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Full-Time

Field Case Manager RN-Chicago Metro Area

Confirmed live in the last 24 hours

CVS Pharmacy

CVS Pharmacy

10,001+ employees

Retail pharmacy and healthcare services provider

Healthcare

Compensation Overview

$66.6k - $142.6kAnnually

+ Bonus + Commission + Short-term Incentive Program

Senior

Company Historically Provides H1B Sponsorship

Chicago, IL, USA

Must reside in Chicago, IL or within commuting distance; 3 days/week of expected travel throughout the Chicago Metro Area.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Data Analysis
Requirements
  • A Registered Nurse that must hold an unrestricted license in Illinois
  • 3+ years clinical experience required with at least 1 year of experience in one of the following areas: critical care, ICU, CCU, Emergency
  • 2+ years case management experience required
  • Must be willing to be in the field 3 days/week throughout the greater Chicago Metro Area and okay with traveling 60 miles.
  • Reliable transportation required - Mileage is reimbursed per our company expense reimbursement policy
  • Intermediate to Advance computer skills including easily navigating multiple programs/systems ( Outlook, Word, Excel, TEAMS, EMR) and keyboarding skills
Responsibilities
  • Acts as a liaison with beneficiary, family, provider(s), and healthcare personnel as appropriate.
  • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill beneficiary 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 beneficiaries telephonically or in person. May be required to meet with beneficiaries in their homes, physician’s office, or CVS Health Hub to provide ongoing case management services.
  • Assesses and analyzes injured, acute, or chronically ill beneficiaries medical status; In collaboration with the provider partner develops a plan of care to facilitate the beneficiary 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 beneficiary and other stakeholders as appropriate (e.g., medical providers, attorneys, community resources) telephonically or in person.
  • Prepares all required documentation of case work activities as appropriate.
  • Interacts and consults with internal multidisciplinary team as indicated to help beneficiary maximize best health outcomes.
  • Collaborate with 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 Medicare and referral sources.
  • Conducts an evaluation of beneficiary’s needs 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 beneficiary’s overall wellness through integration.
  • Monitors beneficiary progress toward desired outcomes through assessment and evaluation

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 approach allows CVS Health to deliver affordable health management solutions, improving access to quality care and health outcomes while helping to lower 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

N/A

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

N/A

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
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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.

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