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Case Manager, Registered Nurse - Field MI
Location
Michigan
Posted
2 days ago
Salary
$60.5K - $129.6K / year
Seniority
Senior
Job Description
Case Manager, Registered Nurse - Field MI
CVS Health
• Visiting members in their homes to evaluate for appropriateness for waiver services, writing the waiver and submitting for approval. • Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. • Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. • Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. • Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. • Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. • Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. • Utilizes case management processes in compliance with regulatory and company policies and procedures. • Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
Job Requirements
- Registered Nurse with active MI state license in good standing.
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually.
- Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise.
- Excellent analytical and problem-solving skills.
- Effective communications, organizational, and interpersonal skills.
- Ability to work independently.
- Effective computer skills including navigating multiple systems and keyboarding.
- Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint.
Benefits
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
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