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CVS Health logo
CVS Health

Bringing our heart to every moment of your health.

Case Manager, Registered Nurse – Medicare

ManagerManagerFull TimeRemoteSeniorTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Pennsylvania

Posted

47 days ago

Salary

$60.5K - $129.6K / year

Seniority

Senior

Associate Degree5 yrs expEnglish

Job Description

Case Manager, Registered Nurse – Medicare

CVS Health

• Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities • Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. • Use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.

Job Requirements

  • Active and unrestricted RN Compact licensure
  • Minimum 3+ years clinical practical experience preference: (Diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members
  • Minimum 2+ years Case Management, discharge planning and/or home health care coordination experience
  • Excellent analytical and problem-solving skills
  • Effective communications, organizational, and interpersonal skills
  • Ability to work independently (may require working from home)
  • Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
  • Efficient and Effective computer skills including navigating multiple systems and keyboarding
  • Willing and able to obtain multi state RN licenses if needed, company will provide
  • Certified Case Manager is preferred
  • Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required
  • Associates degree or Nursing diploma required. Bachelor’s degree preferred.

Benefits

  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • comprehensive benefits package

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