Registered Nurse Case Manager

2 weeks ago


Raleigh, North Carolina, United States CVS Health Full time

Join CVS Health in our mission to provide compassionate and personalized health care. At CVS Health, we are committed to enhancing human-centric health care in a rapidly evolving environment. Our core purpose emphasizes the importance of how we deliver our services, alongside what we offer. We strive to empower our employees to contribute to a culture of innovation and solution delivery, making health care more accessible and affordable.

Position Overview

The Registered Nurse Case Manager position is a hybrid role that requires proximity to our North Carolina office.

Working Hours: Monday to Friday, 9:00 AM – 5:30 PM EST, with occasional evening, weekend, and holiday shifts as needed.

Travel Requirements: Minimal travel may be required, including visits to the office for team meetings.

The RN Case Manager will be responsible for:

  • Conducting telephonic assessments, planning, implementing, and coordinating comprehensive case management activities to evaluate and enhance the health and wellness of our members.
  • Developing proactive strategies to address health issues and improve both short-term and long-term outcomes for members.
  • Utilizing clinical tools and data analysis to assess member needs and facilitate smooth transitions to relevant programs.
  • Applying clinical judgment to mitigate risk factors and address complex health and social challenges affecting care planning.
  • Conducting thorough assessments that consider co-morbid conditions and their impact on functionality.
  • Collaborating with multidisciplinary teams to overcome barriers and achieve case management goals.
  • Ensuring compliance with regulatory standards and company policies throughout the case management process.
  • Engaging members effectively through skilled interviewing techniques to ascertain their health status and needs.

Qualifications

Required:

  • Active and unrestricted RN license in North Carolina.
  • Minimum of 2 years of clinical experience as a Registered Nurse.
  • Experience in various clinical settings such as Emergency Department, Home Health, Hospice, and more will be considered.

Preferred:

  • Certification as a Case Manager (CCM).
  • Experience with Microsoft Office Suite.
  • Background in integrated case management and discharge planning.
  • Experience in managed care environments.
  • Bachelor of Science in Nursing (BSN).

Education:

Associate Degree in Nursing is required.

Compensation:

The typical pay range for this role is between $54,000 and $116,800 annually. This range reflects the base salary for positions within this job grade. Actual salary offers will be determined based on various factors, including experience and education. This position is eligible for additional incentives and a comprehensive benefits package, including medical, dental, and vision coverage, retirement savings plans, and paid time off.

Diversity and Inclusion:

CVS Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.



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