RN Case 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, hold themselves accountable and prioritize safety and quality in everything they do.

Position Summary:

This RN Case Manager position is 100% remote and candidates are required to live in the Eastern Standard Time (EST) zone. Preference is given to an RN with Compact RN licensure residing in Massachusetts.

Job Responsibilities:

• Collaboratively develop a proactive course of action to address issues presented to enhance short and long-term outcomes, as well as opportunities to enhance a member's overall wellness through integration.
• Conduct an evaluation of a member's needs and available benefits to collaborate and refer to programs offered by the plan sponsor using clinical tools and information/data review.
• Apply clinical judgment to reduce risk factors, address complex health issues and social indicators.
• Utilize case management processes in compliance with regulatory and company policies and procedures.
• Utilize interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Requirements:

• Active and unrestricted RN license in state of residence, preferably compact.
• RN living in EST Time Zone.
• Willingness and ability to obtain additional state licenses upon hire (paid for by the company).
• 3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning).
• 0-10% travel may be required.

Preferred Qualifications:

• Compact RN licensure.
• 1+ years of case management experience.
• Certified Case Manager (CCM) certification.
• Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.
• Experience with all types of Microsoft Office including PowerPoint, Excel, and Word.
• Strong telephonic communication skills.
• 1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone.
• Transgender certification.

Education:

• Associates in nursing.
• BSN.

Salary and Benefits:

• The typical pay range for this role is: $66,575.00 - $142,576.00.
• This position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.