Case Manager, Registered Nurse

Job not on LinkedIn

🕒 2 days 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

• Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities • Develop, implement and support Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work • Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care • Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers)

🎯 Requirements

• Active and unrestricted Illinois (IL) Registered Nurse (RN) License • 3+ years clinical practical experience (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members • 2+ years case management, discharge planning and/or home health care coordination experience • Excellent analytical and problem-solving skills • Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership • Bilingual preferred - Spanish • Effective communications, organizational, and interpersonal skills • Ability to work independently (may require working from home) • Proficiency with standard corporate software applications, including Microsoft Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications • Efficient and effective computer skills including navigating multiple systems and keyboarding • Willing and able to obtain multi-state Registered Nurse (RN) Licenses • Certified Case Manager National professional certification (CRC, CDMS, CRRN, COHN, or CCM)

🏖️ Benefits

• Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources based on eligibility