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CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca
Case Manager Registered Nurse (Remote, NY License)
Location
United States
Posted
89 days ago
Salary
$66.6K - $142K / year
Seniority
Lead
Job Description
Case Manager Registered Nurse (Remote, NY License)
CVS Health
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Job Summary: *Candidates must possess and active and unrestricted Registered Nurse License for the State of New York* The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. This role involves conducting comprehensive assessments to evaluate members’ needs and addressing SDoH challenges by connecting them with appropriate resources and support services. The Social Worker provides education and guidance to members and their families on managing chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes. Accurate and timely documentation of assessments and interventions is essential, as is participation in team meetings to discuss member status and care strategies. Key Responsibilities: - 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care. - Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member’s identified needs. - Provides evidence-based disease management education and support to help the member achieve health goals. - Ensure the appropriate members of the interdisciplinary care team are involved in the member’s care. - Provides care coordination to support a seamless health care experience for the member. - Meticulous documentation of care management activity in the member’s electronic health record. - Collaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition. - Identifies and connects members with health plan benefits and community resources. - Meets regulatory requirements within specified timelines. - The Care Manager RN supports other members of the Care Team through clinical decision making and guidance as needed. - Additional responsibilities as assigned by leadership to support team objectives, enhance operational efficiency, and ensure the delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members. Essential Competencies and Functions: - Ability to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements of this role. - Conduct oneself with integrity, professionalism, and self-direction. - Experience or a willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. - Familiarity with community resources and services. - Ability to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records. - Maintain strong collaborative and professional relationships with members and colleagues. - Communicate effectively, both verbally and in writing. - Excellent customer service and engagement skills. Required Qualifications - Must have active and unrestricted Registered Nurse (RN) licensure in the state of NY - Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the CM RN role. - Access to a private, dedicated space to conduct work effectively to meet The requirements of the position. - Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually. - Minimum 3+ years of nursing experience - Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience Preferred Qualifications - Experience providing care management for Medicare and/or Medicaid members. - Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health. - Experience conducting health-related assessments and facilitating the care planning process. - Bilingual skills, especially English-Spanish Education - Associate’s of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED) - Bachelor’s of Science in Nursing (BSN) (PREFERRED) License - Must have active and unrestricted Registered Nurse (RN) licensure in the state of NY Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/26/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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RN Digital OnCall Connect
OSF HealthCareOSF HealthCare, a multi-state corporation based in Peoria, Illinois provides compassionate, innovative medical care to over 1.5 million people in the Illinois and Michigan areas. O
Total Rewards "Your life - our Mission" OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF. Pay range for this position is $32.94 - $49.36/hour. Actual pay is based on years of licensure. This is an Hourly position. Overview POSITION SUMMARY: The Digital Care RN provides digital care to a diverse population of patients across OSF through technology across a variety of environments. The Digital Care RN provides patient care that includes comprehensive symptom assessment, patient education, preventative care, acute psychosocial support, and timely individualized age and developmentally appropriate care for the patients. Utilizes critical thinking, evidenced-based care and clinical decision support to guide practice. Performs ongoing communication and works to promote quality of care through collaboration with all care team members, patients and families. Acts as a patient advocate and resource to other health care providers. The RN demonstrates service excellence and accountability through recognizing the direct relationship between cost-effective and efficient provision of care and services including the impact of access to care. Schedule: This is a remote-working position after the on-site training and orientation period has been completed. Training and orientation is scheduled for 2-3 weeks. Nurses who live 60+ miles away can receive hotel accommodations. Qualifications REQUIRED QUALIFICATIONS: - Education: Associate degree in nursing - Experience: 2 years of recent RN experience - Licensure/ Certification: RN licensure in IL required before hire. Michigan RN License required within 6 months of hire. - Other Skills/ Knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem-solving skills, with the ability to be detail oriented. - Must be able to type 60 WPM - typing test will be administered. PREFERRED QUALIFICATIONS: - Education: BSN - Experience: 3 years of related acute or ambulatory clinical experience OSF HealthCare is an Equal Opportunity Employer.
Specialty Care Coordinator
Duly Health and CareDuly Health and Care, headquartered in Downers Grove, Illinois, is a physician-directed, multispecialty medical group founded in 1999 as DuPage Medical Group, w
Overview Position Highlights: - Full-Time, 40 hours/week - Location: Downers Grove. Travel Required. Benefits: - Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance. - Access to a mental health benefit at no cost. - Employer provided life and disability insurance. - $5,250 Tuition Reimbursement per year. - Immediate 401(k) match. - 40 hours paid volunteer time off. - A culture committed to community engagement and social impact. - Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met. The Specialty Care Coordinator is a critical member of our integrated specialty care team consisting of nurses, dietitians, pharmacists, care coordinators, and physicians. The Specialty Care Coordinator will be working in collaboration with the specialty care team, healthcare professionals, patients, and families to provide ongoing support and communication for patients with complex care, including chronic kidney disease (CKD), End-Stage Renal Disease (ESRD), congestive heart failure (CHF), and other complex cardiac conditions. Specialty Care Coordinators will support Specialty RN Care Managers, escalating clinical concerns and complex care needs as appropriate. This position does not require RN licensure, but must have strong clinical acumen, attention to detail, and the ability to navigate complex care environments. The primary focus of the role will be to improve patient outcomes, including delaying disease progression, avoiding unnecessary inpatient and emergency department utilization, supporting patient self-management, and contributing to better long-term outcomes. Specialty Care coordinators will be supported by predictive data to identify the highest risk patients and high-touch care workflows that integrate with Duly’s primary and specialty care providers. While primarily conducted via telecommunication, this role may necessitate potential for periodic in-person collaboration with the specialty care team. This individual acts as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up. The Specialty Care Coordinator is responsible for making sure the patient’s care at various locations is connected and there are no gaps in care or communication. Responsibilities - Conducts scheduled telephonic outreach to high-risk and complex patients to understand their needs, track how they are following their care plan, and connect them with appropriate resources. - Performs outbound calls to providers to make appointments for patients or follow up on care and answers inbound calls from patients, providers, and other resources. - Maintain proactive communication with Physicians, APPs, PCP offices and other clinical partners to ensure timely clinical escalation, alignment with treatment plans, and coordination of services - Follows up with patients to ensure their needs are met and schedules future check-ins. 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Qualifications Education - Active Medical Assistant (MA) certification or equivalent clinical credential (e.g., CNA, EMT, CHW with experience) - Familiarity with Certified Case Manager program - Knowledge of Chronic conditions; kidney disease and congestive heart failure. - Minimum 2 years of experience in care coordination or ambulatory care for cardiac or kidney care, preferred. - Prior experience interacting with patients primarily via telecommunication, preferred. - Ability to work independently and efficiently in a remote environment. - Excellent verbal communication: Capable of interacting with, and relating to, people of varying educational levels and backgrounds, conveying information clearly and succinctly, applying listening, tact, responsiveness, empathy, and confidentiality. Effective in communicating verbally with other staff and departments related to the job responsibilities. - Organization: Able to provide order and structure to daily processes and work environment. 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Company Description Statistics show that women and underrepresented groups tend to apply to jobs only if they meet 100% of the qualifications. Sobi encourages you to change that statistic and apply. Rarely do candidates meet 100% of the qualifications. We look forward to your application! At Sobi, each person brings their unique talents to work as a team and make a difference. We are dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease. Our edge comes from our team of people and our commitment to patients. Our mission and culture at Sobi North America get us excited to come to work every day, but here are a few more reasons to join our team: - Competitive compensation for your work - Generous time off policy - Summer Fridays - Opportunity to broaden your horizons by attending popular conferences - Emphasis on work/life balance - Collaborative and team-oriented environment - Making a positive impact to help ultra-rare disease patients who are in need of life saving treatments Job Description The Medical Science Liaison / Senior Medical Science Liaison functions as a highly trained, field-based, scientific expert who engages healthcare professionals to exchange clinical, scientific, and research knowledge. Following regulatory and corporate guidelines, they will facilitate and build scientific relationships and collaborations with the medical/scientific community. This position interacts with local, regional, and national HCPs, societies, and organizations. The MSL position is to provide educational, scientific, and research support for the SOBI rare disease portfolio of products in the hematology franchise. This is a remote position that requires up to 60% of travel. The candidate will have to reside within the territory: Mid West (IL, IA, MO, IN) Key Responsibilities - Appropriately interact with key thought leaders and healthcare professionals. In an accurate, fair, and balanced manner, exchange scientific information with external parties - Function as the primary point of contact in the field (Pacific Northwest) for Sobi Medical Affairs - Report field intelligence to Sobi including competitive information, perspectives about compounds, disease state, and the treatment landscape - Provide support to the Sobi clinical development and operations teams through site recommendations, site initiation visits, facilitation of communication, and accrual support activities. - Participate in or lead advisory board meetings at the local, regional, and national level - Provide internal and external training about preclinical science, clinical data, and outcomes - Represent Sobi at medical conferences and provide session summaries - Within guidelines, provide cross-functional support across the company by being a scientific resource - Develop and maintain an advanced level of knowledge about pertinent studies, compounds, and diseases that would facilitate collegiate and scientific discussions with leading hematology/oncology thought leaders - Consistently demonstrate a high standard of excellence in the management of assigned territory while also supporting and contributing to the success of colleagues and the MSL organization as a whole - Frequent travel by ground and/or air is required. 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Additional Information Compensation and Total Rewards at Sobi At Sobi, we are dedicated to providing our employees with a comprehensive and industry-competitive total rewards package. Our compensation philosophy is designed to recognize and reward talent, ensuring that your contributions are valued and reflected in your overall rewards. Your total compensation at Sobi goes beyond just your base salary and annual bonus. It also includes a robust suite of benefits, such as: - A competitive 401(k) match to support your financial future. - Tuition and wellness reimbursements to invest in your personal and professional growth. - A comprehensive medical, dental, and vision package to prioritize your health and well-being. - Additional recognition awards to celebrate your achievements. The base salary range for this role is $148,000 – $210,000. Each individual offer will be determined based on several factors, including your experience, qualifications, and location. Additionally, this role is eligible for both short-term and long-term bonuses, as outlined in the plan details. All Sobi employees need to demonstrate behaviors in line with Sobi's core values: Care, Ambition, Urgency, Ownership and Partnership. Are you ready to be on the Sobi team? Come join a culture that empowers every person to be the person that makes a difference for rare disease. Why Join Us? We are a global company with over 1,700 employees in more than 30 countries and are committed to the societies where we operate. With a deeply skilled management team directing our day-to-day wins, and a Board with a stellar track record, we’re ready to take on the world’s diseases, ailments and adversity. Our people believe they have the power to make a positive impact in others’ lives because that’s exactly what we do here. If you’re seeking a career that taps into your talents in a way that makes the world a better, healthier place, we just may have a job for you. We know our employees are our most valuable asset, and our culture conveys that. We offer a competitive benefits package, to support the health and happiness of our staff. Sobi Culture At Sobi, we refuse to accept the status quo. This is because we have witnessed first-hand the challenges facing those affected by rare diseases, and have used this knowledge to shape our business to find new ways of helping them. As a specialized biopharmaceutical company, we are dedicated to rare diseases. And we see this focus as a strength. By effectively turning our research into ground-breaking treatments, we help make medicine more accessible and open up more possibilities for patients and more opportunities for those caring for them. This has been our approach since day one, but we know we can’t change the world of rare diseases on our own. Accomplishing this requires strong partnerships with patients, partners and stakeholders across the entire value chain. Together, we define how our business can create solutions that serve the needs of those affected by rare diseases while facilitating sustainable growth. An Equal Opportunity Employer Sobi is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions at Sobi are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity, protected veterans and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status or protected groups by the laws or regulations in the locations where we operate. Sobi is an affirmative action and equal opportunity employer. Disabled/Veterans. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to use or access this website to apply for a vacancy as a result of your disability. You can request reasonable accommodations by sending an email to [email protected] COVID-19 Policy For the safety of our employees and all individuals with whom we interact professionally, Sobi North America requires all new hires in the U.S. to be fully vaccinated for COVID-19 with proof of vaccination status. We will consider requests for reasonable medical or religious accommodations, as well as any state-specific exemptions, as required by applicable law. - Sobi Location: United States
Temporary Telehealth Nurse Practitioner (CA License required)
Greater Good HealthGreater Good Health is a healthcare organization focused on delivering high-quality, accessible care for adults, with a particular emphasis on senior population
Job Title: Part Time Telehealth Nurse Practitioner Schedule: Coverage/Per Diem Job Location: Remote/virtually - MUST have CA NP license, DEA & be board certified Company Description: Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities. Our innovative model is led by Nurse Practitioners and focused on outcomes, not volume—meaning we prioritize quality over quantity, spend more time with our patients, and are accountable for their health and well-being. Whether through our own senior-focused primary care clinics or our suite of integrated clinical solutions for health plans and provider groups, we are making value-based care more accessible and more effective. We help reduce avoidable healthcare costs, improve clinical outcomes, and create a best-in-class patient experience. If you're passionate about transforming healthcare and delivering meaningful care to those who need it most, Greater Good Health offers a purpose-driven, collaborative, and supportive environment where your work can make a lasting impact. The Role: As a Nurse Practitioner at Greater Good Health, you'll be at the heart of our mission to provide exceptional care to our senior Medicare patients. We want our clinicians to take the time needed to address the patient's needs and concerns. Your responsibilities will include: - Support highly complex patients, assisting them in navigating a challenging healthcare system, and providing one-on-one patient care they need and deserve - Provide patient education, create dedicated care plans, and provide clinical guidance to an integrated care team all with the best interest of the patient as the guiding principle - Work closely with Integrated Care team to provide superior care for our dialysis patient population - Function both autonomously, and in collaboration with all members of the healthcare team to coordinate and facilitate high quality, cost-effective care - Provide coordinated care services between the patient, family, physicians, additional providers, and other care team members - Administering various tests and screenings - Performs Comprehensive Health Assessments and Health Risk Assessments, which require a holistic view of health and a focus on thoughtful, accurate, and specific clinical coding and documentation. - Maintaining strict confidentiality in line with HIPAA regulations What You Can Expect: This is a coverage/per diem Nurse Practitioner opportunity (M-F schedule with the ability to be flexible and to adjust based on patient and nephrology partner needs). This role will solely be virtual visits. This position is temporary until we can find someone boots on the ground/local to NorCal who can perform in home assessments. We will do our best to retain the NP hired for this role; utilizing him/her/they for other clients potentially. We're seeking candidates who are passionate about providing top-quality care and are dedicated to expanded access to comprehensive healthcare. If you're enthusiastic about establishing personal connections, providing exceptional patient education, and embracing a holistic approach to care, you are the ideal candidate to embody Greater Good Health's values and make a difference in every patient's life. Experience and Qualifications - Current California Nurse Practitioner license - Board Certified NP in good standing - Nurse Practitioner certification from either the ANCC / AANP - 2 + years of clinical experience as a NP in either Primary Care, Family Medicine, Internal Medicine, Gerontology or Palliative Care. Home care experience is a plus - Working knowledge of chronic care management and various medication options - Current DEA licensure / Prescriptive Authority post-hire - Active CPR/BLS Certification - Must have knowledge/history working with HCCs - Current California Driver’s License Perks and Benefits (if eligible): - Competitive Compensation Package: We offer a competitive compensation package to recognize your valuable contributions and ensure your financial security. - 401K Program with Company Match: Plan for your future with our 401K program, featuring a company match, to help you save for retirement. - Monthly Phone/Internet Reimbursement: Stay connected with our monthly phone and internet reimbursement, ensuring you have the tools you need to excel in your role. - License Reimbursements: We offer reimbursement for a number of licenses and certifications that we require as a condition of employment; DEA, License, Board Certification, and ALS/BLS. - Continuing Education Credits: Take advantage of CE credits available through the GGH Institute, approved by the AANP, to expand your knowledge and skills in your field. - Collaborative and Supportive Community: Join our collaborative and supportive GGH Nurse Practitioner Community, with dedicated care coordinators and MD advisors, to foster professional growth and success. - Malpractice Coverage: Rest easy knowing you're covered with malpractice insurance ensuring peace of mind as you provide Don’t check off every box in the requirements listed above? Please apply anyway! Studies have shown that marginalized communities - such as women, LGBTQ+ and people of color - are less likely to apply to jobs unless they meet every single qualification. GGH is dedicated to building an inclusive, diverse, equitable, and accessible workplace that fosters a sense of belonging – so if you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, we encourage you to still consider applying. You may be just the right candidate for this role or another one of our openings!
