Case Management, Registered Nurse, Telehealth

Job not on LinkedIn

🔥 18 hours ago

🌵 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 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

• Assess, plan, implement, and coordinate case management activities with members • Evaluate members’ medical needs and facilitate overall wellness • Develop proactive courses of action to improve short- and long-term outcomes • Use clinical tools and data review to evaluate members’ needs and benefits • Apply clinical judgment to reduce risk factors and address complex health and social indicators • Conduct comprehensive assessments covering co-morbidities and multiple diagnoses • Assess referrals to clinical resources and interdisciplinary team members using a holistic approach • Collaborate with supervisors and healthcare stakeholders to overcome barriers and meet goals • Follow case management processes, regulatory requirements, and company policies • Use motivational interviewing to maximize member engagement and assess health needs • Work on behalf of clients and members’ providers • 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 with an unrestricted nursing license with multi-state/compact privileges • Ability to be licensed in all non-compact states • Must reside in the Continental United States • Must live in MT or PST zones • 3+ years clinical/nursing practice experience • 1+ year(s) of medical case management experience, care coordination or discharge planning • 3+ years of experience with personal computers, keyboarding, multi-systems navigation, and MS Office Suite applications • Associate's degree in nursing required • Telephonic case management experience preferred • High-speed internet with direct/hardwired connection; minimum 25 Mbps download and 3 Mbps upload • Quiet, secure, private designated home work location compliant with CVS Health and HIPAA guidelines • Ability to 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 or similar Google Workspace applications • 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 • Ability to provide a desk or standing desk for extended periods of work

🏖️ 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