Case Manager, Registered Nurse

Job not on LinkedIn

🕒 August 10

🐊 Florida, Mississippi, +1 more states – Remote

🐊 Florida – Remote 🎸 Mississippi – Remote ⚔️ Virginia – Remote

💵 $60.5k - $129.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Serve Community Care members through a member-centric, team-delivered, community-based care management model • Perform assessment, planning, facilitation, care coordination, evaluation, and advocacy for comprehensive health needs • Act as a liaison among members/clients/families, employers, providers, insurers, and healthcare personnel • Implement and coordinate case management activities for catastrophic cases and chronically ill members across the continuum of care • Interact with members/clients telephonically or in person, including possible visits to homes, worksites, or physician offices • Assess medical and/or vocational status and develop plans of care to optimize wellness, medical outcomes, return to work, or optimal functioning • Communicate with members/clients and stakeholders including medical providers, attorneys, employers, and insurance carriers • Prepare required documentation of case work activities • Consult with internal multidisciplinary teams and treating physicians or specialists as appropriate • Provide education and prevention information • Apply rehabilitation-service laws, regulations, insurer instructions, and company policies • Evaluate needs and benefit-plan eligibility using clinical tools and information/data • Facilitate condition management, wellness, timely return to baseline, optimal function, or return to work • Develop proactive action plans to improve short- and long-term outcomes • Monitor progress toward desired outcomes through assessment and evaluation

🎯 Requirements

• Active and unrestricted Compact Registered Nurse (RN) licensure in Alabama, Arkansas, Maryland, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, Georgia, or Florida • 3+ years of clinical practical experience preferred, including diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, or home health with Medicare members • 2+ years of case management, discharge planning, and/or home health care coordination experience • Proficiency with Microsoft Word, Excel, Outlook, PowerPoint, and proprietary applications • Ability to work in a fast-paced, high-volume environment and use time-management and prioritization skills • Efficient computer skills, including navigating multiple systems and keyboarding • Associate's Degree in Nursing or Nursing Diploma (required) • Bachelor's Degree in Nursing (preferred) • 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, distraction-free home workspace compliant with CVS Health and HIPAA guidelines • Ability to work within the state and city where the employee currently lives • Ability to set up and use multiple monitors and navigate multiple applications simultaneously • Ability to communicate through email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 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 • Bilingual Spanish, analytical/problem-solving, communication, organizational, and interpersonal skills preferred • Certified Case Manager or 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 • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • Remote work from a designated home location