Case Manager RN

13 hours ago


Trenton, New Jersey, United States CVS Health Full time
Transforming Patient Care at CVS Health

At CVS Health, we're committed to delivering exceptional patient care and transforming the healthcare experience. As a Case Manager RN, you'll play a vital role in our Community Care team, utilizing best-in-class operating and clinical models to serve our members.

Key Responsibilities:
  • Collaborate with members, providers, and community organizations to address the full continuum of care and social determinants.
  • Implement and coordinate case management activities, including consultant referrals, home care visits, and community resource utilization.
  • Assess and analyze member medical and vocational status, developing plans to optimize wellness and medical outcomes.
  • Communicate with members and stakeholders, preparing documentation and interacting with internal teams as needed.
  • Apply laws and regulations, adhering to company policies and procedures.
Requirements:
  • Active and unrestricted NJ RN Compact License
  • Minimum 3+ years clinical practice experience
  • Minimum 2+ years Case Management, discharge planning, and/or home health care coordination experience
  • Ability to travel up to 25% within a designated geographic area
Preferred Qualifications:
  • Experience working with Medicare members with diabetes, CHF, CKD, post-acute care, hospice, palliative care, and/or cardiac
  • Managed care experience
  • Excellent analytical and problem-solving skills
  • Effective communications, organizational, and interpersonal skills

At CVS Health, we offer a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We're committed to creating a diverse and inclusive work environment, where everyone feels empowered to make a difference in the lives of our members.


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