Hybrid Case Manager Registered Nurse – Field

Posted last month

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About the role

  • 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

Job title

Case Manager Registered Nurse – Field

Job type

Experience level

Mid levelSenior

Salary

$72,627 - $155,538 per year

Degree requirement

Associate's Degree

Location requirements

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