Remote RN: Transition of Care Lead (High-Risk)

CVS Health Corporation; Springfield (IL); Remote; USD 67.000 - 143.000; Vollzeit

Benefits dieser Stelle

Bonus eligibility

Comprehensive benefits package

Zusammenfassung

CVS Health Corporation is seeking a Transition of Care Case Manager (RN) to support high-risk, medically complex members enrolled in HIDE/FIDE SNP and Medicaid waivers. You will lead the Interdisciplinary Care Team, develop ICPs, and coordinate care transitions from hospital to home or community settings.

The role prioritizes health equity, effective communication with members and providers, and timely interventions to reduce readmissions.

Qualifikationen

• Active and unrestricted RN license in Illinois.
• 3+ years of clinical practice experience.
• 1+ year of experience in care coordination or working with high-risk populations.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook, Teams).
• Ability to work from home and have a private space for work.

Aufgaben

• Complete a market specific post discharge assessment to identify member needs, including Health Related Social Needs and Social Determinants of Health (SDoH).
• Provide comprehensive discharge planning and transitions of care between institutional and community settings.
• Ensure the member has filled/received medications and understands how to take them.
• Lead and coordinate the Interdisciplinary Care Team to develop and implement ICPs.
• Coordinate post-discharge meal delivery, assist with securing DME, and ensure timely physician follow-up.
• Provide education to members and caregivers on care plans, medications, and resources.
• Ensure compliance with state and federal regulations, including NCQA standards.

Kenntnisse

RN License

MS Office

Independent worker

Private workspace

Ausbildung

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Jobbeschreibung

CVS Health Corporation is seeking a Transition of Care Case Manager (RN) to support high-risk, medically complex members enrolled in HIDE/FIDE SNP and Medicaid waivers. You will lead the Interdisciplinary Care Team, develop ICPs, and coordinate care transitions from hospital to home or community settings.

The role prioritizes health equity, effective communication with members and providers, and timely interventions to reduce readmissions.