Case Manager RN
Work At Home-Colorado
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 with Aetna’s National Medical Excellence (NME) team and is a fully remote position. Candidates from any state are welcome to apply, however, requirement is for candidates to hold a compact RN license or having all 50 state licenses. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
Normal Working Hours: Monday-Friday 8:00am-5:00pm in the time zone of residence. There are currently no nights, no weekends, and no holidays! This is subject to change based on business needs.
Required Qualifications
- Must have an active, current and unrestricted compact RN licensure in the state of residence or have all 50 state licenses
- 5+ years clinical practice experience as an RN
- 6+ months Case Management or Utilization Management experience
- Must be willing and able to work Monday through Friday 8:00am to 5:00pm in the time zone of residence. There are currently no nights, no weekends, and no holidays; however, is subject to change based on business needs.
- Must be able to obtain multi state RN licensures (expense paid for by organization)
Preferred Qualifications
- 2+ years’ experience in critical care
- Case Management Certification
- Transplant experience
- Managed Care Experience
Education
Associate Degree required
BSN preferred
Pay Range
The typical pay range for this role is:
$60,522.80 - $129,615.20This 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.
ApplyJob Profile
Fully remote Fully remote position Must hold compact RN license or all 50 state licenses No weekends
Benefits/Perks401(k) Commission CVS Health bonus CVS store discount Dental Dental benefits Development courses Disability benefits Discount Programs Education assistance Employee Stock Purchase Employee stock purchase plan Free development courses Full range of medical, dental, and vision benefits Full-time Fully-paid term life insurance Fully remote Fully remote position Health Care Holidays Life Insurance Medical Medical benefits Medical, dental, and vision benefits No weekends Paid holidays Paid Time Off Short-term incentive program Store discount Term Life Insurance Vacation Vision Vision Benefits Well-being programs
Tasks- Assess
- Assessing
- Coordinate case management activities
- Coordinating
- Implement
- Plan
- Planning
C Case Management Clinical Clinical Practice Critical care Health care Insurance Managed Care Organization Planning R RN RN license RN licensure Telehealth Transplant Utilization management
Experience5 years
EducationAssociate Associate degree BSN RN RN license
CertificationsCase management certification Compact RN license Licensure RN RN License RN licensure
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9