Case Manager Registered Nurse - Remote (Michigan) at CVS Health

Michigan City, Mississippi, United States

Apply Now

Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Active and unrestricted RN licensure in the state of Michigan
3 years of clinical work experience
1 year of Case Management experience
Case Management experience
Compact RN licensure
Certified Case Manager (CRC, CDMS, CRRN, COHN) preferred
Telephonic Nursing experience
Home Health experience
Customer Service experience
Cold calling experience
Experience with Medicare population
Associate's Degree or Bachelor's degree preferred
Anticipated weekly hours: 40

Responsibilities

Administers processes to coordinate and facilitate comprehensive care for individuals
Assesses patient needs and develops personalized care plans
Coordinates services across healthcare providers
Serves as advocate for patients, ensuring effective communication, resource utilization, and continuous monitoring of their progress
Analyzes complex patient data to understand current health status
Organizes patient files in an orderly manner for easy retrieval
Communicates through internal platforms to securely exchange messages, conduct video conferences, share files, and collaborate on patient care plans
Conducts routine utilization reviews to ensure patients have access to appropriate cost-effective care
Configures the case management system to organize cases dealing with disease management and utilization review
Tracks patient progress and manages specific conditions
Coordinates analytics projects to enable case managers to analyze data and generate reports on key performance health indicators
Designs complex processes to coordinate discharge planning in a safe and timely transition from the hospital to home
Develops resource management to help case managers optimize healthcare with community resources

Skills

Case Management

Patient Assessment

Care Planning

Communication

Utilization Review

Data Analysis

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.

Land your dream remote job 3x faster with AI

Try Jobo Free