Case Manager RN - Work From Home - MST or PST

Position Summary

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

This RN Case Manager position is 100% remote and candidates are required to live in PST or MST. Preference is for an RN with Compact RN licensure. Normal

Working Hours:

Monday through Friday 8am-5pm in time zone of residence with requirement to flex time to meet member/business needs.

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 overall wellness.

• Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.
• Through the use of clinical tools and information/data review (e.g., assessments, claims, etc…) conducts an evaluation of member’s needs and available benefits to collaborate and refer to programs offered by the plan sponsor.
• Applies clinical judgment to reduce risk factors, address complex health issues and social indicators.
• Utilizes case management processes in compliance with regulatory and company policies and procedures.
• Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

• This role involves using a computer station with multiple screens, operating multiple programs simultaneously, and sitting for extended periods of time.
• A private designated workspace free of distractions and high-speed internet is needed for this position.

• Must have an active and unrestricted RN license in state of residence, preferably compact
• RN living in MST, or PST Time Zone
• Willingness and ability to obtain additional state licenses upon hire (paid for by the company)
• 3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)

• Compact RN licensure
• 1+ years of case management experience
• Certified Case Manager (CCM) certification
• Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.
• Experience with all types of Microsoft Office including PowerPoint, Excel, and Word
• Strong telephonic communication skills
• 1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone.
• Transgender certification

• Associates in nursing
• BSN

40

Full time

The Typical Pay Range For This Role Is $66,575.00 - $. 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.

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our…