RN Case Manager — Community Care & Discharge Planning

CVS Health; New York (NY); Hybrid; USD 86,000 - 143,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is expanding its Community Care team in the United States. The Community Care Case Manager plays a key role in elevating patient care by applying best-in-class operating and clinical models, coordinating with members, providers, and community organizations to meet comprehensive health and social needs.

This full-time role emphasizes collaborative care planning, advocacy, and efficient care coordination across discharge planning and home health services for Medicare populations.

Qualifications

• RN Compact license required.
• Minimum 5+ years clinical practical experience with Medicare members.
• Minimum 2+ years of discharge planning and/or home health care coordination experience.
• Certified Case Manager is preferred.
• Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required.

Responsibilities

• Facilitate delivery of benefits and healthcare information to determine eligibility while promoting wellness.
• Develop, implement and support Health Strategies, tactics, policies and programs.
• Collaborate with members, providers, and community organizations to address health and social needs.
• Care coordination, evaluation and advocacy for options and services to meet health needs.

Skills

RN Compact license

Analytical and problem-solving skills

Effective communication

Independent work

Bilingual preferred

Education

Associates degree or Nursing Diploma

Bachelor's degree preferred

Tools

MS Word

Excel

Outlook

PowerPoint

CRM software

Job description

CVS Health is expanding its Community Care team in the United States. The Community Care Case Manager plays a key role in elevating patient care by applying best-in-class operating and clinical models, coordinating with members, providers, and community organizations to meet comprehensive health and social needs.

This full-time role emphasizes collaborative care planning, advocacy, and efficient care coordination across discharge planning and home health services for Medicare populations.