Registered Nurse, Care Manager
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
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Salary
💰 $60,522 - $129,615 per year
About the role
- Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness
- Collaboratively 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
- Conducts an evaluation of member’s needs and available benefits to collaborate and refer to programs offered by the plan sponsor
- Applies clinical judgment to reduce risk factors, address complex health issues and social indicators
- Utilizes case management processes in compliance with regulatory and company policies and procedures
- Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation
Requirements
- Must have an active and unrestricted RN license and, if located within the Nurse Licensure Compact jurisdiction, the ability to use their compact license without restriction
- Willingness and ability to obtain additional state licenses upon hire (paid for by the company)
- 3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)
- Ability to use a computer station with multiple screens, operate multiple programs simultaneously, and sit for extended periods of time
- A private designated workspace free of distractions and high-speed internet
- Preferred Qualifications: Compact RN licensure
- RN living in CST, MST, or PST Time Zone
- 1+ years of case management experience
- Certified Case Manager (CCM) certification
- Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.
- Experience with all types of Microsoft Office including PowerPoint, Excel, and Word
- Strong telephonic communication skills
- 1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone.
- BSN
- Transgender certification
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 & Tools
RN licenseacute care clinical experiencecase managementdischarge planningclinical judgmentrisk factor reductionhealth needs assessmenttelephonic assessmentinterviewing skillsproactive course of action
Soft Skills
customer servicesensitivityproactive identificationissue resolutioncommunication skillsmember engagementcollaborationplanningcoordinationattention to detail
Certifications
Certified Case Manager (CCM)BSNTransgender certification