📊 Check your resume score for this job

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

Upload Resume