Case Manager, Registered Nurse – Field IL
CVS Health
full-time
Posted on:
Location Type: Hybrid
Location: Des Plaines • Illinois • 🇺🇸 United States
Visit company websiteSalary
💰 $66,575 - $142,576 per year
Job Level
Mid-LevelSenior
About the role
- Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.
- Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.
- Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
- Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care.
- Interacts with members/clients telephonically or in person.
- Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.
- Communicates with member/client and other stakeholders as appropriate.
Requirements
- Active and unrestricted Registered Nurse License in Illinois.
- Minimum 3-5 years clinical practical experience preference required.
- Minimum 2-3 years CM, discharge planning and/or home health care coordination experience.
- Reliable transportation and willingness to travel up to 75% of the time.
- Excellent analytical and problem-solving skills.
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually.
- Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
- Education Associates Required, Bachelor's preferred
Benefits
- Affordable medical plan options
- 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
case managementdischarge planninghome health care coordinationclinical practical experiencemedical assessmentvocational assessmentcondition managementbenefits eligibility determinationwellness program developmenthealth strategies implementation
Soft skills
analytical skillsproblem-solving skillscommunication skillsinterpersonal skillsindependent thinkingcollaborationclient liaisonorganizational skillstime managementcustomer service
Certifications
Registered Nurse LicenseIllinois RN License