Remote RN Case Manager - Care Coordination

Registered Nurse; Northern (KY); Hybrid; USD 61,000 - 130,000; Full time

Job summary

CVS Health seeks an experienced Community Care Case Manager (RN) to coordinate assessments, care planning and advocacy for complex cases. You will liaise with members, families, providers and insurers to promote quality, cost-effective outcomes.

Remote work options available within eligible states. Requirements include RN licensure, 3+ years in clinical practice (diabetes, CHF, CKD, post-acute care, hospice or cardiac), and 2+ years of case management or discharge planning.

Qualifications

• Active and unrestricted Compact RN licensure in OH or state of residence.
• 3+ years clinical practical experience in diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac with Medicare members
• 2+ years case management, discharge planning and/or home health care coordination experience

Responsibilities

• Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
• Implements and coordinates all case management activities related to complex cases across the continuum of care.
• Interacts with members/clients telephonically or in person, and may visit homes, worksites, or physician offices.
• Assesses and analyzes medical and vocational status; develops a care plan to optimize wellness and outcomes.
• Communicates with stakeholders telephonically or in person; prepares all documentation of case work.
• Consults with internal multidisciplinary team to maximize health outcomes.

Skills

Bilingual - Spanish

Analytical

Communication

Independent work

Multi-state RN licenses

Certified Case Manager

National professional certification

Education

Associate's Degree or Nursing Diploma

Bachelor's Degree

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

CVS Health seeks an experienced Community Care Case Manager (RN) to coordinate assessments, care planning and advocacy for complex cases. You will liaise with members, families, providers and insurers to promote quality, cost-effective outcomes.

Remote work options available within eligible states. Requirements include RN licensure, 3+ years in clinical practice (diabetes, CHF, CKD, post-acute care, hospice or cardiac), and 2+ years of case management or discharge planning.