FreshRemote.Work

Case Manager RN

Work At Home-Kansas

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.

Fully remote with requirement to work CST hours.

Required Schedule: Monday-Friday 8-5pm CST with flexibility needed to meet business needs.

Position Summary
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. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. 

Potential for minimal travel as business needs arise.

Required Qualifications

•  Active and good standing RN Compact License

• Minimum 3+ years clinical practical experience required with preference for the following backgrounds: 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 

Preferred Qualifications

•  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 reimburse expense

•  Bilingual preferred 


Education

•  Associates degree minimum required

•  BSN preferred

• Certified Case Manager is preferred. 

• Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required 

Pay Range

The typical pay range for this role is:

$54,095.60 - $116,760.80

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

We anticipate the application window for this opening will close on: 10/04/2024

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

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Job Profile

Regions

North America

Countries

United States

Restrictions

Bilingual preferred Fully remote Work CST hours

Benefits/Perks

401(k) Commission CVS Health bonus CVS store discount Dental 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 Holidays Life Insurance Medical Medical, dental, and vision benefits Paid holidays Paid Time Off Short-term incentive program Store discount Term Life Insurance Vacation Vision Vision Benefits Well-being programs

Tasks
  • Care coordination
  • Develop and implement health strategies
  • Facilitate delivery of benefits
  • Planning
  • Promote wellness activities
Skills

Acute care Analytical Bilingual Care Coordination Case Management Clinical Clinical coverage Communication Computer Discharge planning Excel Health care Healthcare Home health care coordination Insurance Interpersonal Keyboarding Medicare MS Word Multi-state RN licenses Navigating multiple systems Network management Organization Organizational Outlook Planning Post-acute care PowerPoint Problem-solving RN Software Applications Word

Experience

3 years

Education

Associates Associate's Degree BSN RN

Certifications

CCM CDMS Certified Case Manager COHN Compact License CRC CRRN RN

Timezones

America/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