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Director, Case Management – RN
CVS HealthDirector of Care Management at CVS Health managing clinical operations for Aetna Better Health of Oklahoma. Ensuring regulatory compliance and delivering holistic care to members.
About the role
Key responsibilities & impact- Oversee implementation and execution of strategic and operational business plan for clinical operations
- Ensure compliance with Oklahoma regulatory requirements
- Lead the clinical team for health risk screenings, assessments, and care plan development
- Develop and manage clinical operations to improve outcomes
- Collaborate with internal teams and corporate areas
- Analyze program performance and clinical outcomes
Requirements
What you’ll need- Active and unrestricted Oklahoma Registered Nurse (RN) license
- Minimum 10 years of clinical practice experience
- At least 5 years of management or clinical leadership experience
- 5 years of case management experience
- Managed care experience (Medicaid strongly preferred; commercial or Medicare experience acceptable)
- Nationally recognized case management certification (required or must be obtained within 90 days of employment)
- Master’s degree or equivalent experience (BSN preferred)
Benefits
Comp & perks- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Comprehensive benefits package
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical operations managementhealth risk screeningsassessmentscare plan developmentprogram performance analysisclinical outcomes improvementcase managementmanaged care
Soft Skills
leadershipcollaborationstrategic planningoperational planning
Certifications
Oklahoma Registered Nurse (RN) licensenationally recognized case management certification