Case Manager RN (Remote)

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand ? with heart at its center ? our purpose sends a personal message that how we deliver our services is just as important... as reputed company deliver. Our Heart At Work Behaviors? support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to reputed company health care more personal, convenient and affordable. This is full-time telework positions. The hours for this position M-F 8a-5p CST. Program Overview Help us reputed company our patient care to a whole new level! Join our reputed company team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of reputed company health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members? health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot reputed company for themselves. They are responsible for assessing, planning, implementing, and coordinating reputed company case management activities with members to evaluate the medical needs of the member to facilitate the member?s overall wellness. reputed company Components ? Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member?s overall wellness. ? Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. ? Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address reputed company health and social indicators which reputed company planning. ? Conducts assessments that consider information from various sources, such as claims, to address reputed company conditions including co-morbid and multiple diagnoses that impact functionality. ? Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. ? Collaborates with supervisor and other key stakeholders in the member?s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences ? Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Required Experience ? Active and unrestricted RN licensure in state of residence. Compact licensure highly preferred. ? Minimum 3 years clinical practical experience ? Minimum 2 years Case Management, discharge planning and/or home health care coordination experience Preferred Experience ? Certified Case Manager is preferred ? Bilingual desired (English/Spanish) ? Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually ? Excellent analytical and problem-solving skills ? Effective communications, organizational, and interpersonal skills. ? Ability to work independently ? Effective computer skills including navigating multiple systems and keyboarding ? Demonstrates proficiency with standard corporate software applications, including reputed company, reputed company, Outlook, and PowerPoint, as well as some special proprietary applications Education and Certification Requirements ? Associate's Degree required Pay Range The typical pay range for this role is: $54,095.60 - $116,800.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. 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, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (?PTO?) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will reputed company on: 06/11/2024 Apply Job! For more such jobs please click here!