Case Manager, Registered Nurse ( Montgomery, Berks, Bucks, Dauphin, Delaware, and Philadelphia [...]

Hispanic Alliance for Career Enhancement; Reading (Berks County); On-site; USD 60,000 - 130,000; Full time

Job summary

An established industry player is seeking a dedicated Registered Nurse to join their Community Care team. In this full-time role, you will provide community-based care management, collaborating with members and healthcare providers to address health and social needs. This position offers the opportunity to make a significant impact on individuals' wellness and timely return to work. With a focus on compassionate care, you will develop health strategies, facilitate benefits delivery, and ensure compliance with regulations. If you are passionate about transforming healthcare and ready to make a difference, this role is for you.

Benefits

Medical Benefits

401(k)

Stock Purchase Plan

Wellness Programs

Paid Time Off

Flexible Schedules

Qualifications

• Active Pennsylvania RN license required.
• Minimum 3 years clinical experience, preferably with Medicare populations.

Responsibilities

• Act as liaison with members, families, and healthcare personnel.
• Coordinate case management for catastrophic and chronic cases.

Skills

Analytical Skills

Communication Skills

Organizational Skills

Independent Work

Education

Associate's Degree or Nursing Diploma

Bachelor of Science in Nursing

Tools

MS Office

Proprietary Systems

Job description

Case Manager, Registered Nurse (Montgomery, Berks, Bucks, Dauphin, Delaware, and Philadelphia Counties, Pennsylvania)

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues – caring for people where, when, and how they choose in a way that is more connected, more convenient, and more compassionate. We do it all with heart, each and every day.

Position Summary

Schedule: Monday through Friday, 8:00 AM - 5:00 PM EST

Travel: Up to 10-25% within Montgomery, Berks, Bucks, Dauphin, Delaware, and Philadelphia Counties

Join our Community Care team to provide community-based care management, collaborating with members, providers, and community organizations to address health and social needs. Facilitate benefits delivery, develop health strategies, and support member wellness and timely return to work.

Responsibilities

• Act as liaison with members, families, providers, insurers, and healthcare personnel.
• Coordinate case management for catastrophic and chronic cases, including referrals and home visits.
• Assess and develop care plans for members’ medical and vocational needs.
• Communicate with stakeholders and document case activities.
• Consult with multidisciplinary teams and healthcare providers.
• Provide educational and preventive health information.
• Ensure compliance with laws, regulations, and insurance requirements.
• Evaluate needs and facilitate appropriate care and benefits.
• Monitor progress and develop proactive interventions.

Qualifications

• Active Pennsylvania RN license.
• Minimum 3 years clinical experience, preferably with Medicare populations.
• At least 2 years in case management, discharge planning, or home health.
• Willing to travel 10-25% within specified counties.

Preferred Skills and Certifications

• Strong analytical, communication, and organizational skills.
• Ability to work independently, possibly remotely.
• Proficiency in MS Office and proprietary systems.
• Certified Case Manager preferred.
• Additional certifications (CRC, CDMS, CRRN, COHN, CCM) advantageous.

Education

Associates degree or Nursing Diploma required; Bachelor of Science in Nursing preferred.

Additional Details

40 hours per week, full-time position. Salary range: $60,522.80 - $129,615.20, commensurate with experience and qualifications. Benefits include medical, 401(k), stock purchase plan, wellness programs, paid time off, flexible schedules, and more.

Application deadline: 05/16/2025. CVS Health is an equal opportunity employer, committed to diversity and inclusion. Vaccination against COVID-19 required unless a reasonable accommodation is approved.