✨ About The Role
- The Case Manager RN position at CVS Health is 100% remote, allowing employees to live in any state
- Responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate their medical needs and overall wellness
- Develops proactive strategies to address member issues and enhance short and long-term outcomes
- Utilizes clinical tools and information to evaluate member needs, benefit plan eligibility, and facilitate smooth transitions to Aetna programs
- Applies clinical judgment to incorporate strategies for reducing risk factors, addressing health and social indicators, and resolving member issues
âš¡ Requirements
- Experienced RN with at least 2 years of clinical experience in various settings such as Emergency Department, Home Health, ICU, or Telemetry
- Must have an active and unrestricted RN license in the state of residence, with the willingness to obtain multiple state RN licensure if required
- Strong telephonic communication skills and experience with telephonic case management preferred
- Ability to work Monday through Friday with occasional late shifts, demonstrating flexibility and commitment to the role
- Certified Case Manager (CCM) certification is a plus