Remote RN Case Manager - Community Care Advocate

CVS Health; Boston (MA); Hybrid; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Community Care Case Manager to join our team. You will assess needs, coordinate services, and collaborate with members, providers and families to promote wellness and timely return to work.

This role requires an active RN license, 3+ years of clinical practice with Medicare populations, and at least 2 years in case management or home health coordination. Strong communication and organizational skills are essential.

Qualifications

• Active and unrestricted RN license in state of residence (MA/NY or compact)
• 3+ years clinical experience (diabetes, CHF, CKD, post-acute care, hospice, palliative) with Medicare
• 2+ years case management, discharge planning or home health coordination
• Proficiency with MS Word, Excel, Outlook and PowerPoint; familiarity with proprietary apps

Responsibilities

• Liaise with members, employers, providers, insurers and healthcare personnel.
• Coordinate case management for acute and chronic cases across care continuum.
• Conduct in-person or telephonic assessments; develop care plans to optimize wellness and return to work.
• Document case work activities and communicate with stakeholders.
• Collaborate with multidisciplinary teams to maximize health outcomes.
• Assist with education and prevention information for patients and families.

Skills

Active RN License

Case management

Home health care coordination

Communication

Clinical assessment

Education

Associate's Degree in Nursing

Bachelor’s Degree / higher preferred

Tools

MS Office

EHR systems

Job description

CVS Health is seeking a Community Care Case Manager to join our team. You will assess needs, coordinate services, and collaborate with members, providers and families to promote wellness and timely return to work.

This role requires an active RN license, 3+ years of clinical practice with Medicare populations, and at least 2 years in case management or home health coordination. Strong communication and organizational skills are essential.