CVS Health is seeking a Case Manager, Registered Nurse to join our Special Needs Plan (SNP) care team. In this remote role based in Ohio, you will coordinate care for members managing multiple chronic medical and behavioral health conditions and various social determinants of health needs.
What You'll Do
- Dedicate 50-75% of the day to telephonic engagement with members and care coordination.
- Compile clinical information to partner with members on developing individualized care plans.
- Provide evidence-based disease management education and support to help members achieve health goals.
- Ensure the appropriate interdisciplinary care team members are involved in the member’s care.
- Provide care coordination to support a seamless health care experience.
- Maintain meticulous documentation of care management activity in the member’s electronic health record.
- Collaborate with the Interdisciplinary Care Team to address care barriers and develop strategies for maintaining 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 to support team objectives, enhance operational efficiency, and ensure high-quality care delivery.
What We're Looking For
- Active, unrestricted Registered Nurse (RN) licensure in Ohio OR compact licensure in your state of residence.
- Proficiency in the Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams).
- Access to a private, dedicated workspace.
- Confidence working independently from home and collaborating virtually.
- 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 key member of an Interdisciplinary Care Team, collaborating closely to provide coordinated care.
Benefits & Compensation
- Salary range: $54,095.00 - $116,760.00.
- Affordable medical plan options.
- 401(k) plan with company matching contributions.
- Employee stock purchase plan.
- No-cost wellness programs, screenings, counseling, and financial coaching.
- Paid time off, flexible schedules, family leave, dependent care resources, tuition assistance, and retiree medical access.
Work Mode
This is a fully remote position open to candidates residing and licensed in Ohio.
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.
