RN Case Manager — Telephonic Care & Wellness

CVS Health; Louisiana; Hybrid; USD 54,000 - 117,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health seeks a dedicated case management professional in Louisiana to coordinate activities, assess medical needs, and promote member wellness. The role ensures adherence to network policies and quality standards while delivering compassionate support to members and families.

Reporting to the care management team, you will work with licensed clinicians and care specialists, documenting interventions, and striving for optimal health outcomes.

Qualifications

• Current active clinical licensure (RN, LCSW, LPC, LMFT).
• Case management experience required, with strong problem-solving and service orientation.
• Excellent documentation and compliance with regulatory standards.

Responsibilities

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

Skills

Clinical licensure

Case management

Customer service

Communication skills

Motivational interviewing

Documentation/compliance

Time management

Technology proficiency

Flexible scheduling

Education

Bachelor's or Master's Degree

CCM Certification

Job description

CVS Health seeks a dedicated case management professional in Louisiana to coordinate activities, assess medical needs, and promote member wellness. The role ensures adherence to network policies and quality standards while delivering compassionate support to members and families.

Reporting to the care management team, you will work with licensed clinicians and care specialists, documenting interventions, and striving for optimal health outcomes.