Remote RN Case Manager: Elevate Patient Outcomes

CVS Health; Ohio; Remote; 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 Case Manager RN for a 100% remote role. The position allows residing in any state with standard business hours, and includes evenings, weekends, and holidays as needed.

Responsibilities include assessments, care coordination, advocacy, and coaching to empower members to make informed health decisions. Required RN license, 3+ years acute care, and proficiency with Microsoft Office; multistate licensure possible.

Qualifications

• Active and unrestricted RN license in state of residence.
• 3+ years of acute care RN experience.
• 3+ years of experience with Microsoft Office Suite.
• Excellent communication and relationship-building skills.

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 escalate quality of care issues through established channels.
• Provide an expected very high level of customer service.
• Utilize assessment techniques to determine member’s 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

Acute care

Microsoft Office

Problem-solving

Communication

Diversity awareness

Education

Associate Degree in Nursing

BSN preferred

Tools

Microsoft Office 365

VPN access

EHR portal

Job description

CVS Health is seeking a Case Manager RN for a 100% remote role. The position allows residing in any state with standard business hours, and includes evenings, weekends, and holidays as needed.

Responsibilities include assessments, care coordination, advocacy, and coaching to empower members to make informed health decisions. Required RN license, 3+ years acute care, and proficiency with Microsoft Office; multistate licensure possible.