RN Care Manager: Elevate Member Wellness

CVS Health; United States; Remote; USD 54,000 - 117,000; Full time

Benefits offered by this job

Comprehensive benefits package

Bonus eligibility

Job summary

CVS Health is seeking a dedicated Case Manager to coordinate case management activities with members, evaluate medical needs, and promote overall wellness through integrated strategies.

The role requires active clinical licensure, strong communication, and excellent documentation. A Bachelor’s degree is required; CCM is preferred. Position is full-time with a comprehensive benefits package.

Qualifications

• Current/Active clinical licensure (RN, LCSW, LPC, LMFT).
• Case management experience.
• Strong customer service orientation and problem solving.
• Excellent communication/telephonic skills.
• Excellent motivational interviewing skills/ability to build rapport telephonically.
• Excellence in documentation and respecting compliance/regulatory standards.
• Highly organized, self-driven without direct supervision.
• Manage time effectively.
• Achieve performance metrics.
• Technology proficiency.
• Variable work scheduled with ability to work 2 days weekly until 9pm local time.

Responsibilities

• Coordinates all case management activities with members to evaluate medical needs and to facilitate overall wellness.
• Develops strategy to address issues to outcomes and opportunities to enhance member’s overall wellness through integration.
• Instructs programs and procedures in compliance with network management and clinical coverage policies.

Skills

Case management experience

Customer service orientation

Problem solving

Communication/telephonic skills

Motivational interviewing

Documentation/compliance

Time management

Self-organization

Technology proficiency

Ability to work until 9pm (local time)

Education

Bachelor's degree

Master’s Degree

CCM Certification

Job description

CVS Health is seeking a dedicated Case Manager to coordinate case management activities with members, evaluate medical needs, and promote overall wellness through integrated strategies.

The role requires active clinical licensure, strong communication, and excellent documentation. A Bachelor’s degree is required; CCM is preferred. Position is full-time with a comprehensive benefits package.