Transition of Care – Registered Nurse

Job not on LinkedIn

🔥 19 minutes 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.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

• Complete market-specific post-discharge assessments to identify 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 • Determine appropriate clinical services and supports, including prior authorizations, provider coordination, condition-management education, medication management, and community resources • Identify barriers to optimal member health and apply strategies to reduce risk • Lead and coordinate Interdisciplinary Care Teams to develop and implement Individualized Care Plans • Coordinate care to help members achieve optimal wellness within their conditions and self-management abilities • Coordinate post-discharge meal delivery, secure durable medical equipment, and ensure timely physician follow-up • Educate members and caregivers about 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 • Address transportation, housing, medication-access, and other barriers to care • Use daily and weekly 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 • Review prior claims and assessments to identify case-management, eligibility, and clinical-resource needs

🎯 Requirements

• Active and unrestricted Registered Nurse (RN) License in Illinois • 3+ years of clinical practice experience • 1+ year of experience in care coordination or working with high-risk populations • Proficiency in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams • Confidence working at home and collaborating virtually • Access to a private, dedicated workspace • Associate’s Degree in Nursing (required) • Direct/hardwired internet connection to a modem/router within 7 feet of the computer • Minimum internet speed of 25 Mbps download and 3 Mbps upload • Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines • Ability to use multiple monitors and applications simultaneously • Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 or similar applications such as Google Workspace • Ability to access secure systems such as VPN and EHR portals • Ability to follow computer security practices and recognize suspicious emails or links • Ability to troubleshoot common technical issues independently • Must work within the state and city where currently living • Bachelor’s Degree in Nursing (preferred) • Certified Case Manager (preferred) • 3+ years of Care Management, Discharge Planning and/or Home Health Care Coordination experience (preferred) • Working knowledge of LTSS and HCBS options, chronic disease management, medication side effects, health equity, cultural competency, community-based services, and public benefits (preferred) • Bilingual (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 based on eligibility • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • Remote work from home

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