Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

The Case Manager RN position is 100% remote and employees can live in any state.

Monday through Friday 8:00am to 4:30pm with an occasional late shift rotation per the needs of the business 11:30am to 8:00pm EST (1-2 times per Quarter)

Weekends are not required.

There is no travel expected with this position.

Are you ready to expand your nursing skills, while aiding in the reduction of hospital readmission's and helping patients get back to their daily life faster? How about dipping your toes into population health nursing and impacting the lives of patients and their families, with no limitation on how long it may take to help that member meet their desired health goals?

We are looking for full-time RN's to join our team, in the role of Telephonic Case Manager. RN Case Managers will guide members telephonically in defining their health goals and taking appropriate steps to achieve their optimal state of wellness.

RN Case Manager:

– 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.

– Through the use of clinical tools and information/data review, conducts an evaluation of member’s needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.

– Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.

– Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.

– Reviews prior claims to address potential impact on current case management and eligibility.

– Assessments include the member’s level of work capacity and related restrictions/limitations.

– Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.

– Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.

– 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 based on key questions and conversation.

Required Qualifications

- Must have an active current and unrestricted RN license in state of residence.

- Minimum of 2 years of clinical experience as an RN -All clinical experience will be considered, such as Emergency Department, Home Health, Hospice, Operating Room, ICU, NICU, Telemetry, Medical/Surgical, Orthopedics, Long Term Care and Infusion nursing.

- Must be willing obtain multiple state RN licensure after hire (expenses paid for by company)

- Must be willing and able to work Monday through Friday 8:00am to 4:30pm with an occasional late shift rotation per the needs of the business 11:30am to 8:00pm EST (1-2 times per Quarter)

Preferred Qualifications

- 2 years experience with Telephonic Case Management

- Multiple State RN licensure is welcomed but not required.

Education

Associates degree required

BSN preferred

Pay Range

The typical pay range for this role is:

$54,095.60 - $116,760.80

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 10/16/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.