[Hiring] Case Manager, Registered Nurse @CVS Health
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
The Nurse Case Manager is a full-time teleworker position. You will be responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
• Develop a proactive course of action to address issues presented to enhance short and long-term outcomes.
• Utilize clinical tools and information/data review to conduct evaluations of member's needs and benefit plan eligibility.
• Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers.
• Assess the member’s level of work capacity and related restrictions/limitations.
• Consult with supervisor and others to overcome barriers in meeting goals and objectives.
• Utilize case management processes in compliance with regulatory and company policies and procedures.
• Utilize interviewing skills to ensure maximum member engagement and discern their health status and health needs.
• Work requires the ability to perform close inspection of handwritten and computer-generated documents.
• Demonstrate proficiency with computer skills, including navigating multiple systems and keyboarding.
• Multitask, prioritize, and effectively adapt to a fast-paced changing environment.
• Demonstrate effective communication skills, both verbal and written.
Qualifications
• Must have active, current, and unrestricted RN (Registered Nurse) licensure in Arizona or Compact State RN licensure
• Must reside in Arizona
• 2+ years of experience as a RN (Registered Nurse) in a clinical work setting
• 1+ years of experience with MS Office suites applications
• 1+ years of medical terminology experience
• 2+ years of recent experience in maternal-child health nursing
• Must be willing and able to work Monday through Friday, 8:00am to 5:00pm in AZ time zone
Preferred Qualifications
• Experience working with SEN/NAS newborns
• Experience working with substance use disorder pregnant women
• Previous health plan case management experience
Education
• Associates degree required
• BSN preferred
Anticipated Weekly Hours
• 40
Time Type
• Full time
Pay Range
The typical pay range for this role is: $60,522.00 - $129,615.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Benefits
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
Apply Now
Apply Now
Role Description
The Nurse Case Manager is a full-time teleworker position. You will be responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
• Develop a proactive course of action to address issues presented to enhance short and long-term outcomes.
• Utilize clinical tools and information/data review to conduct evaluations of member's needs and benefit plan eligibility.
• Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers.
• Assess the member’s level of work capacity and related restrictions/limitations.
• Consult with supervisor and others to overcome barriers in meeting goals and objectives.
• Utilize case management processes in compliance with regulatory and company policies and procedures.
• Utilize interviewing skills to ensure maximum member engagement and discern their health status and health needs.
• Work requires the ability to perform close inspection of handwritten and computer-generated documents.
• Demonstrate proficiency with computer skills, including navigating multiple systems and keyboarding.
• Multitask, prioritize, and effectively adapt to a fast-paced changing environment.
• Demonstrate effective communication skills, both verbal and written.
Qualifications
• Must have active, current, and unrestricted RN (Registered Nurse) licensure in Arizona or Compact State RN licensure
• Must reside in Arizona
• 2+ years of experience as a RN (Registered Nurse) in a clinical work setting
• 1+ years of experience with MS Office suites applications
• 1+ years of medical terminology experience
• 2+ years of recent experience in maternal-child health nursing
• Must be willing and able to work Monday through Friday, 8:00am to 5:00pm in AZ time zone
Preferred Qualifications
• Experience working with SEN/NAS newborns
• Experience working with substance use disorder pregnant women
• Previous health plan case management experience
Education
• Associates degree required
• BSN preferred
Anticipated Weekly Hours
• 40
Time Type
• Full time
Pay Range
The typical pay range for this role is: $60,522.00 - $129,615.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Benefits
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
Apply Now
Apply Now