Case Management, Registered Nurse, Telehealth

Job not on LinkedIn

🕒 September 9

🌵 Arizona, New Mexico, +1 more states – Remote

🌵 Arizona – Remote 🌶️ New Mexico – Remote ⛷️ Utah – Remote

💵 $60.5k - $129.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 39%

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

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

• Assess, plan, implement, and coordinate case management activities with members • Evaluate members’ medical needs and facilitate overall wellness • Develop proactive courses of action to address issues and improve short- and long-term outcomes • Review clinical tools and information/data to evaluate member needs and benefits • Apply clinical judgment to reduce risk factors and barriers and address complex health and social indicators • Conduct assessments covering all conditions, including co-morbidities and multiple diagnoses affecting functionality • Assess the need for referrals to clinical resources and interdisciplinary team members • Collaborate with supervisors and healthcare stakeholders to overcome barriers and meet goals and objectives • Use case management processes in compliance with regulatory and company policies and procedures • Use motivational interviewing to maximize member engagement and assess health status and needs • Work on behalf of the client and the member’s provider • Work Monday-Friday during standard business hours in the residence time zone, with one to two days per week until 7 PM MT or PST

🎯 Requirements

• Registered Nurse residing in the Continental United States • Unrestricted nursing license with multi-state/compact privileges • Ability to be licensed in all non-compact states • Must live in a compact state and in the MT or PST time zones • 3+ years of clinical/nursing practice experience • 1+ year of medical case management, care coordination, or discharge planning experience • 3+ years of experience with personal computers, keyboarding, multi-systems navigation, and MS Office Suite applications • High-speed internet with ability to hard wire computer • Direct/hardwired internet connection to modem/router within 7 feet of computer • Minimum internet speed of 25 Mbps download and 3 Mbps upload • WiFi and satellite internet are not permitted • Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines • Ability to work within the state and city where currently residing • Associate's degree in nursing 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 or similar Google Workspace tools • Ability to access secure systems such as VPN and EHR portals • Ability to follow computer security practices, manage strong passwords, and recognize suspicious emails or links • Ability to troubleshoot common technical issues independently • Openness to learning new skills • Telephonic case management experience preferred • Excellent communication and interpersonal skills preferred • BSN 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, and headset • Remote work arrangement

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