Remote RN Case Manager — Care Coordination Leader

ISHE; Idaho; Remote; USD 54,000 - 117,000; Full time

Job summary

CVS Health is seeking a Remote Case Manager RN to assess, plan, coordinate, and advocate for members’ health needs. The role supports discharge planning and care coordination from home, with a schedule that may include evenings and weekends in the department’s needs.

Minimum qualifications include active RN license, 3+ years acute care, and MS Office proficiency. CCM and home-care experience are a plus, with a strong emphasis on confidentiality and teamwork.

Qualifications

• Active and unrestricted RN license in their state of residence and ability to obtain multi-state licensure.
• 3+ years of acute care experience as an RN.
• 3+ years of experience with Microsoft Suite of products.
• Strong problem-solving and clinical decision-making skills.
• Ability to manage sensitive information with professionalism and confidentiality.
• Excellent communication and relationship-building skills.
• Ability to work effectively with diverse patient populations and healthcare teams.

Responsibilities

• Apply data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs.
• Conduct comprehensive clinical assessments.
• Evaluate needs and develop flexible approaches based on member needs, benefit plans, or external programs/services.
• Advocate for patients to the full extent of existing health care coverage.
• Promote quality, cost effective outcomes, and make suggestions to improve program/operational efficiency.
• Identify and elevate quality of care issues through established channels.
• Provide an expected very high level of customer service.
• Utilize assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change.
• Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provide coaching, information, education, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices

Skills

RN license (Active)

Acute care

MS Office

Education

Associate Degree in Nursing

BSN preferred

Tools

Microsoft Office 365

Job description

CVS Health is seeking a Remote Case Manager RN to assess, plan, coordinate, and advocate for members’ health needs. The role supports discharge planning and care coordination from home, with a schedule that may include evenings and weekends in the department’s needs.

Minimum qualifications include active RN license, 3+ years acute care, and MS Office proficiency. CCM and home-care experience are a plus, with a strong emphasis on confidentiality and teamwork.