Remote RN Case Manager - Telephonic Care Coordinator

CVS Health; Sacramento (CA); A distancia; USD 54.000 - 156.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Descripción de la vacante

CVS Health is seeking an experienced Registered Nurse Case Manager for a remote, full-time role nationwide in the United States. You will support members across multiple states, applying clinical guidelines and coordinating care with patients, families and care teams.

Ideal candidates have 5+ years as an RN, an active multistate license (NLC) or state licenses, at least 1 year in Oncology, and experience documenting electronically.

Formación

• 5+ years as a Registered Nurse, including hospital experience.
• Active multistate license via NLC or state-specific RN license for each state served.
• At least 1 year of electronic medical records documentation.
• 1+ years of Oncology experience.

Responsabilidades

• Serve as telephonic case manager for fully and self-insured clients.
• Apply criteria and clinical guidelines to assess benefits and patient needs.
• Collaborate with care teams to plan and resolve member issues.
• Perform medical necessity reviews.
• Escalate barriers and present cases in multidisciplinary conferences.

Conocimientos

Registered Nurse

Case management

Motivational interviewing

Telephonic care management

Clinical judgment

Educación

Diploma or ADN in Nursing

Descripción del empleo

CVS Health is seeking an experienced Registered Nurse Case Manager for a remote, full-time role nationwide in the United States. You will support members across multiple states, applying clinical guidelines and coordinating care with patients, families and care teams.

Ideal candidates have 5+ years as an RN, an active multistate license (NLC) or state licenses, at least 1 year in Oncology, and experience documenting electronically.