RN Care Manager
HumanaFull Time
Mid-level (3 to 4 years)
Candidates must possess an RN license in Kentucky, with 3-5 years of clinical practice experience in settings such as hospitals, ambulatory care, or outpatient clinics. A minimum of 2 years of experience with personal computers, including navigating multiple systems and MS Office Suite applications, is required. An Associate's or diploma in nursing is the minimum educational requirement, with a BSN preferred. Experience in case management, managed care, discharge planning, and caring for the Medicaid population is preferred.
The Care Manager RN is responsible for driving and supporting care management and care coordination across the continuum of care, including assessment, planning, implementation, coordination, monitoring, and evaluation. This role utilizes advanced clinical judgment and critical thinking to facilitate appropriate physical and behavioral healthcare through assessment, care planning, provider coordination, and psychosocial support to ensure optimal, cost-effective outcomes and resource utilization.
Comprehensive pharmacy and healthcare services
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.