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CVS Health

Runs pharmacies, health plans and clinics

Case Manager Registered Nurse

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeLouisiana, USA

About the Job

Requirements

  • Current, active registered nurse clinical licensure is required.
  • Case management experience is required.
  • Strong customer service orientation and problem-solving ability are required.
  • Excellent communication and telephonic skills are required.
  • Excellent motivational interviewing skills and the ability to build rapport and trust telephonically are required.
  • Excellence in documentation and adherence to compliance and regulatory standards are required.
  • Ability to remain highly organized and self-driven without direct supervision is required.
  • Ability to manage time effectively and achieve performance metrics is required.
  • Technology proficiency is required.
  • Ability to travel within 125 miles round trip for one day in the field is required.
  • Ability to work a variable schedule, including two days weekly until 9 p.m. local time, is required.

Responsibilities

  • Coordinate case management activities with members to evaluate medical needs and facilitate members’ overall wellness.
  • Develop strategies to address issues affecting outcomes and identify opportunities to enhance members’ overall wellness through integration.
  • Instruct on programs and procedures in compliance with network management and clinical coverage policies.

Desired Qualifications

  • A bachelor's and/or master's degree is preferred.
  • CCM certification is preferred.
  • Previous experience in a managed care organization is preferred.

About the Company

CVS Health

Runs pharmacies, health plans and clinics

CVS Health runs pharmacies, health insurance plans and medical clinics for individuals, employers and government programs across the United States. Its businesses include CVS Pharmacy, the Aetna insurer and Caremark, which manages prescription coverage and negotiates drug prices for health plans. Patients fill prescriptions in stores or by mail and receive care through walk-in clinics, primary care centers and home visits. The company earns money from prescription sales, insurance premiums, plan administration fees and clinical services, combining coverage with places to obtain treatment. Its first store opened in 1963, and its headquarters are in Woonsocket, Rhode Island.

Company size
10,001+
Company stage
IPO
Headquarters
Woonsocket, Rhode Island
Founded
1963

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