Case Manager RN

CVS Health
Feb 20, 2021
Mar 22, 2021
Contract Type
Job Description
Sign on bonuses offered to eligible candidates - up to $3000


Are you tired of bedside nursing?
Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of our members in your local community?

We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This opportunity offers a competitive salary and full benefits.

Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, flexibility as you coordinate the care of your members.

Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.

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 overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies.

Territory: South West Michigan (Kalamazoo US 31 and west and south)

Counties include:
• Kalamazoo
• Van Buren
• Berrien Counties
• Cass Counties
• Saint Joseph
• Calhoun
• Barry
• Branch

All employees are expected to embody our values of Excellence, Integrity, Caring and Inspiration in all that they do as an employee. The overall responsibility of the Case Manager is to ensure members receive the best possible care in a timely and efficient manner.

As a Case Manager, you will be offered:
• Autonomy
• Monday-Friday schedule
• Reimbursement for mileage
• Laptop, iPhone
All major holidays are paid time off, vacation and sick time off is accrued. Full benefits offered including 401(k) and many corporate discounts available.
Work from home with possible in-state travel (MDHHS has temporarily suspended in-home visits due to COVID).

Required Qualifications
*3+ years clinical practice experience
*RN with current unrestricted state licensure required
*Strong technology skills

Preferred Qualifications
*Dual Medicare/Medicaid experience
*Hospice/Homecare experience
*Certified Case Manager
*Managed Care experience
*Case Management experience in an integrated model preferred
*Bilingual preferred

Associate's degree or equivalent experience

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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