Case Manager Registered Nurse - Field in Northern New Jersey at CVS Health

Elizabeth, New Jersey, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Must reside in the State of New Jersey (preference to residents in Union, Essex, and Bergen Counties; case load assigned based on location)
3+ years’ work experience in pediatric, Special Needs and/or Adult Population
BSN RN with current unrestricted state licensure in the State of New Jersey
Computer literacy and demonstrated proficiency to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel
Highly organized, flexible, and ability to be adaptable and embrace change in a fast-paced environment
Ability to critically think and navigate challenging situations
Ability to prioritize competing priorities and meet deadlines
Self-motivated and dependable
Positive, forward-thinking mindset
Exceptional communication skills, both verbally and in writing
Must possess reliable transportation and be willing and able to travel up to 75% of the time (mileage reimbursed per company policy)
Ability to conduct face-to-face visits in various settings in NJ, including homes, hospitals, provider settings, etc. (travel requirements subject to business need)

Responsibilities

Assess and evaluate members with potential care management needs through telephonic and face-to-face assessments in various settings, including member’s private residence, hospitals, behavioral, and long-term nursing facilities
Establish a cost-effective and member-centric care plan in collaboration with the member, authorized caregivers, and providers
Monitor and evaluate the effectiveness of care plans and adjust based on clinical judgement and member needs
Coordinate and collaborate with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery
Take an interdisciplinary approach to advocate for member’s needs to ensure safe discharge post-hospitalization or transition from a nursing facility, including addressing social needs (e.g., housing and food insecurity)
Maintain accurate and timely documentation in the member’s electronic health record
Mentor new hires once proficient in the role (as needed)

Skills

Registered Nurse

Case Management

Care Planning

Care Coordination

Discharge Planning

EHR Documentation

Telephonic Assessment

Face-to-Face Assessment

Critical Thinking

Problem Solving

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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