Join CVS Health, a company passionate about transforming health care and caring for people where, when, and how they choose. We are seeking a Case Manager, Registered Nurse for a remote role in Ohio. In this position, you will be a key member of our Special Needs Plan (SNP) care team, coordinating care for members facing multiple chronic medical and behavioral health conditions and various social determinants of health.
What You'll Do
- Dedicate 50-75% of your day to telephonic engagement with members and the coordination of their care.
- Compile clinical information and partner with members to develop individualized care plans with goals and interventions.
- Provide evidence-based disease management education and support to help members achieve health goals.
- Ensure appropriate members of the interdisciplinary care team are involved.
- Provide care coordination to support a seamless health care experience.
- Complete meticulous documentation of care management activity in the electronic health record.
- Collaborate with the Interdisciplinary Care Team to address barriers to care and develop strategies for stable health.
- Identify and connect members with health plan benefits and community resources.
- Meet regulatory requirements within specified timelines.
- Support other Care 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 the state of Ohio OR compact licensure in state of residence.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams).
- Access to a private, dedicated space to conduct work effectively.
- Confidence working at home as an independent thinker, using tools to collaborate and connect virtually.
- 3+ years of nursing experience.
- 2+ years of case management, discharge planning, and/or home healthcare coordination experience.
- Associate’s of Science in Nursing (ASN) degree and relevant experience in a health care-related field.
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.
- Bachelor’s of Science in Nursing (BSN).
Technical Stack
- Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams)
- Healthcare technology tools
Team & Environment
You will be part of an Interdisciplinary Care Team.
Benefits & Compensation
- Compensation: $54,095.00 - $116,760.00
- Affordable medical plan options
- 401(k) plan with matching company contributions
- Employee stock purchase plan
- No-cost programs including wellness screenings, tobacco cessation, weight management, 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 open to candidates located in Ohio.
CVS Health is committed to fostering a workplace where every colleague feels valued and that they belong. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
