Full-Time

Case Manager RN

Field, Passaic County, NJ

Posted on 9/20/2024

CVS Pharmacy

CVS Pharmacy

10,001+ employees

Retail pharmacy and healthcare services provider

Healthcare
Consumer Goods

Compensation Overview

$69.6k - $149.4kAnnually

+ Bonus + Commission + Short-term Incentive Program

Mid

Company Historically Provides H1B Sponsorship

Jackson Township, NJ, USA

Work from home with 25-50% travel in Passaic County and surrounding areas.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Requirements
  • Minimum 3+ years of clinical practice experience
  • Must have active and unrestricted RN licensure in the state of NJ
  • Willing and able to travel 25-50% of their time using your own vehicle to meet members face to face in their assigned area. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy
  • Must reside in Passaic County
Responsibilities
  • Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits.
  • Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
  • Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.
  • Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
  • Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
  • Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their pharmacies offer prescription medications, over-the-counter health products, beauty items, and general merchandise. CVS Health also includes a pharmacy benefits manager that serves over 75 million plan members and a senior pharmacy care business that assists more than one million patients each year. This integrated model allows CVS Health to deliver affordable health management solutions, improving access to quality care and health outcomes while aiming to reduce overall healthcare costs. Unlike many competitors, CVS Health combines retail pharmacy services with clinical care and pharmacy benefits management, making it a significant player in the healthcare sector with a goal of supporting individuals on their journey to better health.

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
Simplify Jobs

Simplify's Take

What believers are saying

  • Expansion of at-home health testing kits presents a significant growth opportunity for CVS.
  • Maintaining free cash-back services could differentiate CVS from other retailers.
  • Growing market for accessible hearing solutions offers CVS a chance to expand product offerings.

What critics are saying

  • At-home health tests may reduce in-store visits, impacting CVS's foot traffic.
  • Fees for cash-back transactions could lead to customer dissatisfaction if adopted by CVS.
  • Increased competition in OTC hearing aids may challenge CVS's market share.

What makes CVS Pharmacy unique

  • CVS offers a comprehensive range of health services and products under one roof.
  • The company has a strong pharmacy benefits management with over 75 million plan members.
  • CVS's extensive retail network includes 9,600 pharmacies and 1,100 walk-in clinics.

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