Healthcare Case Manager RN

4 weeks ago

Trenton, New Jersey, United States CVS Health Full time

Job Summary

This is a full-time remote opportunity with 50 to 75% travel in Camden and surrounding counties. The schedule is Monday - Friday, 8am-5pm EST.

The Case Manager is responsible for conducting face-to-face visits in the 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). The care manager may also be responsible for face-to-face assessments with non-MLTSS members to evaluate the medical needs of the member to facilitate the member's overall wellness and help them obtain the services they need to thrive.

The Case Manager will be responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants. The Case Manager will schedule and attend interdisciplinary meetings and advocate on the member's behalf to ensure proper and safe discharge with appropriate services in place.

The Case Manager will work with the member and care team to develop a care plan and authorize services in a cost-effective manner within the MLTSS/FIDE benefit. The care manager will be responsible for documenting accurately and timely in the member's electronic health record.

This position requires the Case Manager to use critical thinking skills and the ability to problem-solve. The Case Manager will also be expected to mentor new hires, once a level of proficiency has been attained in their role.

Key Responsibilities

* Conduct face-to-face visits in members' homes, utilizing comprehensive assessment tools
* Coordinate and collaborate care with members, authorized representatives, PCPs, and care team participants
* Develop and implement care plans, authorizing services in a cost-effective manner
* Document accurately and timely in members' electronic health records

Requirements

* Active and unrestricted RN license in NJ
* 3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care
* Must reside in Camden County or an adjacent county
* Willing and able to travel 50 to 75% in Camden County and surrounding counties
* Successful completion of the NJ Choice certification is a contingency of employment

Preferred Qualifications

* Case management and/or discharge planning experience
* Managed Care experience
* Crisis intervention skills

Education

* Minimum of an Associate's degree in Nursing

Pay Range

The typical pay range for this role is: $72,627.36 - $155,538.24

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation, or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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