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Full-Time

Case Manager RN-Field

Confirmed live in the last 24 hours

CVS Pharmacy

CVS Pharmacy

10,001+ employees

America's leading retail pharmacy with nearly 10,000 locations nationwide.

Healthcare
Consumer Goods

Compensation Overview

$66.6k - $142.6kAnnually

+ Bonus + Commission + Short-term Incentive Program

Mid, Senior

Illinois, USA

Up to 40% travel expected in Winnebago, Boone, McHenry, Kendall, Grundy, LaSalle, DeKalb counties and surrounding areas.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Management
Requirements
  • Registered Nurse with active Illinois state license
  • Must reside in Illinois
  • Minimum 3+ years clinical practical experience as an RN
  • 2+ years’ experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
  • Must possess reliable transportation and be willing and able to travel up to 40% of the time in Winnebago County, Boone County, McHenry County, Kendall County, Grundy County, LaSalle County, DeKalb County, and surrounding areas. Mileage is reimbursed per our company expense reimbursement policy.
Responsibilities
  • Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
  • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
  • Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services.
  • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.
  • Communicates with member/client and other stakeholders as appropriate
  • Prepares all required documentation of case work activities as appropriate.
  • Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes.
  • May make outreach to treating physician or specialists concerning course of care and treatment as appropriate.
  • Provides educational and prevention information for best medical outcomes.
  • Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources.
  • Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data.
  • Utilizes case management processes in compliance with regulatory and company policies and procedures.
  • Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work.
  • Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member’s/client’s overall wellness through integration.
  • Monitors member/client progress toward desired outcomes through assessment and evaluation.

Company Stage

N/A

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

N/A

Growth & Insights
Headcount

6 month growth

3%

1 year growth

3%

2 year growth

3%
Simplify Jobs

Simplify's Take

What believers are saying

  • The availability of updated flu and COVID-19 vaccines at CVS Pharmacy and MinuteClinic locations nationwide positions the company as a key player in public health initiatives.
  • The Health Zones funding and collaboration with local organizations in Fresno highlight CVS Pharmacy's role in improving community health outcomes.
  • The introduction of a new store brand for snacks, beverages, and groceries could attract a broader customer base and increase in-store sales.

What critics are saying

  • The competitive landscape in the retail pharmacy sector is intense, with major players like Walgreens and Rite Aid posing significant challenges.
  • The expansion into grocery and snack products may dilute CVS Pharmacy's brand identity as a healthcare provider.

What makes CVS Pharmacy unique

  • CVS Pharmacy's integration of digital tools for scheduling vaccinations and accepting walk-ins offers a seamless and convenient experience for customers, setting it apart from competitors.
  • The company's Health Zones initiative, which focuses on community health and access to healthy food, demonstrates a commitment to social responsibility that goes beyond traditional pharmacy services.
  • CVS Pharmacy's recent launch of a new store brand for snacks, beverages, and groceries diversifies its product offerings, making it a one-stop shop for consumers.