Travel RN Case Manager - Care Coordination

CVS Health

Midlothian (VA)

On-site

USD 61,000 - 130,000

Full time

5 days ago
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Benefits offered by this job

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Bonus eligibility

Job summary

CVS Health in Virginia is seeking a Nurse Case Manager to assess, plan, implement, and coordinate case management activities for members, focusing on evaluating medical needs and promoting overall wellness. The role requires travel up to 75% within the Central region and residence in Richmond or surrounding areas.

The position demands an RN or BH licensure with 3 years of clinical experience. Travel, a valid driver’s license, and ability to navigate multiple systems are essential.

Qualifications

  • RN/BH with current unrestricted Virginia state licensure required.
  • 3 years clinical experience.
  • Must reside in Richmond, Virginia or Surrounding Areas.
  • Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy.
  • Driver's License.

Responsibilities

  • Assess, plan, implement and coordinate all case management activities with members to evaluate medical needs and promote wellness.
  • Develops proactive course of action to address issues and enhance short/long-term outcomes.
  • Facilitates integration with Aetna programs and plans and applies clinical judgment to reduce risk factors.
  • Review prior claims to assess impact on current case management and eligibility.
  • Assess work capacity and related restrictions; refer to clinical resources as needed.
  • Present cases at case conferences for multidisciplinary focus and benefit to claims management.

Skills

RN/BH licensure (Virginia)
3 years clinical experience
Driver's license
Residence in Richmond, VA area

Education

RN Licensure with Associates Degree in Nursing
BH Licensure with Master's Degree

Job description

CVS Health in Virginia is seeking a Nurse Case Manager to assess, plan, implement, and coordinate case management activities for members, focusing on evaluating medical needs and promoting overall wellness. The role requires travel up to 75% within the Central region and residence in Richmond or surrounding areas.

The position demands an RN or BH licensure with 3 years of clinical experience. Travel, a valid driver’s license, and ability to navigate multiple systems are essential.

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