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CVS Health

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Case Manager, RN

ManagerManagerFull TimeRemoteSeniorTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Washington

Posted

3 days ago

Salary

$66.6K - $142.6K / year

Seniority

Senior

Associate Degree3 yrs expEnglish

Job Description

• Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member • Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration • Conducts an evaluation of members' needs and available benefits to collaborate and refer to programs offered by the plan sponsor • Applies clinical judgment to reduce risk factors, address complex health issues and social indicators • Utilizes case management processes in compliance with regulatory and company policies and procedures • Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs

Job Requirements

  • Active and unrestricted RN license in state of residence, preferably compact
  • RN living in MST, or PST 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)
  • 1+ years of case management experience
  • Certified Case Manager (CCM) certification preferred
  • 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

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs such as wellness screenings, tobacco cessation, and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

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