Field Care Manager - RN
HumanaSalary not specified
Full Time
Mid-level (3 to 4 years)
Case Manager Registered Nurse - Field (Southwest Michigan) at CVS Health
Michigan City, Mississippi, United States
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- Minimum 3+ years clinical practical experience as a Registered Nurse (RN)
- Active and unrestricted Michigan RN licensure
- Willing and able to travel 25-50% of the time in Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties
- Reliable transportation (mileage reimbursed per company policy)
- Proficiency with standard corporate software applications, including MS Office
- Dedicated workspace free of interruptions for remote work
- Separate care arrangements for dependents during work hours
Responsibilities
- Develop a proactive plan of care to address identified issues and enhance short- and long-term outcomes and overall member wellness
- Use clinical tools and information/data review to conduct an evaluation of member's needs and benefits
- Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators impacting care planning
- Conduct assessments considering information from various sources (e.g., claims) to address all conditions, including co-morbid and multiple diagnoses impacting functionality
- Use a holistic approach to assess the need for referrals to clinical resources and other interdisciplinary team members
- Collaborate with supervisor and key stakeholders in the member's healthcare to overcome barriers, meet goals and objectives, and present cases at interdisciplinary case conferences
- Utilize case management processes in compliance with regulatory and company policies and procedures
- Utilize motivational interviewing skills to ensure maximum member engagement and discern health status and needs
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
Is this Case Manager role remote or does it require travel?
This role is work at home with 25-50% travel within Southwest Michigan, covering counties such as Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien.
What is the schedule for this position?
The schedule is standard business hours Monday-Friday 8:00am-5:00pm EST with no nights, weekends, or holidays, and there is potential to move to a four day/ten hour shift after a 6 month probationary period.
What are the key responsibilities of the Field Case Manager?
Key responsibilities include developing proactive plans of care, conducting evaluations of member needs using clinical tools, applying clinical judgment to reduce risk factors, performing holistic assessments, and collaborating with stakeholders and interdisciplinary teams.
What is the salary or compensation for this role?
This information is not specified in the job description.
What qualifications make a strong candidate for this Case Manager position?
Strong candidates will have registered nurse experience, skills in clinical assessment and judgment, ability to develop care plans for complex dual eligible populations, and experience collaborating with interdisciplinary teams and stakeholders.
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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