Case Manager, RN

Job not on LinkedIn

🔥 1 minute ago

🌵 Arizona, Colorado, +4 more states – Remote

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💵 $54.1k - $129.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

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 assess, plan, implement and coordinate case management activities with members from Federal Plans • Evaluate members’ medical needs to facilitate and promote overall wellness • Develop proactive courses of action to address issues and enhance short- and long-term outcomes • Use data-driven member identification methods to create individualized case management programs or referrals • Conduct comprehensive clinical assessments • Evaluate needs and develop flexible approaches based on member needs, benefit plans or external programs/services • Advocate for patients within existing health care coverage • Promote quality, cost-effective outcomes and suggest improvements to program/operational efficiency • Identify and escalate quality-of-care issues through established channels • Provide a very high level of customer service • Assess health literacy, technology capabilities and readiness to change • Use influencing and motivational interviewing skills to maximize member engagement and promote lifestyle/behavior changes

🎯 Requirements

• Active, current and unrestricted RN licensure in state of residence • Ability to be licensed in all non-compact states • Willingness and ability to work Monday through Friday, 8 hour shift between 8am to 5:30pm Arizona time • Must live in PST, MST, or Arizona Time zones • 3+ years of clinical practice experience • 1+ years of experience utilizing MS Office suites • Associate's degree • Case management experience preferred • Case Manager Certification preferred • BSN preferred

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility

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