Remote RN Case Manager - Telephonic Care Coordination

CVS Health; Nevada (IA); Hybrid; USD 54,000 - 130,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking an RN Case Manager for a 100% remote role. The position requires active RN licensure, 3+ years acute care experience, and flexibility to work in the resident's time zone with occasional late shifts. You will assess, plan, coordinate and advocate to ensure optimal, cost-effective health outcomes.

Responsibilities include data-driven member identification, comprehensive assessments, and promoting quality care while maintaining high customer service standards.

Qualifications

• RN license must be active and unrestricted in state of residence.
• Willingness to obtain additional state licenses; company pays.
• 3+ years of acute care RN experience.
• Availability to work Monday–Friday 8:00am–4:30pm in residence time zone with occasional late shift.

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

Case management

Communication skills

Time management

Decision making

Education

Associate Degree

Bachelor's degree

Tools

MS Office 365

Google Workspace

Job description

CVS Health is seeking an RN Case Manager for a 100% remote role. The position requires active RN licensure, 3+ years acute care experience, and flexibility to work in the resident's time zone with occasional late shifts. You will assess, plan, coordinate and advocate to ensure optimal, cost-effective health outcomes.

Responsibilities include data-driven member identification, comprehensive assessments, and promoting quality care while maintaining high customer service standards.