Remote RN Case Manager — Telephonic Care Coordination

CVS Health Corporation

Raleigh (NC)

Remote

USD 54,000 - 156,000

Full time

12 days ago
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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 Telephonic RN Case Manager to support fully and self-insured clients from a remote location across the US. You will apply clinical guidelines, coordinate care and advocate for members while collaborating with care teams and supervisors.

The role requires 5+ years as an RN (including hospital experience), a multistate license via NLC or individual state licenses, and oncology experience. This full-time position offers 40 hours weekly and a comprehensive benefits package.

Qualifications

  • 5+ years' experience as a Registered Nurse, including at least 1 year in a hospital setting.
  • Active multistate license via NLC or state-specific RN license for each state served.
  • 1+ years' experience documenting electronically.
  • 1+ years' experience in Oncology.

Responsibilities

  • Telephonic case management with patients and care teams.
  • Assess benefits and patient needs to ensure appropriate administration of benefits.
  • Apply clinical judgment to strategies to reduce risk factors.
  • Address complex health and social indicators impacting care planning.
  • Collaborate with supervisors and other programs to overcome barriers.
  • Utilize case management processes in compliance with policies.
  • Engage members using motivational interviewing to assess health status.

Skills

RN experience
Oncology exposure
Electronic documentation
Multistate licensing

Education

Diploma or Associates Degree in Nursing

Tools

MCG
NCCN
Lexicomp

Job description

CVS Health is seeking a Telephonic RN Case Manager to support fully and self-insured clients from a remote location across the US. You will apply clinical guidelines, coordinate care and advocate for members while collaborating with care teams and supervisors.

The role requires 5+ years as an RN (including hospital experience), a multistate license via NLC or individual state licenses, and oncology experience. This full-time position offers 40 hours weekly and a comprehensive benefits package.

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