Case Manager RN

CVS Health Corporation; Arizona; On-site; USD 54,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs and resources

Job summary

CVS Health is seeking a Case Manager RN for a fully remote telephonic role focused on assessment, planning, and coordination of case management activities for members of Federal Plans. You will enhance member wellness and advocate for patients within their healthcare coverage.

Requires an Associate's degree (BSN preferred), 3+ years of clinical practice, RN licensure, and MS Office experience. Remote in PST/MST/AZ time zones; standard weekday schedule with competitive compensation.

Qualifications

• Associate's degree required; BSN preferred.
• 3+ years of clinical practice experience required.
• 1+ years of experience using MS Office suites.

Responsibilities

• Assess, plan, implement, and coordinate case management activities telephonically.
• Evaluate medical needs of members to promote overall wellness.
• Develop proactive courses of action to enhance member outcomes.
• Apply data-driven methods to identify members for individualized case management.
• Conduct comprehensive clinical assessments.
• Advocate for patients within existing healthcare coverage.
• Promote quality, cost-effective outcomes and suggest improvements.
• Identify and escalate quality of care issues through established channels.
• Utilize assessment techniques to determine health literacy and readiness to change.
• Employ motivational interviewing skills to engage members and promote lifestyle changes.

Skills

Motivational interviewing

Health literacy assessment

Telephonic communication

Education

Associate's degree

BSN preferred

Tools

MS Office

Job description

About This Role

The Case Manager RN position at CVS Health is a fully remote role focused on telephonic assessment, planning, and coordination of case management activities for members of Federal Plans. This role is ideal for experienced nurses looking to enhance member wellness through individualized care.

Highlights

• Pay: $54,095 - $129,615/year
• Location: Remote, AZ
• Schedule: Full-time, Monday through Friday, 8 hour shift between 8am to 5:30pm Arizona time
• Residency: Must live in either PST, MST, or Arizona Time zones

What You'll Do

• Assess, plan, implement, and coordinate case management activities telephonically.
• Evaluate medical needs of members to promote overall wellness.
• Develop proactive courses of action to enhance member outcomes.
• Apply data-driven methods to identify members for individualized case management.
• Conduct comprehensive clinical assessments.
• Advocate for patients within existing healthcare coverage.
• Promote quality, cost-effective outcomes and suggest improvements.
• Identify and escalation quality of care issues through established channels.
• Utilize assessment techniques to determine member's health literacy and readiness to change.
• Employ motivational interviewing skills to engage members and promote lifestyle changes.

Requirements

Education:

• Associate's degree required, BSN preferred

Experience:

• 3+ years of clinical practice experience required
• 1+ years of experience utilizing MS Office suites

Licenses & Certifications:

• Active, current, and unrestricted RN licensure in state of residence
• Ability to be licensed in all non-compact states

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources

About CVS Health

CVS Health is a leading healthcare provider committed to delivering exceptional patient care. They prioritize safety and quality while fostering a workplace where every colleague feels valued and belongs.