Case Manager, RN

Job not on LinkedIn

🕒 July 17

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 55%

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.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

• Telephonically and/or face to face assess, plan, implement, and coordinate case management activities • Evaluate members’ medical needs to facilitate overall wellness • Collaboratively develop proactive courses of action to improve short- and long-term outcomes • Review clinical tools and information/data, including assessments and claims • Evaluate member needs and available benefits • Collaborate and refer members to programs offered by the plan sponsor • Apply clinical judgment to reduce risk factors and address complex health issues and social indicators • Use case management processes in compliance with regulatory and company policies and procedures • Conduct interviews to maximize member engagement and determine health status and needs • Work Monday through Friday, 8am–5pm in the time zone of residence, with flexibility to meet member/business needs

🎯 Requirements

• Active and unrestricted RN license in state of residence, preferably compact • RN living in EST Time Zone • Willingness and ability to obtain additional state licenses upon hire • 3+ years of acute care clinical experience as an RN • Acute care experience may include general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning • 0–10% travel may be required • Private designated workspace free of distractions • High-speed internet • Ability to use a computer station with multiple screens and operate multiple programs simultaneously • Associate's in nursing or BSN • 1+ years of case management experience • Certified Case Manager (CCM) certification • Strong customer service skills • Experience with Microsoft Office, including PowerPoint, Excel, and Word • Strong telephonic communication skills • 1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone • Transgender certification

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Additional resources supporting physical, emotional, and financial well-being • Company-paid additional state licenses upon hire • CVS Health bonus, commission or short-term incentive program eligibility

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