Case Manager – Registered Nurse – Telehealth

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member • develop a proactive course of action to address the issues presented to enhance their short and long-term outcomes • Use clinical tools and information/data review to conduct an evaluation of members’ needs and benefits. • Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers • Conduct assessments that consider information from various sources to address all conditions including co-morbid and multiple diagnoses • Collaborate with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives

🎯 Requirements

• Registered Nurse that must reside in the Continental United States and hold an unrestricted nursing license with multi-state/compact privileges • 3+ years clinical/nursing practice experience • High speed internet- ability to hard wire computer. • 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

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility