Remote RN Case Manager — Telehealth Care Lead

CVS Health Corporation; Texas; Híbrido; USD 54.000 - 117.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Descripción de la vacante

CVS Health is seeking a Case Manager Registered Nurse to operate remotely, delivering comprehensive case management for members. You will assess needs, plan care, and coordinate services while adhering to HIPAA and organizational guidelines.

Ideal candidates hold an active RN license in their state and have 3+ years of acute care or case management experience, with 2+ years in Med/Surg. Remote work requires a reliable home setup and scheduling within a standard business day.

Formación

• Active and unrestricted RN license in the state of residence.
• Willing and able to obtain additional state licenses upon hire (Paid for by the company).
• 3+ years' experience of acute care and/or case management.
• 2+ years' Med/Surg experience.

Responsabilidades

• Utilize clinical judgment and data-driven tools to evaluate member eligibility, identify health risks, and develop proactive care plans that address both short- and long-term health outcomes.
• Conduct holistic assessments that consider co-morbid conditions, functional limitations, and social determinants of health.
• Review prior claims, evaluate work capacity, and determine the need for referrals to clinical resources.
• Collaborate with supervisors and multidisciplinary teams to overcome barriers and optimize care planning.

Conocimientos

Case management

Telephonic communication

Clinical assessment

Multidisciplinary collaboration

Time management

Adaptability

Educación

Associate's Degree in Nursing

Descripción del empleo

CVS Health is seeking a Case Manager Registered Nurse to operate remotely, delivering comprehensive case management for members. You will assess needs, plan care, and coordinate services while adhering to HIPAA and organizational guidelines.

Ideal candidates hold an active RN license in their state and have 3+ years of acute care or case management experience, with 2+ years in Med/Surg. Remote work requires a reliable home setup and scheduling within a standard business day.