Case Manager RN - Remote WA

CVS Health • Full-time • Remote • $54,095.60 - $142,576.72 / year • 4d ago

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary:

This RN Case Manager position is 100% remote and candidates can apply from any state.

Normal Working Hours:

Monday through Friday 8am-5:00pm in time zone of residence. Shift times may vary occasionally per the need of the department.

There is a late shift requirement until 8:00pm EST on a rotating basis.

There is a weekend shift requirement (Saturday and Sunday both) per the needs of the team.

The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness.

RN Case Manager:

Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.
Through the use of clinical tools and information/data review (e.g., assessments, claims, etc..) conducts an evaluation of member’s needs and available benefits to collaborate and refer to programs offered by the plan sponsor.
Applies clinical judgment to reduce risk factors, address complex health issues and social indicators.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Required Qualifications:

Must have an active and unrestricted RN license and, if located within the Nurse Licensure Compact jurisdiction, the ability to use their compact license without restriction
Willingness and ability to obtain additional state licenses upon hire (paid for by the company)
5 years clinical practice experience as an RN
1+ years of experience with MS Office Suites
Must be willing and able to work Monday through Friday between the hours of 8:00am – 5:00pm in time zone of residence
Must be willing and able to work rotating evening shift until 7pm CST (twice per year)

Preferred Qualifications:

Candidates in CST, MST, or PST Time Zone highly preferred
1+ years of case management experience
Certified Case Manager (CCM) certification
Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.
Strong telephonic communication skills
Transgender certification

Education:

Associates in nursing

BSN Preferred.

Pay Range

The typical pay range for this role is:

$54,095.60 - $142,576.72

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 01/07/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Related Jobs

Case Management Utilization Review RN - REMOTE

Steward Health Care • Full-time • Remote • 6m ago

RN Utilization Review

Location: Steward Health Care Posted Date: 6/11/2024 Job Type: Full Time Department: 1301.40601 Centralized UR The Care Manager assumes primary responsibility for documentation of appropriate medical necessi...

6m ago

VIEW JOB

Clinical Review Nurse - Prior Authorization - Remote FL

Centene • Full-time • Remote • $25.97 - $46.68 / hour • 21h ago

RN Utilization Review

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive bene...

21h ago

VIEW JOB

RN- MyCare Advice Line - 20 Hrs- Hybrid Remote, Variable Shift

Henry Ford Health • Full-time • Remote • 2d ago

Our 24/7 RN Advice Line is a critical component of our mission, offering expert guidance and compassionate care to individuals in need. You’ll play a pivotal role in improving patient outcomes, enhancing the overall heal...

2d ago

VIEW JOB

NICU Utilization Management Nurse RN - Remote

UnitedHealth Group • Full-time • Remote • $59,500 - $116,600 / year • 2d ago

RN ICU Utilization Review

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the ca...

2d ago

VIEW JOB

Clinical Review Nurse - Prior Authorization - Remote OK/Compact

Centene • Full-time • Remote • $25.97 - $46.68 / hour • 3d ago

RN Utilization Review

3d ago

VIEW JOB