RN Case Manager: Wellness & Care Coordination

CVS Health Corporation; Austin (TX); On-site; USD 54,000 - 117,000; Full time

Job summary

CVS Health Corporation is seeking a Field-based Case Manager to coordinate all case management activities for members, evaluating medical needs and promoting wellness. You will develop strategies to improve outcomes and ensure compliance with network management and clinical coverage policies while traveling within a 125-mile radius for 1-day field visits.

The role requires active clinical licensure, strong communication and problem-solving skills, and the ability to manage time effectively in a

Qualifications

• Current/Active Clinical Licensure (RN, 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
• 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 overall wellness
• Develops strategy to address issues to outcomes and opportunities to enhance members' overall wellness through integration
• Instructs programs and procedures in compliance with network management and clinical coverage policies

Skills

Customer service

Problem solving

Communication

Motivational interviewing

Documentation

Time management

Organized/independent work

Travel ability

Education

Bachelor's or Master's Degree

Job description

CVS Health Corporation is seeking a Field-based Case Manager to coordinate all case management activities for members, evaluating medical needs and promoting wellness. You will develop strategies to improve outcomes and ensure compliance with network management and clinical coverage policies while traveling within a 125-mile radius for 1-day field visits.

The role requires active clinical licensure, strong communication and problem-solving skills, and the ability to manage time effectively in a