Case Management Coordinator
1 day ago
At CVS Health, we're committed to delivering exceptional patient care and outcomes. As a Case Management Coordinator, you'll play a vital role in our mission to make healthcare more personal, convenient, and affordable.
Program OverviewOur Dual Eligible Special Needs Plan (DSNP) is designed to serve Medicare and Medicaid members with complex health and social challenges. As a Case Management Coordinator, you'll collaborate with members, providers, and community organizations to address their full continuum of healthcare and social determinant needs.
Position Summary/MissionThe Case Management Coordinator utilizes critical thinking and judgment to inform the case management process, ensuring appropriate healthcare outcomes for members. You'll provide assistance with appointment scheduling, identify and assist with accessing benefits, and educate members through the use of care management tools and resources.
Fundamental Components- Evaluation of Members: Conduct comprehensive evaluations of referred members' needs/eligibility, recommending an approach to case resolution and/or meeting needs by evaluating member benefits and available internal and external programs/services.
- Identify high-risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as needed.
- Coordinate and implement assigned care plan activities and monitor care plan progress.
- Enhancement of Medical Appropriateness and Quality of Care: Utilize a holistic approach to consult with case managers, supervisors, Medical Directors, and/or other health programs to overcome barriers to meeting goals and objectives; present cases at case conferences to obtain multidisciplinary review to achieve optimal outcomes.
- Identify and escalate quality of care issues through established channels.
- Utilize negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
- Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
- Provide coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
- Help members actively and knowledgeably participate with their provider in healthcare decision-making.
- Monitoring, Evaluation, and Documentation of Care: Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
- Case management and discharge planning experience preferred.
- 2 years of experience in behavioral health, social services, or an appropriate related field equivalent to program focus.
- Managed Care experience preferred.
- Bachelor's degree or non-licensed master-level clinician with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling) or equivalent experience.
The typical pay range for this role is $40.90. 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 Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. 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.
-
Case Manager RN
2 days ago
Carson City, Nevada, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse Case Manager to join our team. As a RN Case Manager, you will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key ResponsibilitiesCompletes comprehensive assessments of...
-
RN Case Manager
3 weeks ago
Carson City, Nevada, United States WelbeHealth Full timeJob Title: RN Case ManagerAt WelbeHealth, we are seeking a highly skilled and compassionate Registered Nurse (RN) Case Manager to join our interdisciplinary team. As a RN Case Manager, you will play a vital role in delivering high-quality care to our vulnerable seniors.Job Summary:The RN Case Manager will be responsible for conducting comprehensive...
-
Case Management Director
2 days ago
Carson City, Nevada, United States Carson Tahoe Full timeAbout Carson Tahoe HealthCarson Tahoe Health is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). Our mission is to provide high-quality, patient-centered care to the communities we serve.Job SummaryThe Case Management Manager assists the Director of Integrated...
-
Case Management Director
1 day ago
Carson City, Nevada, United States Carson Tahoe Full timeAbout Carson Tahoe HealthCarson Tahoe Health is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). Our mission is to provide high-quality, patient-centered care to the communities we serve.Job SummaryThe Case Management Manager assists the Director of Integrated...
-
Nurse Case Manager
4 weeks ago
Carson City, Nevada, United States DaVita Full timeJob SummaryWe are seeking a skilled and compassionate Nurse Case Manager to join our team at DaVita. As a Home Hemodialysis Specialist, you will play a critical role in providing comprehensive patient care and education to patients with end-stage renal disease.Key ResponsibilitiesProvide patient education on home hemodialysis and empower patients to take...
-
Case Manager
7 hours ago
Carson City, Nevada, United States Nation's Finest Full timeJob Title: Case ManagerAt Nation's Finest, we are seeking a highly skilled and compassionate Case Manager to join our team. As a Case Manager, you will play a critical role in providing support and guidance to our clients, helping them to achieve their goals and improve their overall well-being.Job Summary:Using a holistic approach, you will work with...
-
Nurse Case Manager
2 days ago
Carson City, Nevada, United States DaVita Full timeJob Title: Registered Nurse PDWe are seeking a skilled and compassionate Registered Nurse to join our team as a Home Hemodialysis Nurse. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and education to individuals with end-stage renal disease.Key Responsibilities:Provide comprehensive patient care in an...
-
Nurse Case Manager
4 weeks ago
Carson City, Nevada, United States CenterWell Home Health Full timeAbout the RoleWe are seeking a skilled Registered Nurse Case Manager to join our Home Health team at CenterWell Home Health. As a key member of our clinical team, you will provide high-quality nursing care to patients in their homes, coordinating with healthcare professionals to ensure seamless care transitions.ResponsibilitiesProvide skilled nursing visits...
-
Home Health RN Case Manager
4 weeks ago
Carson City, Nevada, United States Mission Healthcare Full timeAbout UsMission Healthcare is a leading home healthcare provider dedicated to delivering high-quality, compassionate care to our patients. We are committed to improving the health and well-being of individuals in the comfort of their homes.Position OverviewWe are seeking a skilled and experienced Home Health RN Case Manager to join our team in Carson City....
-
Nurse Case Manager
2 weeks ago
Carson City, Nevada, United States DaVita Inc. Full timeJob Title: Nurse Case ManagerWe are seeking a skilled and compassionate Nurse Case Manager to join our team at DaVita Inc. As a Nurse Case Manager, you will play a vital role in providing high-quality patient care and ensuring the best possible outcomes for our patients.Responsibilities:Provide comprehensive patient care in an independent setting, applying...
-
Mental Health Case Manager
1 week ago
Carson City, Nevada, United States Carson Tahoe Full timeAbout Carson Tahoe HealthCarson Tahoe Health is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). Our hospitals are nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno.Job SummaryWe...
-
Travel Nurse RN Case Management
3 weeks ago
Carson City, Nevada, United States HealthEcareers - Client Full timeJob Title: RN - Case ManagementHost Healthcare is seeking a skilled Registered Nurse - Case Management to join their team in Los Angeles, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RN40 hours per weekShift: 12 hours, daysEmployment Type: TravelAs a Registered Nurse - Case Management, you will be responsible for providing...
-
Travel Nurse RN Case Manager
4 weeks ago
Carson City, Nevada, United States HealthEcareers - Client Full timeWe are seeking a skilled Travel Nurse RN Case Manager to join our team at HealthEcareers - Client in Los Angeles, California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelThe pay package is based on 12 hour shifts and 36 hours per week, with a tax-free stipend amount to be...
-
Clinical Case Manager
4 weeks ago
Carson City, Nevada, United States UHS Full timeAbout the RoleWe are seeking a highly skilled Clinical Case Manager to join our team at Mountain Youth Academy. As a key member of our clinical team, you will provide direct services and supportive functions to our patients, ensuring their needs are met and their well-being is prioritized.ResponsibilitiesConduct comprehensive assessments to identify patient...
-
Carson City, Nevada, United States CVS Full timeJob Title: RN Healthcare Case Manager ClinicAt CVS, we are seeking a skilled RN Healthcare Case Manager Clinic to facilitate the delivery of appropriate benefits and healthcare information, ensuring eligibility for benefits while promoting wellness activities.Key Responsibilities:Develop and implement Health Strategies, tactics, policies, and programs that...
-
Chronic Care Management Nurse Specialist
3 weeks ago
Carson City, Nevada, United States Gateway Electronic Medical Management Systems, Inc. Full timeChronic Care Management Nurse Job DescriptionWe are seeking a skilled and compassionate Chronic Care Management Nurse to join our team. As a Chronic Care Management Nurse, you will play a vital role in providing high-quality care to patients with chronic conditions.Key Responsibilities:Perform telephonic encounters with patients to develop and implement...
-
Chronic Care Management Nurse Specialist
4 weeks ago
Carson City, Nevada, United States Gateway Electronic Medical Management Systems, Inc. Full timeChronic Care Management Nurse Job DescriptionJob Summary:We are seeking a skilled and compassionate Chronic Care Management Nurse to join our team. As a Chronic Care Management Nurse, you will play a vital role in providing high-quality care to patients with chronic conditions. You will work closely with our healthcare partners to develop and implement...
-
Licensed Behavioral Health Manager
2 weeks ago
Carson City, Nevada, United States Accounting Now Full timeJob SummaryThis is a provider-facing role that involves some member-facing activities, such as collecting information and using clinical knowledge and expertise to ensure our members are directed to the appropriate level of care. The successful candidate will be responsible for managing psychiatric and substance abuse or substance abuse disorder...
-
Property Manager
2 weeks ago
Carson City, Nevada, United States Property Management Associates, Inc Full timeJob OpportunityProperty Management Associates, Inc. is seeking a highly skilled Property Manager to oversee the day-to-day operations of our 304-unit apartment community in Carson, CA. As a key member of our team, you will be responsible for ensuring the smooth management of the property, including rent collections, unit inspections, property inspections,...
-
Project Manager
2 days ago
Carson City, Nevada, United States Rose International Full timeJob Title: Project ManagerRose International is seeking a highly skilled Project Manager to lead the modernization of data systems for electronic application, enrollment, case management, and billing. The successful candidate will be responsible for planning, implementing, and managing the project from beginning to end.Key Responsibilities:Manage and...