RN Case Manager: Care Coordination & Outcomes

CVS Health; Columbus (OH); On-site; USD 61,000 - 130,000; Full time

Job summary

CVS Health in Columbus, OH is seeking a full-time Registered Nurse (RN) Case Manager to coordinate care for members and drive optimal health outcomes. This role involves collaboration with providers, insurers and employers to manage complex cases across the continuum of care.

You will assess medical and vocational needs, develop care plans, monitor progress, and document activities while ensuring compliance with regulations and maintaining high-quality, person-centered service for diverse

Qualifications

• Active and unrestricted Compact RN licensure in state of residence.
• 2+ years of experience in care management.
• 2+ years of Medicare experience.

Responsibilities

• Coordinate care across multiple providers, facilities and payers to ensure seamless service.
• Assess medical and vocational status and develop a plan of care to optimize outcomes.
• Communicate with members, families, providers and insurers to facilitate timely care.
• Prepare and maintain documentation of case management activities and outcomes.
• Collaborate with internal teams to support member health and return-to-work goals.

Skills

RN licensure

Care management

Medicare experience

Communication

Team collaboration

Education

Associate Degree in Nursing

Bachelor’s Degree in Nursing

Job description

CVS Health in Columbus, OH is seeking a full-time Registered Nurse (RN) Case Manager to coordinate care for members and drive optimal health outcomes. This role involves collaboration with providers, insurers and employers to manage complex cases across the continuum of care.

You will assess medical and vocational needs, develop care plans, monitor progress, and document activities while ensuring compliance with regulations and maintaining high-quality, person-centered service for diverse