CVS Health is looking for a Case Manager, Registered Nurse to join our Special Needs Plan (SNP) care team. In this remote role based in Colorado, you will be responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health needs.
What You'll Do
- Dedicate 50-75% of your day to telephonic engagement with members and care coordination.
- Compile clinical information and partner with members to develop individualized care plans.
- Provide evidence-based disease management education and support.
- Ensure appropriate members of the interdisciplinary care team are involved.
- Provide care coordination to support a seamless healthcare experience.
- Document all care management activity meticulously in the electronic health record.
- Collaborate with the Interdisciplinary Care Team to address care barriers and develop stability strategies.
- Identify and connect members with health plan benefits and community resources.
- Meet regulatory requirements within specified timelines.
- Support other team members through clinical decision-making and guidance.
- Take on additional responsibilities as assigned to support team objectives and enhance operational efficiency.
What We're Looking For
- Active and unrestricted Registered Nurse (RN) licensure in Colorado or a compact license in your state of residence.
- Proficiency in the Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams.
- Access to a private, dedicated workspace.
- Confidence working from home as an independent thinker using virtual collaboration tools.
- 3+ years of nursing experience.
- 2+ years of case management, discharge planning, and/or home healthcare coordination experience.
- An Associate’s of Science in Nursing (ASN) degree and relevant healthcare experience.
Nice to Have
- Experience providing care management for Medicare and/or Medicaid members.
- Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health.
- Experience conducting health-related assessments and facilitating the care planning process.
- Bilingual skills, especially English-Spanish.
- A Bachelor’s of Science in Nursing (BSN).
Technical Stack
- Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams)
Team & Environment
You will be a member of the Special Needs Plan (SNP) care team and will collaborate closely with an Interdisciplinary Care Team.
Benefits & Compensation
- Compensation range: $60,522.00 - $129,615.00
- Affordable medical plan options
- 401(k) plan with matching company contributions
- Employee stock purchase plan
- No-cost wellness screenings, tobacco cessation and weight management programs
- No-cost confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Work Mode
This is a remote position, and you must be located in Colorado.
CVS Health is an equal opportunity employer. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
