Description
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.
Coordinates all case management activities with members to evaluate medical needs and facilitate overall wellness. Develops strategies to address issues and enhance member wellness through integration.
Responsibilities
- Instructs programs and procedures in compliance with network management and clinical coverage policies.
- Coordinates case management activities with members.
- Develops strategies to address issues and enhance member wellness.
Requirements
- Current/Active Clinical Licensure (RN)
- Case Management experience
- Strong customer service orientation and problem-solving skills
- Excellent communication and telephonic skills
- Motivational interviewing skills and ability to build rapport and trust telephonically
- Excellence in documentation and compliance with regulatory standards
- Highly organized and self-driven without direct supervision
- Ability to manage time effectively and achieve performance metrics
- Technology proficiency
- Ability to travel within 125 miles round trip for 1 day in the field
- Variable work schedule with ability to work 2 days weekly until 9 pm local time.
Preferred Qualifications
- Bachelor's or Master's Degree
- CCM Certification
- Previous experience in a Managed Care Organization
Benefits
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs and other resources
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