Case Manager RN

3 days ago


Sarasota, Florida, United States CVS Health Full time
Job Summary

CVS Health is seeking a skilled Case Manager RN to join our team. As a Case Manager RN, you will be responsible for coordinating care for members with complex medical needs, ensuring they receive the best possible outcomes.

Key Responsibilities
  • Act as a liaison between members, employers, providers, and insurance companies to ensure seamless care coordination.
  • Develop and implement individualized care plans to optimize member outcomes and facilitate timely return to work or optimal functioning.
  • Assess and analyze member medical and vocational status to identify areas for improvement and develop strategies for enhanced wellness and medical outcomes.
  • Communicate effectively with members, providers, and other stakeholders to ensure timely and effective care coordination.
  • Prepare and maintain accurate documentation of case work activities and outcomes.
  • Collaborate with internal multidisciplinary teams to ensure comprehensive care and support for members.
Requirements
  • Minimum 3+ years of clinical experience, preferably in diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac care.
  • Minimum 2+ years of case management, discharge planning, and/or home health care coordination experience.
  • Ability to travel occasionally within Sarasota, FL.
  • Active state license in good standing within the region where job duties are performed.
Preferred Qualifications
  • Certified Case Manager (CCM) certification.
  • Excellent analytical and problem-solving skills.
  • Effective communication, organizational, and interpersonal skills.
  • Ability to work independently and efficiently in a fast-paced environment.
Benefits

CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) retirement savings plan, and employee stock purchase plan. We also offer paid time off, paid holidays, and a fully-paid term life insurance plan.

As a CVS Health colleague, you will have access to ongoing education and development opportunities, as well as a supportive and inclusive work environment.

We are an equal opportunity and affirmative action employer, committed to diversity and inclusion in the workplace.


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