Maternity Case Manager, Registered Nurse
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Kansas • United States
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Salary
💰 $54,095 - $142,576 per year
About the role
- The Case Manager RN is responsible for telephonic 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 within a high-risk maternity case management program.
- The Case Manager RN develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.
- Utilizes case management processes in compliance with regulatory and company policies and procedures.
- Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
- Conducts evaluations of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transitions to Aetna programs and plans.
Requirements
- Must hold an active and unrestricted RN License
- Applicants must be willing and able to pursue multi-state licensure (paid for by the company)
- Minimum of 3+ years of clinical experience as an RN in an inpatient or outpatient setting focused on women's health, infertility, maternity and/or OB-GYN office setting
- Preferred RN licensure in a compact state
- 1+ years of Case Management experience in an integrated model
- 1+ years of experience with Telephonic Case Management
- Experience with all types of Microsoft Office including PowerPoint, Excel, and Word
- Certified Case Manager (CCM) certification
- Associates Degree Nursing minimum
- Bachelors in Science and Nursing preferred
Benefits
- Affordable medical plan options
- A 401(k) plan (including matching company contributions)
- An 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 & Tools
case managementclinical judgmenttelephonic case managementwomen's healthinfertilitymaternityOB-GYNintegrated modelbenefit plan eligibilityrisk factor reduction
Soft Skills
planningcoordinatingevaluatingcommunicationproblem-solvingproactive approachinterpersonal skillsorganizational skillsstrategic thinkingcollaboration
Certifications
active RN LicenseCertified Case Manager (CCM)Associates Degree NursingBachelors in Science and Nursing