Clinical Case Manager RN

2 weeks ago


Richmond, Virginia, United States CVS Health Full time
Job Summary

CVS Health is seeking a skilled RN Case Manager to join our team in the Northern Virginia area. As a Field 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
  • Conduct telephonic and/or face-to-face assessments to evaluate member needs and develop proactive courses of action to address issues presented.
  • Develop and implement case management plans to enhance short and long-term outcomes and opportunities for member wellness.
  • Collaborate with members, healthcare providers, and other stakeholders to ensure seamless transitions to Aetna programs and plans.
  • Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators impacting care planning and resolution of member issues.
Requirements
  • RN with current unrestricted Virginia state licensure required.
  • 3+ years clinical experience in med surg, behavioral health, or acute care.
  • Ability to travel up to 75% of the time to meet members in their home.
  • Must live in Fairfax County and surrounding areas with preference for those in Alexandria, Arlington, Annandale, McLean, Vienna, Falls Church, and Springfield.
Preferred Qualifications
  • Case management experience in an integrated model.
  • Bilingual in English/Spanish preferred.
  • 5 years clinical practice experience.
What We Offer

CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also provide a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs. Eligible employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.



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