Care Manager – Registered Nurse

Job not on LinkedIn

🔥 15 hours ago

🏈 Alabama, Alaska, +42 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $60.5k - $129.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.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

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Telephonically and/or face to face assess, plan, implement, and coordinate case management activities with members • Evaluate members’ medical needs to facilitate overall wellness • Develop proactive courses of action addressing issues and enhancing short- and long-term outcomes • Use clinical tools and information/data review to evaluate member needs and benefit plan eligibility • Facilitate integrative functions and smooth transitions to Aetna programs and plans • Apply clinical judgment to reduce risk factors and barriers and address complex health and social indicators • Assess co-morbidities, multiple diagnoses, functionality, work capacity, and restrictions/limitations • Review prior claims for potential impact on current case management and eligibility • Assess the need for referrals to clinical resources • Consult with supervisors and others to overcome barriers and present cases at multidisciplinary case conferences • Use case management processes in compliance with regulatory and company policies and procedures • Utilize motivational interviewing skills to maximize member engagement and discern health status

🎯 Requirements

• Active, current, and unrestricted Registered Nurse license in state of residence • Willingness and ability to obtain additional state licenses upon hire • 5+ years of acute care experience as an RN • Willingness and ability to work Monday through Friday, 8:00am–4:30pm in the time zone of residence, with occasional late-shift rotation from 10:30am–7:00pm EST • Strong computer skills • Microsoft Suite familiarity • Associate's degree with RN licensure required • Compact State licensure preferred • CCM certification preferred • Care case management experience preferred • Home Care experience preferred • Spanish speaking/bilingual preferred • Oncology experience/background preferred

🏖️ 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 • CVS Health bonus, commission or short-term incentive program eligibility