Case Manager, Registered Nurse – Illinois License

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🔥 10 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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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

• Develop proactive plans of care to address identified issues and improve short- and long-term outcomes and overall wellness • Evaluate member needs and benefits using clinical tools and information/data review • Apply clinical judgment to reduce risk factors and barriers and address complex health and social indicators • Conduct holistic assessments using claims and other sources, including co-morbid and multiple diagnoses affecting functionality • Assess need for referrals to clinical resources and interdisciplinary team members • Collaborate with supervisors, providers, community organizations, and other stakeholders to overcome barriers and meet goals • Present cases at interdisciplinary case conferences • Apply 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 • Interact with members and clients by telephone or in person • Provide ongoing case management services in members' homes, worksites, or physician offices as needed • Travel within a designated geographic area for in-person case management activities based on leadership direction and business needs

🎯 Requirements

• Active Registered Nurse license in good standing in Illinois • Minimum 3-5 years of clinical practical experience • Minimum 2-3 years of case management, discharge planning, and/or home health care coordination experience preferred • Excellent analytical and problem-solving skills • Effective communication, organizational, and interpersonal skills • Ability to work independently from home • Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications • Efficient computer skills, including navigating multiple systems and keyboarding • Reliable transportation • Willingness and ability to travel up to 40% of the time • Associate degree required; bachelor's degree preferred • Direct/hardwired internet connection to a modem/router within 7 feet of the computer, with minimum speeds of 25 Mbps download and 3 Mbps upload • WiFi and satellite internet are not permitted • Quiet, secure, private, designated home workspace compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently living • Must provide own workspace furniture • Ability to set up and use multiple monitors and navigate multiple applications • Ability to communicate through email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar Google Workspace applications • Ability to log in to secure systems such as VPN and EHR portals, secure devices, manage strong passwords, and recognize suspicious emails or links • Ability to resolve common technical issues independently and contact IT for unresolved issues • Openness to learning new workplace skills • Certified Case Manager and additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to the base pay range • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Mileage reimbursement per company expense reimbursement policy • Company-provided equipment (keyboard, monitor, computer, headset, etc.)