Case Manager, Registered Nurse
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Job Description
Remote RN case manager at CVS Health, coordinating personalized care and discharge planning for members nationwide. Advocating for access, quality outcomes, and cost-effective healthcare.
Responsibilities:
- Conduct comprehensive clinical assessments and identify care coordination needs
- Develop, implement, and monitor individualized case management plans
- Support inpatient review and discharge planning as appropriate
- Advocate for members to maximize benefits and access appropriate services
- Engage members through coaching, education, and motivational interviewing
- Identify and escalate quality-of-care concerns
- Deliver exceptional customer experience while collaborating with care teams and Medical Directors
Requirements:
- Active, unrestricted RN license in your state of residence
- Willingness to obtain additional state licenses
- 3+ years of acute care RN experience (Med-Surg or Critical Care preferred)
- Strong clinical judgment, decision-making, and organizational skills
- Associate Degree in Nursing (required)
- Compact or multi-state RN license (preferred)
- Certified Case Manager (CCM) (preferred)
- Telephonic case management or telephonic clinical experience (preferred)
- Monday–Friday availability, 9:00 AM–5:30 PM in the local time zone
- Late shift availability until 6:00 PM in the local time zone once per month
Benefits:
- Company-paid additional state licenses
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other well-being resources
- CVS Health bonus, commission or short-term incentive program eligibility
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