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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
Location
Pennsylvania
Posted
103 days ago
Salary
$60.5K - $129.6K / year
Seniority
Senior
Job Description
Case Manager, Registered Nurse
CVS Health
• Key member of Special Needs Plan (SNP) care team, responsible for coordinating care for members • Conduct comprehensive assessments and address SDoH challenges • Provide education and guidance to members and their families • Develop and implement individualized care plans and monitor member progress • Accurate documentation of assessments and interventions in electronic health record • Participate in team meetings to discuss member status and care strategies • Collaborate with interdisciplinary care team for optimal health outcomes • Identify and connect members with health plan benefits and community resources • Comply with regulatory requirements and timelines
Job Requirements
- Active and unrestricted Registered Nurse (RN) licensure in the state of Pennsylvania (PA) OR Compact Registered Nurse (RN) licensure in state of residence
- Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams
- Access to a private, dedicated space to conduct work effectively
- 3+ years of nursing experience
- 2+ years of case management, discharge planning and/or home healthcare coordination experience
- Experience providing care management for Medicare and/or Medicaid members (preferred)
- Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health (preferred)
- Bilingual skills, especially English-Spanish (preferred)
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
- 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
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