[Remote] Case Manager Registered Nurse at CVS Health

Kentucky, United States

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$54,095 – $116,760Compensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

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.

Responsibilities

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.

Skills

Registered Nurse

Care Management

Care Coordination

Clinical Judgment

Critical Thinking

Psychosocial Support

MS Office Suite

Teams

Outlook

Word

Excel

Case Management

Managed Care

Discharge Planning

Medicaid Population Care

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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