Case Manager, Registered Nurse

Job not on LinkedIn

🔥 13 hours ago

🌵 Arizona, Idaho, +2 more states – Remote

🌵 Arizona – Remote 🥔 Idaho – Remote 🎰 Nevada – Remote 🤠 Texas – Remote

💵 $54.1k - $116.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 1 day.
• Jobs at this company usually fill in 21 days.

Apply Now

Find Similar Remote Jobs

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

• Deliver comprehensive case management services through telephonic and/or face-to-face interactions • Assess, plan, implement, and coordinate care strategies supporting members' medical needs and overall wellness • Apply case management processes and service strategies aligned with network management and clinical coverage guidelines • Interview and engage members to understand needs and facilitate transitions to appropriate programs and services • Use clinical judgment and data-driven tools to evaluate member eligibility and identify health risks • Develop proactive care plans addressing short- and long-term health outcomes • Conduct holistic assessments covering co-morbid conditions, functional limitations, and social determinants of health • Review prior claims and evaluate work capacity • Determine the need for referrals to clinical resources • Collaborate with supervisors and multidisciplinary teams to overcome barriers and optimize care planning

🎯 Requirements

• Active and unrestricted RN license in the state of residence • Willing and able to obtain additional state licenses upon hire • 3+ years' experience of acute care and/or case management • 2+ years' Med/Surg experience • Willingness to work Monday-Friday, 8:00am-4:30pm local time zone • Associate's Degree in Nursing • RN License in your state of residence • Direct/hardwired internet connection to a modem/router within 7 feet of the computer • Minimum internet speed of 25 Mbps download and 3 Mbps upload • WiFi and satellite internet are not permitted • Quiet, secure, private designated home virtual 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 simultaneously • Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar Google Workspace applications • Ability to access secure systems such as VPN and EHR portals • Ability to follow computer security practices, including locking screens, managing strong passwords, and recognizing suspicious emails or links • Ability to troubleshoot common technical issues independently • Openness to learning new skills as the workplace evolves

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • Required additional state licenses paid for by the company

📊 Check your resume score for this job

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

Upload Resume