Case Manager RN
7 days ago
At CVS Health, we are committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Case Manager RN, you will play a critical role in driving the delivery of quality healthcare to our members.
Job Summary:This is a remote Case Manager opportunity with 50 to 75% field travel in Union County and surrounding counties. The working schedule is Monday - Friday 8am-5pm EST.
Key Responsibilities:- Develop, implement, support, and promote health service strategies, policies, and programs that drive the delivery of quality healthcare to our members.
- Conduct face-to-face visits in members' homes utilizing comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/FIDE).
- Coordinate and collaborate care with the member/authorized representative, PCP, and any other care team participants.
- Develop a care plan and authorize services in a cost-effective manner within the MLTSS/FIDE benefit.
- Document accurately and timely in the member's electronic health record.
- 3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care.
- Active and unrestricted RN license in NJ.
- Must reside in Union county or an adjacent county.
- Willing and able to travel 50 to 75% in Union County and surrounding counties.
- Successful completion of the NJ Choice certification is a contingency of employment.
- Case management and/or discharge planning experience.
- Managed Care experience.
- Crisis intervention skills.
CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and an 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.
As a CVS Health colleague, you will have access to free development courses, a CVS store discount, and discount programs with participating partners. You will also enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.
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