CVS Health
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by simplifying health care one person, one family and one community at a time. Follow @CVSHealth on social media.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Required Qualifications: Registered Nurse (RN) with current, unrestricted state licensure (New York licensure required for NY backfill). Minimum of 5 years of clinical practice experience. Strong clinical assessment, critical thinking, and care coordination skills. Effective written and verbal communication skills. Ability to work independently in a telephonic/remote environment while collaborating effectively with cross‑functional teams. Preferred Qualifications: Prior case management, care management, or utilization management experience. Experience working with Medicaid and/or LTSS populations. Education: Associates Degree in Nursing Bachelor of Science in Nursing (BSN) Preferred
The Case Manager RN is responsible for telephonic and/or face‑to‑face assessment, planning, implementation, and coordination of case management activities for members. The role evaluates members’ medical needs to promote overall wellness, improve short‑ and long‑term outcomes, and support appropriate, cost‑effective care delivery aligned with Aetna/CVS Health benefit plans and clinical policies.
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