Remote RN Case Manager — Telephonic Care Navigator

CVS Health Corporation; Harrisburg (Dauphin County); Remote; USD 54,000 - 156,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking an experienced RN Case Manager to work remotely across the United States. You will engage with patients and care teams, applying clinical guidelines and care plans to coordinate benefits and services while addressing barriers to care.

Responsibilities include conducting telephonic assessments, using regulatory standards, and collaborating with supervisors and Medical Directors to optimize outcomes. Requires 5+ years RN, oncology exposure, and active licenses.

Qualifications

• RN with 5+ years of experience, including at least 1 year in a hospital setting.
• Active multistate license via the Nurse Licensure Compact (NLC) or state-specific licenses for each state supported.
• 1+ years' experience documenting electronically.
• 1+ years' experience in Oncology.

Responsibilities

• Telephonic case management with patients and care teams for fully and/or self-insured clients.
• Apply criteria and clinical guidelines to assess benefits and needs for appropriate administration of benefits.
• Use holistic clinical judgment to reduce risk factors and address barriers affecting care planning.
• Assess information from multiple sources to address all conditions impacting functionality.
• Consult with supervisors and others to overcome barriers and meet goals; present cases at conferences.

Skills

Case management

Nursing

Multistate license

Oncology experience

Electronic documentation

Education

Diploma or Associates Degree in Nursing

Tools

MCG

NCCN

Lexicomp

EHR

Job description

CVS Health is seeking an experienced RN Case Manager to work remotely across the United States. You will engage with patients and care teams, applying clinical guidelines and care plans to coordinate benefits and services while addressing barriers to care.

Responsibilities include conducting telephonic assessments, using regulatory standards, and collaborating with supervisors and Medical Directors to optimize outcomes. Requires 5+ years RN, oncology exposure, and active licenses.