Integrated Care Management (ICM) Care Manager

We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience. At CVS Health, you'll be surrounded by colleagues who care deeply, innovate with purpose, and prioritize safety and quality in everything we do.

$7,500 Sign-On Bonus!

This is a work-from-home flexible position with 25-50% travel in Passaic County, New Jersey. Travel will be up to a 50-mile radius from your home.

Standard working hours are Monday – Friday, 8-5 pm.

As an Integrated Care Management (ICM) Care Manager, you will be a frontline advocate for members who cannot advocate for themselves. You will assess, plan, implement, and coordinate all case management activities with members to evaluate their medical needs and facilitate their overall wellness.

Responsibilities:

• Use clinical tools and information/data review to conduct an evaluation of members' needs and benefits.
• Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators that impact care planning.
• Conduct assessments that consider information from various sources, such as claims, to address all conditions, including co-morbid and multiple diagnoses that impact functionality.
• Use a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
• Collaborate with supervisors and other key stakeholders in the member's healthcare to overcome barriers in meeting goals and objectives.
• Utilize case management processes in compliance with regulatory and company policies and procedures.

Required Qualifications:

• Minimum 3+ years of clinical practice experience
• Active and unrestricted RN license in the state of NJ
• Willing and able to travel 25-50% of their time using your own vehicle to meet members face-to-face in their assigned area
• Must reside in Passaic County, NJ

Preferred Qualifications:

• 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.
• Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications.
• Bilingual preferred.

Education:

• Associate's Degree in Nursing
• Bachelor's Degree in Nursing preferred.

Anticipated Weekly Hours: 40

Time Type: Full-time

Pay Range: $66,575.00 - $142,576.00

Benefits:

We offer a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.