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Case Manager, RN
Location
Arizona
Posted
21 hours ago
Salary
$60.5K - $129.6K / year
Seniority
Senior
Job Description
Case Manager, RN
CVS Health
• Responsible for telephonically assessing, planning, implementing and coordinating all case management activities • Evaluate the medical needs of the member in order to facilitate and promote the member’s overall wellness • Develop a proactive course of action to address issues presented to enhance the member's short and long term outcomes • Apply data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs • Conduct comprehensive clinical assessments • Evaluate needs and develop flexible approaches based on member needs, benefit plans or external programs/services • Advocate for patients to the full extent of existing health care coverage • Promote quality, cost-effective outcomes, and make suggestions to improve program/operational efficiency • Identify and escalate quality of care issues through established channels • Provide an expected very high level of customer service • Utilize assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change • Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
Job Requirements
- Must have active, current and unrestricted RN licensure in state of residence
- Must be willing and able to work Monday through Friday, 8 hour shift between 7am to 5pm Arizona time
- Must live in either PST, MST, or Arizona Time zones
- 3+ years of clinical practice experience required
- 1+ years of experience utilizing MS Office suites
- Case management experience preferred
- Case Manager Certification preferred
- Associate's degree required
- BSN preferred
Benefits
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
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