# Community Care Case Manager

**Company**: CVS Health
**Work arrangement**: remote
**Experience**: senior
**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/OH---Work-from-hom/Case-Manager-Registered-Nurse--Remote--EST-_R1084489?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/community-care-case-manager-87d9afa6-505/

## Description

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

As a Community Care Case Manager, you will use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy to meet an individual's and family's comprehensive health needs.

**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; develops a plan of care to facilitate the member/client's appropriate condition management.

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

- Prepares all required documentation of case work activities.

- Interacts and consults with internal multidisciplinary team as indicated.

- 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.

- Testifies as required to substantiate any relevant case work or reports.

- 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, optimizes overall wellness and medical outcomes, and aids timely return to work or optimal functioning.

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

- Monitors member/client progress toward desired outcomes.

**Required Qualifications**

- Candidate must reside in the South Region: OH, VA, NC, KY, TN, SC, GA, AL, MS, AR, LA, FL.

- Candidate must have active and unrestricted Compact Registered Nurse (RN) Licensure in OH or in their state of residence.

- 3+ years clinical practical experience with Medicare members.

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

**Preferred Qualifications**

- Bilingual - Spanish.

- Excellent analytical and problem-solving skills.

- Effective communications, organizational, and interpersonal skills.

- Ability to work independently.

- Willing and able to obtain multi-state Registered Nurse (RN) licenses if needed.

- National professional certification (CRC, CDMS, CRRN, COHN, or CCM).

**Education**

- Associate's Degree or Nursing Diploma (REQUIRED).

- Bachelor's Degree (PREFERRED).

**Benefits**

- Medical, dental, and vision coverage.

- Paid time off.

- Retirement savings options.

- Wellness programs.

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## Skills

### Required
- Registered Nurse (RN)
- case management
- discharge planning
- home health care coordination
- Spanish

### Nice to have
- analytical and problem-solving skills
- communications
- organizational
- interpersonal skills
- national professional certification

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/OH---Work-from-hom/Case-Manager-Registered-Nurse--Remote--EST-_R1084489?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)