Case Manager, Registered Nurse

Job not on LinkedIn

🔥 0 minutes ago

🐊 Florida, New York, +3 more states – Remote

🐊 Florida – Remote 🗽 New York – Remote 🏈 Ohio – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Conduct comprehensive member assessments and compile available clinical information • Partner with members to develop individualized care plans with goals and interventions • Provide evidence-based disease management education and support • Coordinate care and involve appropriate interdisciplinary care team members • Provide care coordination for a seamless healthcare experience • Document care management activities accurately and timely in members’ electronic health records • Collaborate with the Interdisciplinary Care Team to address barriers to care and maintain stable health conditions • Identify and connect members with health plan benefits and community resources • Meet regulatory requirements within specified timelines • Support Care Team members through clinical decision-making and guidance • Participate in special projects, process improvement initiatives, and mentoring new team members as assigned • Conduct telephonic member engagement and care coordination for 50–75% of the day

🎯 Requirements

• Active and unrestricted Registered Nurse (RN) licensure in New York, or compact licensure in state of residence • Proficiency in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams • Access to a private, dedicated workspace • Ability to work independently from home and collaborate virtually • Minimum 3+ years of nursing experience • Minimum 2+ years of case management, discharge planning, and/or home healthcare coordination experience • Experience or willingness to thoroughly learn care management within Medicare and Medicaid managed care • Familiarity with community resources and services • Ability to use healthcare technology tools and maintain accurate records • Strong verbal and written communication skills • Excellent customer service and member engagement skills • Ability to meet performance, productivity, call-volume, engagement, and regulatory metrics • Associate’s of Science in Nursing (ASN) degree and relevant healthcare-related experience required • Bachelor’s of Science in Nursing (BSN) preferred • Experience with Medicare and/or Medicaid members preferred • Experience with SDoH needs, chronic medical conditions, and/or behavioral health preferred • Experience conducting health-related assessments and facilitating care planning preferred • Bilingual skills, especially English-Spanish, 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 • Comprehensive benefits package for full-time colleagues and families