Clinical Case Manager RN

5 hours ago


Atlanta, Georgia, United States CVS Health Full time
Job Summary

CVS Health is seeking a skilled Clinical Case Manager RN to join our team. As a key member of our healthcare team, you will be responsible for assessing, planning, implementing, and coordinating case management activities to evaluate the medical needs of our members and facilitate their overall wellness.

Key Responsibilities
  • Develop proactive plans of care to address identified issues and enhance short and long-term outcomes
  • Conduct assessments that consider information from various sources, such as claims, to address all conditions, including co-morbid and multiple diagnoses that impact functionality
  • Consult with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences
  • Utilize case management processes in compliance with regulatory and company policies and procedures
Requirements
  • Active and unrestricted RN licensure in state of Georgia or compact RN licensure in state of residence
  • 3+ years of clinical experience
  • 2+ years of Case Management, Discharge Planning, and/or Home Healthcare Coordination experience
Preferred Qualifications
  • Certified Case Manager
  • Excellent analytical and problem-solving skills
  • Bilingual desired (Spanish/English)
  • Effective communications, organizational, and interpersonal skills
What We Offer
  • Competitive pay range: $54,095.60 - $116,760.80
  • CVS Health bonus, commission, or short-term incentive program
  • Full range of medical, dental, and vision benefits
  • 401(k) retirement savings plan and Employee Stock Purchase Plan
  • Term life insurance plan and short-term and long-term disability benefits

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