CVS Health

Registered Nurse, Case Manager

CVS Health

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $60,522 - $129,615 per year

Job Level

JuniorMid-Level

About the role

  • Work from home flexible position with expected travel up to 50% that will require home visits
  • Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to members
  • Conduct face to face visits in the members home utilizing comprehensive assessment tools for members enrolled in Long-Term Services and Support programs
  • Coordinate and collaborate care with the member/authorized representative, PCP, and any other care team participants
  • Schedule and attend interdisciplinary meetings and advocate on the members behalf to ensure proper and safe discharge with appropriate services in place
  • Develop a care plan and authorize services in a cost-effective manner within the LTSS benefit
  • Document accurately and timely in the member’s electronic health record
  • Utilize critical thinking, assessment, writing, communication, negotiation, and motivational interviewing skills to ensure optimal member outcomes

Requirements

  • Active and unrestricted RN license in the state of TX
  • 2+ years of clinical experience
  • Must reside in Tarrant County or Dallas County of TX
  • Willing and able to travel up to 50% of their time to meet members face to face
  • Reliable transportation required; mileage is reimbursed as per company policy
  • Case Management and/or home health care experience (preferred)
  • Managed care organization (MCO) experience (preferred)
  • Pediatric experience (preferred)