Case Manager, RN

Job not on LinkedIn

🔥 40 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $54.1k - $116.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 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

• Conduct telephonic assessments to identify members’ medical, behavioral, and social needs • Develop and coordinate personalized care plans • Collaborate with healthcare providers and multidisciplinary teams to remove barriers to care • Use clinical judgment to address complex health conditions and improve outcomes • Support members through transitions of care and connect them with appropriate resources • Maintain compliance with regulatory and company case management standards • Work Monday-Friday, 9:00 AM-5:30 PM EST • Occasionally work evenings, weekends, and holidays • Undertake limited travel of up to 10%

🎯 Requirements

• Active, unrestricted RN license in North Carolina • Must reside in North Carolina • Minimum 2 years of RN clinical experience • Associate Degree in Nursing • Experience in any clinical setting considered, including ICU, NICU, Emergency Department, Med/Surg, Telemetry, OR, Home Health, Hospice, Long-Term Care, Infusion, and Orthopedics • Strong communication and member engagement skills • 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 work location compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently residing • 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 or similar Google Workspace applications • Ability to log in to secure systems such as VPN and EHR portals • Ability to manage strong passwords and recognize suspicious emails or links • Ability to resolve common technical issues independently • Preferred: Certified Case Manager (CCM) • Preferred: BSN • Preferred: Case Management or Managed Care experience • Preferred: Discharge Planning experience • Preferred: Proficiency with Microsoft Office Suite

🏖️ Benefits

• Remote work flexibility • Work-life balance • Professional growth in care management • Company-paid support for obtaining additional state RN licenses • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other benefits and resources based on eligibility • CVS Health bonus, commission or short-term incentive program in addition to base pay