Diabetes Educator - Registered Nurse - Case Management

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Must have 3 current years of experience working with Diabetes Education, or your CDES. Please make sure this experience is clearly indicated on your resume. This is a full-time , Remote, Telehealth position Working schedule is Monday-Friday, standard business hours in time zone of residence with one to two days per week until 7 PM. Position Summary: This is an exciting team to join because we specialize in engaging and advocating for disengaged, vulnerable members who often have multiple medical, behavioral, and social challenges. We’re uniquely positioned to meaningfully improve health outcomes and costs. As Case Manager RN, you will be responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member and facilitate the member’s overall wellness. You will develop a proactive course of action to address the issues presented to enhance their short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.

Use clinical tools and information/data review to conduct an evaluation of members’ needs and benefits. Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. Conduct assessments that consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Use a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. Collaborate with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives. Utilize case management processes in compliance with regulatory and company policies and procedures. Utilize motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Work on behalf of the client and the member's provider.