Case Manager, Registered Nurse
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Job Description
Remote registered nurse case manager coordinating personalized care, utilization reviews, and hospital-to-home transitions. Supporting CVS Health’s connected, compassionate healthcare experience.
Responsibilities:
- Administer the care coordination plan to assess patient needs and ensure seamless transitions between care settings
- Analyze complex patient data from medical history, diagnostic test results, and treatment plans
- Apply case management and nursing knowledge to organize patient files
- Communicate through internal platforms to exchange messages, conduct video conferences, share files, and collaborate on patient care plans
- Conduct routine utilization reviews to ensure access to appropriate cost-effective care
- Configure the case management system for disease management and utilization review
- Track patient progress and manage specific conditions
- Coordinate analytics projects and generate reports on key performance health indicators
- Design processes for safe and timely discharge transitions from hospital to home
- Develop resource management using community resources
- Advocate for patients and coordinate services across healthcare providers
Requirements:
- 5+ years of relevant work experience
- Active and unrestricted Registered Nurse Licensure in state of residence
- Working knowledge of problem solving and decision making skills
- Working knowledge of medical terminology
- Working knowledge of digital literacy skills
- Ability to deal tactfully with customers and community
- Ability to handle sensitive information ethically and responsibly
- Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option
- Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients
- Associate’s Degree in Nursing (REQUIRED)
- Direct/hardwired internet connection to a modem/router within 7 feet of the computer
- Minimum internet speed of 25 Mbps download and 3 Mbps upload
- WiFi and satellite internet are not permitted
- Quiet, secure and private designated home virtual work location compliant with CVS Health and HIPAA guidelines
- Must work within the state and city where currently living
- Must provide own workspace furniture
- Must obtain required internet speeds and adhere to Work From Home requirements if hired
Benefits:
- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- Company-provided equipment (keyboard, monitor, computer, headset, etc.)
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