Nurse Case Manager
argenx
Case Manager, Registered Nurse
CVS Health
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $60,522 - $129,615 per year
Job Level
Mid-LevelSenior
About the role
- Field Case Managers are frontline advocates for members who cannot advocate for themselves. Responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Utilize best-in-class operating and clinical models serving dual eligible (Medicare & Medicaid) populations. Collaborate with members, providers, and community organizations to address health care and social determinant needs. Develop proactive plan of care, conduct evaluations using clinical tools/data, apply clinical judgment to reduce risk factors, conduct holistic assessments including claims and co-morbid conditions, refer to interdisciplinary team, present cases at conferences, comply with regulatory/company policies, use motivational interviewing to engage members.
Requirements
- 3+ years clinical practical experience as a Registered Nurse (RN) Must have active and unrestricted Michigan RN licensure Must be willing and able to travel up to 25%- 50% of the time in Wayne and Macomb Counties. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint Effective computer skills including navigating multiple systems and keyboarding Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually Excellent analytical and problem-solving skills Effective communications, organizational, and interpersonal skills Ability to work independently Preferred: 2+ years of experience in case management, discharge planning and/or home health care coordination experience Preferred: Behavioral health experience Preferred: Bilingual in Spanish or Arabic Preferred: Certified Case Manager Additional national professional certification (CRC, CDMS, CRRN, COHN) Education: Associate's Degree in Nursing (REQUIRED) Bachelor's Degree in Nursing (PREFERRED)
