Case Manager Registered Nurse developing proactive care plans for dual eligible populations at CVS Health. Collaborating with members addressing complex health and social challenges.
Responsibilities
Develop a proactive plan of care to enhance short and long-term outcomes for members
Collaborate with members, providers, and community organizations to address health care and social determinant needs
Conduct an evaluation of member's needs and benefits using clinical tools
Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers
Conduct assessments that consider information from various sources including claims
Utilize case management processes in compliance with regulatory and company policies
Use motivational interviewing skills to ensure maximum member engagement
Requirements
Minimum 3+ years of clinical practice experience
Active and unrestricted RN licensure in the state of NJ
Willing and able to travel 25-50% of their time using own vehicle to meet members face to face
Reliable transportation required
Certified Case Manager is preferred
Minimum 2+ years of Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred
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
Effective computer skills including navigating multiple systems and keyboarding
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint
Bilingual Preferred
Educational Associate's Degree required
Bachelor's degree preferred
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs 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 and many other benefits depending on eligibility
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