Transitions of Care RN Case Manager
Devoted HealthSalary not specified
Full Time
Mid-level (3 to 4 years)
Not SpecifiedCompensation
Entry Level & New Grad, Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- 1 year of Account Management/Case Management in Healthcare or 1 year of Medical Front office experience
- 3 years Customer Service experience
- Strong computer skills, including knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable; keyboard skills essential
- Strong analytical skills with ability to evaluate, develop, and deliver alternative courses of action
- High School Diploma or Equivalent GED
Responsibilities
- Organize patient care and work with healthcare providers to ensure timely and cost-effective infusion services
- Maintain current workflow processes, skills, and competencies; analyze complex cases and find resolutions
- Promote positive working environment and initiate suggestions to improve processes and protocols
- Assist supervisors with standardization of procedures, coaching, training, and dissemination of information to staff
- Act as subject matter expert in processes and procedures
- Communicate clearly and accurately with all levels of employees, plan participants, physician offices, and support partners
- Manage and support escalated and advanced Site of Care (SOC) issues; answer complex questions and recommend corrective actions for complaints/concerns
- Handle special projects and assignments as designated by leadership
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What qualifications are required for the Case Management Analyst position?
Required qualifications include 1 year of Account Management/Case Management in Healthcare or Medical Front office experience, 3 years of Customer Service experience, strong computer skills with knowledge of Microsoft Office Suite (Excel and Word required), and strong analytical skills.
What preferred skills or experiences are mentioned for this role?
Preferred qualifications include 1 year of Salesforce experience, 1 year of previous sales experience, ability to multitask with multiple systems, basic pharmaceutical knowledge, and excellent communication skills.
Is this a remote position or does it require office work?
This information is not specified in the job description.
What is the salary or compensation for this role?
This information is not specified in the job description.
What qualities make a strong candidate for this position?
Strong candidates demonstrate strong analytical skills, excellent communication skills, ability to multitask and handle escalated issues calmly, adaptability to changing priorities, and motivation to seek development and improve processes.
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
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 offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays
Risks
Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.
Differentiation
CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.
Upsides
Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.
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