RN Case Manager — Telephonic Care Coordination

CVS Health; Michigan; On-site; USD 61,000 - 130,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Registered Nurse Case Manager in Michigan to coordinate and facilitate care for members based on benefit plans and health needs. The role emphasizes collaboration with care teams, clinical assessment, and utilization management to promote cost-effective, high-quality outcomes.

The position involves telephonic case management, documentation in clinical systems, and potential field visits.

Qualifications

• Active nursing license in Michigan required.
• Experience in managed care or health plan settings preferred.
• Strong communication and collaboration skills with care teams.

Responsibilities

• Assess member needs and plan care with the care team.
• Coordinate and document case management activities.
• Provide telephonic outreach and crisis intervention as needed.
• Ensure compliance with regulatory and accreditation guidelines.
• Spend up to 20% of time in the community for field visits.
• Analyze utilization data to identify member needs and improve outcomes.

Skills

Clinical case management

Nursing assessment

Interpersonal communication

Education

RN license in Michigan

Tools

EMR systems

Job description

CVS Health is seeking a Registered Nurse Case Manager in Michigan to coordinate and facilitate care for members based on benefit plans and health needs. The role emphasizes collaboration with care teams, clinical assessment, and utilization management to promote cost-effective, high-quality outcomes.

The position involves telephonic case management, documentation in clinical systems, and potential field visits.