Miami RN Care Manager
1 week ago
About Us
CVS Health is a leading healthcare provider dedicated to delivering exceptional care and services to our patients.
We are committed to creating a work environment that fosters growth, teamwork, and respect for all colleagues.
Job Summary
We are seeking a highly skilled RN Care Manager to join our team in Miami, FL. As an RN Care Manager, you will be responsible for managing the care management needs of Medicaid members with a history of HIV/AIDS.
Your primary goal will be to drive and support care management and care coordination activities across the continuum of care, ensuring that our members receive optimal, cost-effective outcomes.
Salary Range
The estimated annual salary for this role is $80,000 - $150,000 depending on experience.
Key Responsibilities
- Conduct telephonic and face-to-face assessments, planning, implementing, and coordinating care management activities with members to ensure their medical and behavioral health needs are met.
- Develop proactive courses of action to address issues presented and facilitate short and long-term outcomes.
- Utilize clinical tools and information/data review to conduct comprehensive assessments of member's needs and recommend approaches to case resolution.
- Apply clinical judgment to incorporate strategies designed to reduce risk factors and address complex health and social indicators impacting care planning and resolution of member issues.
- Prioritize and manage multiple cases simultaneously, maintaining accurate records and reporting metrics as required.
- Collaborate with interdisciplinary care teams to develop and monitor established plans of care, ensuring alignment with regulatory requirements and company policies.
Requirements
- Active unrestricted RN license in FL.
- Must reside in the Miami Dade or Broward County area.
- Bilingual in Spanish.
- 2+ years' experience in managing members newly diagnosed and/or with a history of human immunodeficiency virus (HIV) and/or acquired immunodeficiency syndrome (AIDS).
- 3+ years clinical practice experience, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility.
- Proficient in MS Office Suite applications (Teams, Outlook, Word, Excel, etc.) and able to navigate multiple systems and applications.
Preferred Qualifications
- Case management in an integrated model.
- Managed care experience.
- Discharge planning experience.
- Experience providing care to the Medicaid population.
Benefits
CVS Health offers a comprehensive benefits package, including medical, dental, vision, 401(k), employee stock purchase plan, term life insurance, and disability benefits.
We also offer professional development opportunities, flexible scheduling, and a commitment to work-life balance.
About CVS Health
CVS Health is a pharmacy innovation company that enables people to live healthier lives. We deliver health solutions to consumers through our omnichannel network of physical stores, digital platforms, and services.
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