Remote RN Case Manager: Care Coordination & Wellness

4062 Aetna Resources, LLC; Massachusetts; On-site; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Job summary

CVS Health in Massachusetts is seeking a Community Care Case Manager to assess and coordinate patient care, promote wellness, and determine benefit eligibility. You will collaborate with providers, employers and insurance carriers to support cost-efficient outcomes and timely return to work.

The role requires an active RN license in MA or equivalent and 3+ years of clinical practice with Medicare members, plus 2+ years in case management or discharge planning; familiarity with MS Office is

Qualifications

• Active and unrestricted RN license in MA or NY.
• 3+ years clinical practice; Medicare experience preferred.
• 2+ years case management or discharge planning experience.
• Proficiency with MS Office applications.

Responsibilities

• Assess and coordinate care using a collaborative process.
• Facilitate appropriate treatment and return-to-work plans.
• Communicate with members, providers and insurers.
• Document case work and ensure regulatory compliance.
• Promote wellness and education to improve outcomes.
• Coordinate across multidisciplinary teams.

Skills

Active RN License

3+ years clinical experience

2+ years case management experience

MS Word/Excel/Outlook/PowerPoint

Education

Associate's Degree in Nursing (RN)

Bachelor’s Degree preferred

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

CVS Health in Massachusetts is seeking a Community Care Case Manager to assess and coordinate patient care, promote wellness, and determine benefit eligibility. You will collaborate with providers, employers and insurance carriers to support cost-efficient outcomes and timely return to work.

The role requires an active RN license in MA or equivalent and 3+ years of clinical practice with Medicare members, plus 2+ years in case management or discharge planning; familiarity with MS Office is