Clinical Case Manager at CVS Health coordinating member physical and behavioral healthcare. Utilizing clinical judgment, assessing needs, and promoting optimal health outcomes.
Responsibilities
Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning
Conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution
Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services
Consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives
Identifies and escalates quality of care issues through established channels
Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/ behavior changes to achieve optimum level of health
Analyzes all utilization, self-report and clinical data available to consolidate information and begin to identify comprehensive member needs.
Develops and monitors established plans of care to meet the member’s goals.
Requirements
Active and unrestricted Illinois Registered Nurse (RN) License
3-5 years clinical practical experience
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 Microsoft Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications.
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.
Benefit solutions that address the different needs and preferences of our colleagues including 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.
Release and Transition Manager at Inchcape Shipping Services overseeing coordination of production releases and service transitions. Managing service change processes and ensuring service quality across core products.
Field Care Manager responsible for assessments and care coordination for members with substance use disorders. Collaborating with healthcare providers to enhance health outcomes in Virginia’s Medicaid population.
Senior Construction Manager overseeing a dynamic team in planning and operations for Staffordshire County Council. Ensuring project deliverables, compliance, and safety standards across constructions.
Senior Commercial Manager leading commercial oversight within the Northampton Schools PFI contract at Amey. Delivering compliance, performance and governance across multiple PFI schools while collaborating with stakeholders.
Cost Manager role at RLB providing M&E Cost Management services across various sectors. Join a growing team with ample personal development opportunities.
Cost Manager managing M&E packages and projects in the built environment sector. Leading teams to deliver value - focused cost management across diverse sectors with a hybrid work approach.
Cost Manager/Senior Cost Manager managing M&E services across diverse projects at RLB. Join a supportive team in Bristol focused on cost management in the built environment sector.
Assistant Team Leader managing a team and ensuring operational excellence at The Paper Store. Focused on providing world class service while achieving sales goals and maintaining store presentation standards.
Configuration Manager role at SEB, focusing on implementing CMDB automation and managing asset discovery in Jira Assets. Join a modern technology company evolving the banking sector.