Field-Based Case Manager RN

1 week ago


Loves Park, Illinois, United States CVS Health Full time

Job Summary:

CVS Health is seeking a skilled Field-Based Case Manager RN to join our team. As a key member of our organization, you will be responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs and facilitate their overall wellness.

Key Responsibilities:

  • Conduct telephonic and face-to-face assessments to evaluate member needs and develop proactive courses of action to address issues presented.
  • Develop and implement care plans to enhance short and long-term outcomes and opportunities for member wellness.
  • Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators that impact care planning and resolution of member issues.
  • Consult with supervisors and others to overcome barriers in meeting goals and objectives, and present cases at case conferences for multidisciplinary focus to benefit overall claim management.

Requirements:

  • Minimum 3 years of clinical practice experience required.
  • Current Active unrestricted RN licensure in the state of IL required.
  • Willing and able to travel 50-75% of their time to meet members face-to-face in Winnebago County, IL and surrounding areas.

Preferred Qualifications:

  • Case Management in an integrated model preferred.
  • Experience working with adults with Behavioral Health needs preferred.
  • Long Term care experience in Nursing Home setting preferred.

About CVS Health:

CVS Health is a leading healthcare company that puts its heart into caring for its colleagues and communities. We offer a range of benefits, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also provide a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs.



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