Case Manager RN

3 weeks ago

Schenectady, United States CVS Health Full time

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.

Sign on Bonus - Qualifying candidates may be eligible for up to a $7,500 sign on bonus upon hire.

Program Overview

Help us elevate our patient care to a whole new level Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country.

Position Summary/Mission

This is a field-based role based near Brooklyn. Qualified candidates must live within a commutable distance from this area.

Work Schedule: Monday Friday, 8AM-5PM EST

Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the members overall wellness. We are seeking a self-motivated, detail-oriented, tech-savvy RN to join our case management team. RN Case Managers are responsible for telephonically and/or face-to-face assessing, planning, implementing and coordinating all case management activities with members to evaluate their medical needs and to coordinate care to assist with managing their overall wellness.

Fundamental Components

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 members 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 members 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.

Required Qualifications

  • Active and unrestricted NY RN licensure
  • 2+ years of clinical experience
  • Minimum 2+ years Care Management, discharge planning and/or home health care coordination experience
  • Willing and able to travel 50-75% to complete field visits to members, as needed in Brooklyn, NY
  • Must have reliable transportation, active drivers license and proof of vehicle insurance.

Preferred Experience

  • Previous experience with insurance
  • UAS-NY certification preferred
  • LTSS experience preferred
  • Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
  • 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, as well as some special proprietary applications

Education

  • Associate's degree or Nursing Diploma Required

Pay Range

The typical pay range for this role is:

$66,575.08 - $142,576.72

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 Companys 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: 12/27/2024

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

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work. CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.RequiredPreferredJob Industries
  • Other

  • Professional, Case Manager

    3 weeks ago

    Schenectady, United States MVP Health Care Full time

    Professional, Case ManagerHeadquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2121Wednesday, August 7, 2024Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The...

  • Professional, Case Manager

    4 months ago

    Schenectady, United States MVP Health Care Full time

    Job DescriptionProfessional, Case ManagerHeadquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2121Wednesday, August 7, 2024Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for...

  • Professional, Case Manager

    5 months ago

    Schenectady, United States MVP Health Care Full time

    Professional, Case ManagerHeadquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2121Wednesday, August 7, 2024Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The...

  • Case Manager

    2 days ago

    Schenectady, New York, United States MVP Health Care Full time

    MVP Health Care, a nationally recognized not-for-profit health insurer, is seeking a skilled Case Manager to join its team.About the RoleThis position will utilize an integrated Case Management model to assess, plan, implement, and monitor care coordination for designated members. The successful candidate will work collaboratively with an interdisciplinary...

  • Professional, Hospital Case Manager

    3 weeks ago

    Schenectady, United States MVP Health Care Full time

    Professional, Hospital Case Manager625 State St, Schenectady, NY 12305, USA Req #2261Tuesday, November 12, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you have a passion for...

  • Professional, Hospital Case Manager

    3 weeks ago

    Schenectady, United States MVP Health Care Full time

    Job DescriptionProfessional, Hospital Case Manager625 State St, Schenectady, NY 12305, USA Req #2261Tuesday, November 12, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If...

  • Professional, Hospital Case Manager

    1 month ago

    Schenectady, United States MVP Health Care Full time

    Professional, Hospital Case Manager625 State St, Schenectady, NY 12305, USA Req #2261Tuesday, November 12, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you have a passion for...

  • Healthcare Case Manager

    3 weeks ago

    Schenectady, New York, United States MVP Health Care Full time

    MVP Health Care is a nationally recognized, not-for-profit health insurer dedicated to providing exceptional care to its members in New York and Vermont. We are committed to the complete well-being of our members and the communities we serve, making health insurance more convenient, supportive, and personal.The base salary for this role is estimated at...

  • RN Care Manager

    1 month ago

    Schenectady, United States SUNNYVIEW REHABILITATION HOSPITAL Full time

    Job DescriptionRN Care Manager-Sunnyview Acute Rehab Hospital -Full TimeIf you are looking for a Full-Time non-bedside RN position in Case Management in the Schenectady, NY area, this could be your opportunity. Sunnyview Rehab Hospital is our Premier State-of-the-Art physical rehab hospital. Here at St. Peter's Health Partner's, we care for more...

  • Case Manager, Medicaid Long Term Support Program

    2 weeks ago

    Schenectady, United States MVP Health Care Full time

    Case Manager, Medicaid Long Term Support Program625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA Req #2302Friday, December 13, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Case...

  • Registered Nurse

    2 weeks ago

    Schenectady, United States Schenectady Center Full time

    Schenectady Center is hiring a Registered Nurse (RN) Unit Manager in Schenectady, NY. We are now offering a $5,000 sign-on bonus!!!Duties:Handle all supervisory duties for assigned unitHelp establish and implement employee policies and proceduresMentor less experienced nurses, offering clinical & career adviceMaintain the standards of care for the...

  • Registered Nurse

    2 weeks ago

    Schenectady, United States Schenectady Center Full time

    Schenectady Center is hiring a Registered Nurse (RN) Unit Manager in Schenectady, NY. We are now offering a $5,000 sign-on bonus Duties: Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses, offering clinical & career advice Maintain the standards of care for...

  • Registered Nurse

    3 months ago

    Schenectady, United States HealthEcareers - Client Full time

    Schenectady Center is hiring a Registered Nurse (RN) Unit Manager in Schenectady, NY. We are now offering a $5,000 sign-on bonus!!! Duties: Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses, offering clinical & career advice Maintain the standards of care...

  • Registered Nurse

    2 weeks ago

    Schenectady, United States Schenectady Center Full time

    Job DescriptionSchenectady Center is hiring a Registered Nurse (RN) Unit Manager in Schenectady, NY. We are now offering a $5,000 sign-on bonus!!! Duties: Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses, offering clinical & career advice Maintain the standards...

  • RN Care Manager

    2 months ago

    Schenectady, United States St. Peter's Health Partners Full time

    Job DescriptionEmployment TypeFull timeShiftDay ShiftDescriptionRN Care Manager-Sunnyview Acute Rehab Hospital -Full TimeIf you are looking for a Full-Time non-bedside RN position in Case Management in the Schenectady, NY area, this could be your opportunity. Sunnyview Rehab Hospital is our Premier State-of-the-Art physical rehab hospital. Here at St....

  • RN Care Manager

    2 months ago

    Schenectady, United States Trinity Health Full time

    Employment Type: Full time Shift: Day Shift Description: RN Care Manager -Sunnyview Acute Rehab Hospital -Full Time If you are looking for a Full-Time non-bedside RN position in Case Management in the Schenectady, NY area, this could be your opportunity. Sunnyview Rehab Hospital is our Premier State-of-the-Art physical rehab hospital. Here at St. Peter's...

  • Professional, Hospital Case Manager

    2 weeks ago

    City of Schenectady, NY, United States MVP Health Care Full time

    625 State St, Schenectady, NY 12305, USA Req #2261 Tuesday, November 12, 2024 At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for a Hospital Case Manager to join #TeamMVP. If you have a passion for patient advocacy,...

  • RN Care Manager

    1 month ago

    Schenectady, NY, United States SUNNYVIEW REHABILITATION HOSPITAL Full time

    Job DescriptionRN Care Manager-Sunnyview Acute Rehab Hospital -Full TimeIf you are looking for a Full-Time non-bedside RN position in Case Management in the Schenectady, NY area, this could be your opportunity. Sunnyview Rehab Hospital is our Premier State-of-the-Art physical rehab hospital. Here at St. Peter's Health Partner's, we care for more people in...

  • RN Care Manager

    1 month ago

    Schenectady, NY, United States SUNNYVIEW REHABILITATION HOSPITAL Full time

    Job DescriptionRN Care Manager-Sunnyview Acute Rehab Hospital -Full TimeIf you are looking for a Full-Time non-bedside RN position in Case Management in the Schenectady, NY area, this could be your opportunity. Sunnyview Rehab Hospital is our Premier State-of-the-Art physical rehab hospital. Here at St. Peter's Health Partner's, we care for more people in...

  • Travel Nurse

    3 weeks ago

    Schenectady, United States Epic Travel Staffing Full time

    Travel Nurse (RN) Med/Surg (Medical-Surgical) at Epic Travel Staffing summary: As a Travel Nurse (RN) specializing in Medical-Surgical care, I provide essential nursing services to patients with a focus on neuro-related cases. My role involves managing patient care with a 1:5-7 nurse-to-patient ratio during night shifts, ensuring quality support in...