Case Manager RN

6 days ago


Springfield, Illinois, United States CVS Health Full time
Job Summary

CVS Health is seeking a skilled RN Case Manager to join our team. As a Case Manager RN, you will play a critical role in assessing, planning, implementing, and coordinating case management activities to evaluate the medical needs of our members and facilitate their overall wellness.

Key Responsibilities
  • Develop proactive case plans to address member issues and enhance short and long-term outcomes
  • Conduct thorough assessments of member needs, including co-morbid and multiple diagnoses, to inform care planning and resolution of member issues
  • Utilize clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators
  • Collaborate with supervisors and other stakeholders to overcome barriers and meet goals and objectives
  • Present cases at case conferences for multidisciplinary focus and benefit overall claim management
Requirements
  • Active, current, and unrestricted Illinois RN licensure
  • 2+ years of experience as an RN with med/surge experience, Emergency Department, and Telemetry
  • Ability to work Monday - Friday, 9:00am - 5:30pm, with occasional late shifts
  • Proficiency in Microsoft Office, including PowerPoint, Excel, and Word
Preferred Qualifications
  • 2+ years of Case Management experience
  • Certified Case Manager (CCM) certification
What We Offer

CVS Health offers a competitive salary range of $66,575.08 - $142,576.72, as well as a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also offer paid time off, paid holidays, and a fully-paid term life insurance plan.

Join our team and contribute to the delivery of enhanced human-centric healthcare for a rapidly changing world.


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