Job Description
Working schedule is Monday-Friday, standard business hours.
This is a full-time telework role, open to candidates located in Northeast Baltimore, MD. This position will require up to 30% local travel for visits to providers' offices, as needed.
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.
Responsibilities:
As Case Manager RN, you will be responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate their medical needs and facilitate their 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.
You will also:
- 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.
Pay RangeThe typical pay range for this role is:
Minimum: 55,300
Maximum: 118,900
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications- RN with current unrestricted MD state licensure required
- 3+ years clinical/nursing practice experience
- 1+ year(s) of case management experience
- 3+ years of experience with personal computers, keyboarding, multi-systems navigation, and MS Office Suite applications
- Must possess or be willing and able to obtain reliable transportation for travel, with mileage reimbursement
- Must be willing and able to travel to providers' offices in the Northeast Baltimore area
COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevent them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Preferred Qualifications- Med-surg, CAD (cardiac care), and/or diabetes with care planning experience
- Telephonic case management experience
- Excellent communication and interpersonal skills
Education- Associates degree in nursing
- BSN preferred
Business OverviewBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient, and affordable. We strive to promote and sustain a culture of diversity, inclusion, and belonging every day. CVS Health is an affirmative action employer and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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