Case Manager RN Position

1 week ago


Trenton, New Jersey, United States CVS Health Full time
Job Summary

Help us elevate patient care to a new level. CVS Health is seeking an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a complex health and social challenges.

Responsibilities

• Conduct evaluations of member’s needs and benefits using clinical tools and information/data review.

• Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators.

• Conduct assessments considering information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses.

• Utilize a holistic approach to assess the need for referrals to clinical resources and other interdisciplinary team members.

• Collaborate with supervisor and other key stakeholders in the member’s healthcare to overcome barriers in meeting goals and objectives.

• Utilize case management processes in compliance with regulatory and company policies and procedures.

Requirements

• Minimum 3+ years of clinical practice experience.

• Must have active and unrestricted RN licensure in the state of NJ.

• Willing and able to travel 25-50% of their time using their own vehicle to meet members face to face in their assigned area.

• Must reside in Essex County, New Jersey.

Benefits

• The Company offers a full range of medical, dental, and vision benefits.

• Eligible employees may enroll in the Company’s 401(k) retirement savings plan.

• The Company provides a fully-paid term life insurance plan to eligible employees.

• CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.



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