Home
/
Comprehensive
/
Care Manager RN
Care Manager RN-October 2024
Work At Home
Oct 29, 2024
ABOUT CVS HEALTH
CVS Health is a healthcare innovation company. Together, we are helping people on their path to better health.
10,000+ employees
Healthcare
VIEW COMPANY PROFILE >>
About Care Manager RN

  Bring your heart to CVS Health. Every one of us at CVS Health 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 what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

  This is a full-time telework position with less than 10% travel required.Hours for this position are M-F, 8:30-5:00p EST.Program OverviewHelp us elevate our patient care to a whole new level! Join our Aetna 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 complex 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/MissionOur Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.Fundamental 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 complex health and social indicators which impact care planning.• Conducts assessments that consider information from various sources, such as claims, to address all 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 Qualifications :

  Minimum 3+ years clinical practical experience

  Minimum 2+ years CM, discharge planning and/or home health care coordination experience

  Must have active and unrestricted RN licensure in the state of Pennsylvania

  Must live and work in EST time zone

  Preferred Qualifications :

  Bilingual

  Certified Case Manager

  Educational Requirements:

  Associates Degree Required. Bachelor's Degree Preferred Pay Range

  The typical pay range for this role is:

  $60,522.80 - $129,600.00

  This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base 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. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS 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

  CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

  You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

  CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Merchandiser
Merchandiser The Merchandiser role consists of an individual who can improve the consumer buying experience by creating merchandising solutions in their assigned stores. The retail merchandiser’s dut
Wellness Worker - Southeast Region
About: Labcorp is a leading provider of biometric testing services, population health and comprehensive workforce wellness strategies. These services are performed by a network of Labcorp personnel l
CAREGIVER/DIRECT SUPPORT PROFESSIONAL PT
Our Company ResCare Community Living Overview ResCare Community Living – Direct Support Professional Thank you for reviewing our Direct Support Professional position at ResCare Community Living. As a
Data Center Design Engineer
Job Description Looking for an experienced data centre professional ready for an exciting new challenge in a fast growing cloud environment with experience planning and designing data centre white sp
Senior Cybersecurity Analyst Threat Management (m/f/diverse) - REF40245A
Continental develops pioneering technologies and services for sustainable and connected mobility of people and their goods. Founded in 1871, the technology company offers safe, efficient, intelligent
Senior IT Assurance Specialist
Job Family: Information Technology Req ID: 401842 Change the future with us. We are looking for dedicated and talented people who tackle ever-changing challenges, customer needs, and questions from c
Sr. Product Manager, Fraud Prevention, Vendor Investigations & Transaction Accuracy
Description Amazon is hiring a Senior Product Manager for the Vendor Investigations & Transaction Accuracy product team within Accounts Payable to accelerate some of our top initiatives in our an
Software Engineering II
We are Microsoft Search in Bing and, as a team, we have a foot in both the consumer and enterprise worlds.  This unique space challenges us to innovate and find new ways to meet the expectations of c
DISHWASHER (FULL TIME)
Bon Appetit We are hiring immediately for a full time DISHWASHER position. Location: SODO Kitchen Starbucks -2401 Utah Avenue South, Seattle, WA 98198 Note: online applications accepted only. Schedul
Principal Infrastructure/Networking Engineer - Active TS/SCI w CI Poly Required - ONSITE - Salt Lake City, UT - (AST-CI)
Date Posted: 2024-01-04 Country: United States of America Location: UT205: 1128 W 2400 South, Salt Lake C 1128 West 2400 South AST - Salt Lake City, Salt Lake City, UT, 84119 USA Position Role Type:
Copyright 2023-2024 - www.zdrecruit.com All Rights Reserved