Clinical Case Manager RN

3 weeks ago


Trenton, New Jersey, United States CVS Health Full time

Transform Patient Care with CVS Health

We're seeking a dedicated Clinical Case Manager RN to join our team at CVS Health. As a key member of our Integrated Care Management (ICM) team, you'll play a vital role in elevating patient care to new heights.

As a Clinical Case Manager RN, you'll collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Your compassionate attention and excellent communication skills will make a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges.

With a focus on proactive care planning, you'll develop and implement personalized plans to address identified issues, enhance short and long-term outcomes, and promote overall wellness. Your clinical expertise and judgment will guide you in incorporating strategies to reduce risk factors and barriers, addressing complex health and social indicators that impact care planning.

Key Responsibilities:

  • Conduct thorough assessments of members' needs and benefits, utilizing clinical tools and information/data review.
  • Apply clinical judgment to develop and implement proactive care plans, addressing identified issues and promoting overall wellness.
  • Collaborate with supervisors and other key stakeholders to overcome barriers in meeting goals and objectives, presenting cases at interdisciplinary case conferences.
  • Utilize case management processes in compliance with regulatory and company policies and procedures.

Requirements:

  • Minimum 3+ years of clinical practice experience.
  • 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.

Why CVS Health?

We offer a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. Our company culture values diversity, equity, and inclusion, and we're committed to providing a safe and supportive work environment.

Apply now to become a part of our dynamic team and make a meaningful difference in the lives of our members.



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