Case Manager Registered Nurse - Field (Rockford, IL) - $5,000 New Hire Bonus at CVS Health

Schaumburg, Illinois, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Registered Nurse (RN) license required
Ability to travel up to 55-75% in the field (Rockford, IL area)
Availability for full-time schedule: Monday-Friday 8AM-5PM
Knowledge of laws and regulations related to rehabilitation services
Familiarity with special instructions from insurance carriers and referral sources

Responsibilities

Act as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel
Implement and coordinate case management activities for catastrophic cases and chronically ill members across the continuum of care, including consultant referrals, home care visits, community resources, and alternative care levels
Interact with members/clients telephonically or in person, including home visits, worksites, or physician’s office for ongoing case management
Assess and analyze injured, acute, or chronically ill members'/clients' medical and/or vocational status; develop a plan of care to optimize wellness, medical outcomes, return to work, optimal functioning, and benefit eligibility
Communicate with member/client and stakeholders (e.g., medical providers, attorneys, employers, insurance carriers) telephonically or in person
Prepare all required documentation of case work activities
Interact and consult with internal multidisciplinary team to maximize member/client health outcomes
Make outreach to treating physicians or specialists regarding course of care and treatment
Provide educational and prevention information for best medical outcomes
Apply all applicable laws, regulations, special instructions from insurance carriers, and referral sources

Skills

Registered Nurse

Case Management

Patient Assessment

Care Planning

Healthcare Communication

Care Coordination

Wellness Programs

Community Care

Health Strategies

Return to Work Programs

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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