RN Case Manager – Community Health Advocate

CVS Health; Illinois; Híbrido; USD 67.000 - 143.000; Tempo integral

Resumo da vaga

CVS Health in Illinois seeks an experienced RN Case Manager to coordinate comprehensive care for Medicare members. You will assess needs, develop personalized care plans, and coordinate services with providers, insurers, and community resources.

You will function as an advocate, ensure effective communication, and monitor progress to promote positive health outcomes while adhering to regulatory requirements. Remote/home-based options may apply.

Qualificações

• Candidate preferably resides in IL and holds an active IL RN license.
• Candidate must have active and unrestricted RN licensure in Illinois.
• 3+ years of clinical practical experience (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, Home Health) with Medicare members.
• 2+ years of case management, discharge planning and/or home health care coordination experience.
• Proficiency with standard corporate software applications, including Word, Excel, Outlook and PowerPoint.

Responsabilidades

• Acts as liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel.
• Implements and coordinates case management activities for catastrophic cases and chronically ill members across the continuum of care.
• Interacts with members telephonically or in person; may meet at their home, worksites, or physician office for case management.
• Assesses and analyzes medical/vocational status; develops care plan to optimize wellness and outcomes.
• Prepares all required documentation of case work activities; collaborates with internal teams to maximize health outcomes.
• Monitors progress toward outcomes and ensures appropriate benefits eligibility.

Conhecimentos

RN licensure IL

Clinical experience 3+ years

Discharge planning 2+ years

Formação

Associate's Degree in Nursing (REQUIRED)

Bachelor's Degree in Nursing (PREFERRED)

Ferramentas

Microsoft Office 365 Suite

Descrição da vaga

CVS Health in Illinois seeks an experienced RN Case Manager to coordinate comprehensive care for Medicare members. You will assess needs, develop personalized care plans, and coordinate services with providers, insurers, and community resources.

You will function as an advocate, ensure effective communication, and monitor progress to promote positive health outcomes while adhering to regulatory requirements. Remote/home-based options may apply.