RN Case Manager: Transforming Member Wellness

Hispanic Alliance for Career Enhancement; Mandeville (LA); On-site; USD 54,095 - 116,760; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Retirement options

Wellness programs

Job summary

CVS Health is seeking a field-based case management professional to coordinate care, assess medical needs, and promote member wellness. You will work telephonically with members, develop action plans, and ensure adherence to network policies and clinical coverage guidelines.

The role requires active clinical licensure, strong communication skills, and the ability to travel regionally. A focus on the client experience and regulatory compliance is essential in this full-time position.

Qualifications

• Current/Active Clinical Licensure (RN, SW, LCSW, LPC, LMFT).
• Case Management experience.
• Strong customer service orientation and problem solving.
• Excellent Communication/Telephonic skills.
• Excellent motivational interviewing skills/ability to build rapport and trust telephonically.
• Excellence in documentation and respecting compliance/regulatory standards.
• Highly organized, self-driven without direct supervision.
• Manage time effectively.
• Achieve performance metrics.
• Technology proficiency.
• Ability to travel within 125 miles round trip for 1 day in the field.
• Variable work scheduled with ability to work 2 days weekly until 9pm local time.

Responsibilities

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

Skills

Case management

Customer service

Communication

Motivational interviewing

Documentation

Compliance

Time management

Technology proficiency

Travelability

Phone skills

Education

Bachelor's degree

Master's degree

Job description

CVS Health is seeking a field-based case management professional to coordinate care, assess medical needs, and promote member wellness. You will work telephonically with members, develop action plans, and ensure adherence to network policies and clinical coverage guidelines.

The role requires active clinical licensure, strong communication skills, and the ability to travel regionally. A focus on the client experience and regulatory compliance is essential in this full-time position.