Professional HIV/AIDS RN Care Manager

15 hours ago


Miami, Florida, United States CVS Health Full time
About the Role: CVS Health is seeking a highly skilled RN Care Manager to manage care management needs of Florida Medicaid members with a history of HIV/AIDS. As a vital member of our team, you will drive and support care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). You will utilize advanced clinical judgment and critical thinking skills to facilitate appropriate member physical and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes.

Responsibilities:
* Conduct telephonic and/or face-to-face assessments, develop proactive courses of action, and facilitate short and long-term outcomes for members with medical and behavioral health needs.
* Utilize clinical tools and information/data review to conduct comprehensive assessments of member's needs, recommend approaches to case resolution, and align with benefit plans and available internal and external programs and services.
* Apply clinical judgment to incorporate strategies designed to reduce risk factors and address complex health and social indicators impacting care planning and resolution of member issues.

Required Qualifications:
* Active unrestricted RN license in FL
* Must reside in the Miami Dade or Broward County
* Bilingual in Spanish
* 2+ years' experience in managing members newly diagnosed and/or with a history of human immunodeficiency virus (HIV) and/or acquired immunodeficiency syndrome (AIDS)
* 3+ years clinical practice experience, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
* 2+ years' experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)

Salary Range: $54,095.60 - $116,760.80 per year, depending on experience.

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