Case Manager, Registered Nurse – Field
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Missouri • 🇺🇸 United States
Visit company websiteSalary
💰 $60,522 - $129,615 per year
Job Level
Mid-LevelSenior
About the role
- Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness
- Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits
- Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning
- Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality
- Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members
- Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences
- Utilizes case management processes in compliance with regulatory and company policies and procedures
- Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation
Requirements
- Minimum 3+ years clinical practical experience as a Registered Nurse (RN)
- Active and unrestricted Michigan RN licensure
- Willing and able to travel up to 25%- 50% of the time in Wayne and Macomb Counties
- Reliable transportation required
- 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
- 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 preferred
- Additional national professional certification (CRC, CDMS, CRRN, COHN) preferred
- Associate's Degree required
- Bachelor's degree preferred
Benefits
- Health insurance
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation, and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical judgmentcase managementmotivational interviewinganalytical skillsproblem-solving skillsdischarge planninghome health care coordinationdata reviewevaluation of member's needsholistic assessment
Soft skills
effective communicationorganizational skillsinterpersonal skillsindependent thinkingmember engagementcollaborationpresentation skillsreliabilityadaptabilityconfidence
Certifications
Registered Nurse (RN)Certified Case ManagerCRCCDMSCRRNCOHN