Case Manager RN

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary
 

This Case Manager RN position is 100% remote, no travel is expected with this position.

Normal Working Hours: Monday through Friday, 8 hour shift between 7am to 5pm Arizona time

The Nurse Case Manager is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members from our Federal Plans. The Case Manager is responsible to evaluate the medical needs of the member in order to facilitate and promote the member’s overall wellness. The Case Manager develops 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.

Required Qualifications

• Must have active, current and unrestricted RN licensure in state of residence and have the ability to be licensed in all non-compact states.

• 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

Preferred Qualifications

• Case management experience preferred

• Case Manager Certification

Education
Associate's degree required

BSN preferred

Pay Range

The typical pay range for this role is:

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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.