Cvs health

Overview

As Case Manager RN, you will be responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member and facilitate the member’s overall wellness.

About Cvs health

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.

Requirements & Eligibility

• Registered Nurse that must reside in the Continental United States and hold an unrestricted nursing license with multi-state/compact privileges
• Must live in MT or PST zones
• 3+ years clinical/nursing practice experience
• 1+ year(s) of medical case management experience, care coordination or discharge planning
• 3+ years of experience with personal computers, keyboarding, multi-systems navigation, and MS Office Suite applications
• Associate's degree in nursing required

Key Responsibilities

• 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.