RN Field Case Manager-Southwest Michigan at CVS Health

Michigan City, Mississippi, United States

Apply Now

Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Minimum 3+ years clinical practical experience as an RN
Active and unrestricted Michigan RN licensure
Willing and able to travel up to 25%-50% of the time in Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties (reliable transportation required)
Associate's Degree required (Bachelor's degree preferred)

Responsibilities

Assess, plan, implement, and coordinate all case management activities with members to evaluate medical needs and facilitate overall wellness
Develop a proactive plan of care to address identified issues and enhance short- and long-term outcomes as well as overall wellness
Use clinical tools and information/data review to conduct evaluations of member's needs and benefits
Apply clinical judgment to incorporate strategies that 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 in meeting 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

Case Management

Patient Care

Care Coordination

Medicare

Medicaid

Healthcare Assessment

Clinical Models

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