Bilingual Case Manager RN

3 days ago


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

CVS Health is seeking a highly motivated and detail-oriented Clinical Case Manager RN to join our team in Orange County, FL. As a Clinical Case Manager RN, you will be responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs and facilitate their overall wellness.

Key Responsibilities
  • Telephonically and/or face-to-face assess, plan, implement, and coordinate case management activities with members
  • Evaluate the medical needs of members and develop a proactive course of action to address issues presented
  • Effectively manage a caseload that includes supportive and medically complex members
  • Determine appropriate services and supports due to member's health needs, including prior authorizations, coordination with PCP and skilled providers, condition management information, medication review, community resources, and supports
Requirements
  • Active and unrestricted RN license in FL
  • Bi-lingual in English and Spanish
  • Must reside in Orange County or an adjacent county
  • Willing and able to travel 50-75% of their time to meet members face-to-face in Seminole, Orange, Brevard, and Osceola Counties
  • 1+ year computer proficiency in Microsoft Word, Excel, and Outlook
Preferred Qualifications
  • Experience in behavioral health or a long-term care setting
  • Case management and discharge planning experience
  • Managed Care experience
  • Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment
  • Effective communication skills, both verbal and written
What We Offer

CVS Health offers a competitive salary and full benefits package, including medical, dental, and vision benefits, 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. Our organization promotes autonomy through a Monday-Friday working schedule and flexibility as you coordinate the care of your members.

About CVS Health

CVS Health is a leading healthcare company that puts our heart into caring for our colleagues and our communities. We are committed to delivering enhanced human-centric healthcare for a rapidly changing world. Our purpose guides our commitment to deliver innovative solutions to make healthcare more personal, convenient, and affordable.


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