Case Manager Registered Nurse - Field in Mid-Cites (Forth Worth - Dallas) Texas at CVS Health

Grapevine, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Resident of Texas Mid-Cities area (NE Fort Worth to NW Dallas, including Keller, Grapevine, Euless, Coppell, N. Irving)
Registered Nurse – Texas or Compact license
3+ years clinical practice experience in Pediatrics
1+ year Case Management experience
Must possess reliable transportation and be willing and able to travel up to 75% of the time (mileage reimbursed per company policy)
Associates Degree required (BSN preferred)

Responsibilities

Telephonically and/or face-to-face assess, plan, implement, and coordinate all case management activities with members to evaluate medical needs and facilitate overall wellness
Develop a proactive course of action to address issues, enhance short- and long-term outcomes, and promote member wellness through integration of services, strategies, policies, and programs
Coordinate and implement assigned care plan activities and monitor care plan progress
Conduct multidisciplinary reviews to achieve optimal outcomes and identify/escalate quality of care issues through established channels
Utilize negotiation skills to secure appropriate options and services to meet member benefits and/or healthcare needs
Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes for optimum health
Provide coaching, information, and support to empower members to make independent medical and healthy lifestyle choices
Help members actively and knowledgeably participate with their provider in healthcare decision-making
Utilize case management and quality management processes in compliance with regulatory, accreditation guidelines, and company policies/procedures for monitoring, evaluation, and documentation of care

Skills

Registered Nurse

Case Management

Telephonic Assessment

Care Planning

Member Engagement

Motivational Interviewing

Network Management

Clinical Coordination

Quality of Care

Long Term 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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