# Community Care Case Manager

**Company**: CVS Health
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $54,095.00 - $116,760.00
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/NC---Work-from-home/Case-Manager--Registered-Nurse_R1014159?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_e137bd97-1bf

## Description

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

Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. As a Community Care Case Manager, you will have a life-changing impact on our Community Care members.

**Responsibilities:**

- Acts as a liaison with members, families, employers, providers, insurance companies, and healthcare personnel.

- Implements and coordinates case management activities for catastrophic cases and chronically ill members.

- Interacts with members telephonically or in person, providing ongoing case management services.

- Assesses and analyzes members' medical and vocational status, developing plans of care to optimize wellness and medical outcomes.

- Communicates with stakeholders, including medical providers, attorneys, employers, and insurance carriers.

- Prepares required documentation of case work activities.

- Interacts and consults with internal multidisciplinary teams to maximize best health outcomes.

- May make outreach to treating physicians or specialists concerning courses of care and treatment.

- Provides educational and prevention information for best medical outcomes.

- Applies laws and regulations related to rehabilitation services.

- Conducts evaluations of members' needs and benefit plan eligibility.

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

**Requirements:**

- Active and unrestricted Compact Registered Nurse (RN) Licensure in Alabama, Arkansas, Maryland, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, Georgia, or Florida.

- 3+ years of clinical practical experience, preferably in diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, or Home Health with Medicare members.

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

- Proficiency with standard corporate software applications, including Microsoft Word, Excel, Outlook, and PowerPoint.

- Ability to work in a fast-paced, high-volume environment with strong time management and prioritization skills.

**Preferred Qualifications:**

- Bilingual - Spanish.

- Excellent analytical and problem-solving skills.

- Effective communications, organizational, and interpersonal skills.

- Certified Case Manager.

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

**Education:**

- Associate's Degree in Nursing or Nursing Diploma (required).

- Bachelor's Degree in Nursing (preferred).

**Work from Home Requirements:**

- Direct/hardwired internet connection to a modem/router within 7 feet of computer.

- Quiet, secure, and private designated home virtual work location.

- Work-from-Home colleagues must work within the state and city where they currently live.

**Technical and Logistical Requirements:**

- Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.

- Ability to communicate on digital channels such as email, calendar invites, Teams messaging, and virtual meetings.

- Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar.

- Ability to log in to secure systems, manage strong passwords, and recognize suspicious emails or links.

- Ability to resolve common technical issues independently.

**Anticipated Weekly Hours:** 40

**Time Type:** Full-time

**Pay Range:** $54,095.00 - $116,760.00

## Skills

### Required
- Registered Nurse (RN)
- case management
- Microsoft Office
- Spanish

### Nice to have
- Certified Case Manager
- 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/NC---Work-from-home/Case-Manager--Registered-Nurse_R1014159?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)