Case Manager - Registered Nurse

Denver, Colorado, United States

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Not SpecifiedCompensation

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

Full TimeJob Type

UnknownVisa

Healthcare, RetailIndustries

Requirements

Candidates must possess at least 5 years of clinical practical experience and 2 or more years of case management experience. A Registered Nurse license that is unrestricted in their state of residence with multi-state/compact privileges is required, along with the ability to be licensed in all non-compact states. An Associate's degree is required, and a Bachelor's degree is preferred. Proficiency with standard corporate software applications, including MS Office Suite, and efficient computer skills are necessary. Willingness to obtain additional state RN licenses is also required.

Responsibilities

The Case Manager - Registered Nurse will act as a frontline advocate for members, assessing, planning, implementing, and coordinating case management activities to evaluate medical needs and facilitate wellness. Responsibilities include developing proactive care plans, using clinical tools for evaluation, applying clinical judgment to reduce risk factors, conducting holistic assessments, and collaborating with stakeholders to overcome barriers. The role involves utilizing case management processes in compliance with regulations and company policies, as well as employing motivational interviewing skills for member engagement.

Skills

Case Management

Registered Nurse

Medical Needs Assessment

Care Planning

Clinical Tools

Data Review

Clinical Judgment

Risk Factor Reduction

Barrier Overcoming

Holistic Approach

Interdisciplinary Collaboration

Motivational Interviewing

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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