Remote RN Case Manager - Telephonic Care Coordination

CVS Health; Concord (NH); A distancia; USD 54.000 - 156.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Descripción de la vacante

CVS Health is seeking a remote RN Case Manager to support members across multiple states with telephonic care coordination and clinical decision-making. You will interpret guidelines, coordinate benefits, and collaborate with care teams to optimize outcomes.

The role requires 5+ years nursing experience, a multistate license (NLC or state-specific), oncology exposure, and strong electronic documentation skills; bilingual Spanish is a plus.

Formación

• 5+ years' experience as a Registered Nurse (RN).
• Active multistate license via NLC or state-specific licensure for supported states.
• 1+ years' experience documenting electronically using a keyboard.
• 1+ years' Oncology experience.

Responsabilidades

• Serve as telephonic case manager for patients and care teams.
• Apply criteria, clinical guidelines and policies to assess benefits and member needs.
• Use clinical judgment to design strategies addressing risk factors and barriers.
• Address co-morbid and functional conditions impacting care planning.
• Consult with supervisors and team to overcome barriers and present cases.
• Engage members to guide care and perform medical necessity reviews.

Conocimientos

RN Case management

Multistate license

Electronic documentation

Oncology experience

Spanish bilingual

Educación

Nursing diploma/associate

Descripción del empleo

CVS Health is seeking a remote RN Case Manager to support members across multiple states with telephonic care coordination and clinical decision-making. You will interpret guidelines, coordinate benefits, and collaborate with care teams to optimize outcomes.

The role requires 5+ years nursing experience, a multistate license (NLC or state-specific), oncology exposure, and strong electronic documentation skills; bilingual Spanish is a plus.