Case Manager RN

14 hours ago


Southfield, Michigan, United States CVS Health Full time
Transforming Healthcare with Compassion

CVS Health is committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Case Manager RN, you will play a vital role in elevating patient care to new heights.

Job Summary

This is a field-based position that requires 25-50% travel within Wayne and Macomb Counties. You will work from home and have the opportunity to work a 4-day, 10-hour work week after completing training.

Key Responsibilities
  • Assess, plan, implement, and coordinate case management activities with members to evaluate their medical needs and facilitate their overall wellness.
  • Develop proactive plans of care to address identified issues and enhance short and long-term outcomes.
  • Use clinical tools and information/data review to conduct evaluations of members' needs and benefits.
  • Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators that impact care planning.
  • Collaborate with supervisors and other key stakeholders in the member's healthcare to overcome barriers in meeting goals and objectives.
Requirements
  • Registered Nurse with an active MI state license in good standing.
  • Minimum 3+ years of clinical practical experience required.
  • Minimum 2+ years of Care Management, discharge planning, and/or home health care coordination experience required.
  • Ability to travel 25-50% within Wayne and Macomb Counties.
Preferred Qualifications
  • Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually.
  • Bilingual – Arabic or Spanish.
  • Past experience with Medicaid or the Waiver population.
  • Certified Case Manager is preferred.
What We Offer

CVS Health is committed to providing a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and an Employee Stock Purchase Plan. We also offer numerous well-being programs, education assistance, free development courses, and a CVS store discount.


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