# Case Manager

**Company**: CVS Health
**Location**: Work from home, MI
**Work arrangement**: remote
**Job type**: full-time
**Salary**: $60,522.00 - $129,615.00
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/MI---Work-from-home/Case-Manager--Registered-Nurse--Remote-_R1079285?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_59996c2c-e66

## Description

We’re building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

As a case manager, you will coordinate and facilitate comprehensive care for individuals by assessing their needs, developing personalized care plans, and coordinating services across healthcare providers.

**Responsibilities:**

- Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.

- Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care.

- Interacts with members/clients telephonically or in person.

- Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status.

- Communicates with member/client and other stakeholders as appropriate.

- Prepares all required documentation of case work activities.

- Interacts and consults with internal multidisciplinary team.

- May make outreach to treating physician or specialists concerning course of care and treatment.

- Provides educational and prevention information for best medical outcomes.

- Applies all laws and regulations that apply to the provision of rehabilitation services.

- Conducts an evaluation of members/clients’ needs and benefit plan eligibility.

- Utilizes case management processes in compliance with regulatory and company policies and procedures.

- Facilitates appropriate condition management, optimize overall wellness and medical outcomes.

- Develops a proactive course of action to address issues presented.

- Monitors member/client progress toward desired outcomes.

**Requirements:**

- Active and unrestricted RN licensure in Michigan

- 3+ years of clinical practical experience

- 2+ years of case management, discharge planning and/or home health care coordination experience

- Proficiency with standard corporate software applications

- Able to work in a fast-paced high-volume environment

- Efficient and effective computer skills

- Working knowledge of problem-solving and decision-making skills

- Working knowledge of medical terminology

- Working knowledge of digital literacy skills

- Ability to deal tactfully with customers and community

- Ability to handle sensitive information ethically and responsibly

**Preferred Qualifications:**

- National professional certification

- Excellent analytical and problem-solving skills

- Effective communications, organizational, and interpersonal skills

- Bilingual - Spanish

**Education:**

- Associate's Degree in Nursing (REQUIRED)

- Bachelor's Degree in Nursing (PREFERRED)

**Benefits:**

- Medical, dental, and vision coverage

- Paid time off

- Retirement savings options

- Wellness programs

## Skills

### Required
- RN licensure
- case management
- Microsoft Office
- problem-solving
- medical terminology
- digital literacy
- Spanish

### Nice to have
- national professional certification
- analytical skills
- communications skills
- organizational skills
- interpersonal skills
- bilingual

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/MI---Work-from-home/Case-Manager--Registered-Nurse--Remote-_R1079285?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)